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Societal impact of smoking and nicotine use Smoking remains the number one preventable cause of death and disease, causing more than 480,000 deaths annually and costing our country more than $240 billion annually in healthcare spending and nearly $185 billion in lost productivity from smoking-related illnesses and health conditions

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Among the group who used to vape but no longer do, 44% used to smoke but have also given that up, 29% currently smoke and 28% have never smoked

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