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15, 2025) Adults who smoke 16.5% (393,700) High school students who smoke 7.4% (12,400) High school students who use e-cigarettes 22.6% Deaths caused by smoking each year 5,800 Annual health care costs directly caused by smoking $1.41 billion Proportion of cancer deaths attributable to smoking 36.1% Residents' state & federal tax burden from smoking-caused government expenditures $1,277 per household Estimated annual tobacco industry marketing in state $110.1 million State Reports Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, D.C

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