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According to the Centers for Disease Control and Prevention, because tobacco policies take a population-based approach to improving health, policies have the potential to reach groups most affected by tobacco and reduce disparities, but these policies are largely enacted and enforced at the state and local level, where there is significant variation

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The figures in 2017 grew to 130 styles and 2.385 million boxes

While cigarette sales have been gradually declining for more than a decade, the country still has the highest rate of tobacco use in the Western Hemisphere