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For me as a public health person, the question was, does public health just die? Health department spokesperson Andrew Nixon said in a statement that the CDC remains deeply committed to tobacco prevention and control, which it supports through efforts including outreach, education, and surveillance. The new data on cigarette use come from the National Health Interview Survey, which is conducted annually by the CDC and asks tens of thousands of Americans questions about everything from their exercise habits to their illnesses and access to health care

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The largest increase of snus use has been among women, rising from four percent in 2007 to 14 percent in 2025