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Significant changes in percentages of past month cigarette use and perception of great risk of smoking one or more packs of cigarettes per day among persons aged 12 to 17, by state: 20022003 versus 20122013 The prevalence of cigarette use initiation in childhood or adolescence has prompted the Surgeon General to declare tobacco use to be a pediatric epidemic, affirming the importance of tobacco use prevention and control measures that target youths

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As more states look to pass Tobacco 21 to comply with the federal legislation, tobacco control advocates should remain vigilant of Big Tobacco lobbying to include preemptive language in state MLSA legislation, as tobacco companies have a history of throwing their support behind laws that sound good on the surface, but in reality are weak, unenforceable and/or preemptive

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