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Cigarettes Are More Popular in Appalachian States See the top five states for most smokers: West Virginia holds the top spot for smokers, with more than 20% of its population partaking of tobacco products

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While early reports have also described a connection between acute e-cigarette use and biomarkers linked to elevated cancer risk, there is limited evidence at this point to suggest a direct causal association between ENDS usage and cancer development [144]

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Funding Gap: For every $1 collected in tobacco taxes, Utah spent roughly $0.11 on prevention and cessation programs