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Predicted per-adult consumption will exceed the states observed per-adult sales, suggesting that the states consumers are obtaining their cigarettes in other jurisdictions or markets
doi: 10.1016/j.annemergmed.2016.11.003 [PubMed] 27752625 Oh BJ, Im YG, Park E, Min YG, Choi SC

Tattoos / piercings/ acupuncture (in unregistered premises or with possibly unsterile equipment or with needles that were not new) Regularly shared razors or toothbrushes (with a person who is known to have hepatitis B or may have been at risk, see risk factors above) Born in a high risk country (Asia, Africa, South America, Pacific Islands, Eastern Europe, and the Middle East) Medical or dental procedures in a high risk country (Asia, Africa, South America, Pacific Islands, Eastern Europe, and the Middle East) Sharps injury (may have been in connection with job if they work in a healthcare setting) Current intra-venous(IV) drug use / past intra-venous drug(IV) use (including steroids, even once and sharing any injecting equipment) Current sniffing or smoking cocaine / past sniffing or smoking cocaine (sharing pipes, notes or straws) Contact sports, fights and a human bite (where they may have come in contact with another persons blood) Note: The virus is not passed on during normal social contact, such as holding hands, hugging, or sharing food, cups or crockery and the same toilet.

Total federal tobacco tax revenue totaled $12.1 billion in 2021
Cancer: Cigarettes are a leading cause of various types of cancers, especially lung cancer