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As discussed in Chapter 5, it is likely that variations in the levels of tobacco control activities among the states also account for some of these variations in smoking prevalence

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State-level data from the CDC and other sources were used to calculate per-smoker lifetime and annual costs nationwide

We suggest against using e-cigarettes for smoking cessation for most people because of uncertainty about unapproved products, long-term harms, and public health impacts, but recognize that this may be considered for people who have unsuccessfully attempted other interventions or express a strong preference