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Existing literature on the relationship between smoking and specific health outcomes is prolific, including meta-analyses, cohort studies and casecontrol studies analyzing the risk of outcomes such as lung cancer 5,6,7 , chronic obstructive pulmonary disease (COPD) 8,9,10 and ischemic heart disease 11,12,13,14 due to smoking

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Most states today allow people to legally buy cigarettes at age 18

14.1% (n = 499) switched to combustible tobacco products

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By fiscal 1993, the BOE estimated that tax evasion had dropped 13.2 percent in three years