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That would nudge Missouri out of 51 st place among all the states and the District of Columbia, according to the Campaign for Tobacco-Free Kids, pushing it past the 30 cents a pack levied in 50 th -place Virginia and just behind 49 th -place Georgia, at 37 cents

She noted that smoking is also quite common among manual workers, semi-skilled workers and those on long-term state benefits such as unemployed people, adding that people with medical cards can avail of free nicotine replacement therapy

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