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This means an estimated 42.1 million adults in the United States alone smoke cigarettes

But progress has varied across countries, and more work is needed to protect young people from the health risks of using tobacco products and being exposed to secondhand smoke

Some states also apply taxes as a percentage of wholesale costs, ranging from 7% in Georgia to 95% in Minnesota.[23] Georgias policymakers could model best practices in vaping policy by assessing a uniform percentage rate that keeps parity with the states user fee for cigarettes

To further enhance the harm reduction element, Oregon lawmakers could consider including a Modified Risk Tobacco Product (MRTP) provision