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Critical Reviews in Toxicology

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By Charles Apple The Spokesman-Review In the 60 years since the American Heart Association found much higher death rates from heart attacks among heavy smokers than among nonsmokers and the 56 years since the surgeon generals office issued its first report on the harmful effects of smoking Americans are lighting up less frequently

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Although smoking rates have declined, the study warns that cigarettes today may be smoked more intensively to compensate for reduced consumption, potentially increasing the harm caused

In 2023, the agency found that 1.5% of high school students reported that they had used smokeless tobacco in the past 30 days