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While national cigarette smoking rates have declined substantially among US youth since the mid-1990s, an estimated 10 percent of middle and high school students2.8 million peoplecurrently use at least one tobacco product, and many also engage in dual use, particularly with e-cigarettes

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For example, in parts of Africa and South Asia, snuffing tabacco is a common practice, while in the United States, smokeless tobacco products are more prevalent

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