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Nationally, the rate was 13.2%.2 In 2017, 4.2% of high school students in Virginia used chewing tobacco, snuff or dip on at least one day in the past 30 days

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Parental smoking increases risk of ear infections, asthma, respiratory symptoms, and impaired lung function

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In contrast, chronic smoking may cause endothelial dysfunction [33], vascular injury, plaque progression [34], and increases in insulin resistance [35] and arterial stiffness [36, 37], which could be associated with the development of hypertension [38]

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