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In our 2017 report, Tobacco Nation: The deadly state of smoking disparity in the U.S., we highlighted a group of 12 states in this region, all of which had higher smoking prevalence than the national average: Alabama, Arkansas, Indiana, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Ohio, Oklahoma, Tennessee and West Virginia

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This means industry giants can cash in on their consumers several times: first when someone buys a packet of cigarettes, then to get rid of their addiction, and again when they need treatment or drugs due to smoking-related illness

Researchers also found that in many cases, the added flavor exacerbated the detrimental effects of e-cigarette vapor and concluded that both vaping and conventional cigarette smoking negatively impact lung biology (10)

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