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2 Although cigarette use in the United States continues to decline, 3 according to Centers for Disease Control and Prevention (CDC) analyses, 34.3 million American adults smoked cigarettes every day or some days in 2017, 4 and nearly 1.4 million American middle and high school students smoked cigarettes in the past 30 days in 2018

Moreover 16.5% of American high school students, as reported by the 2023 National Youth Tobacco Survey, use tobacco products of any kind, including e-cigarettes

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Photography by Ben Judkins and Katie Rodriguez