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Smoking, vaping rates down in SD and US Even though tobacco use is dramatically down in South Dakota, an average of 1,300 people die each year from smoking-related illnesses and the state spends an estimated $433 million annually on associated health costs, according to the American Cancer Society

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It found that exclusive current cigar smokers ages 3580 years had significantly elevated mortality for all causes (HR = 1.20, CI = 1.031.38), all tobacco-related cancers (HR = 1.61, CI = 1.112.32) and lung cancer (HR = 3.26, CI = 1.865.71)

In 2018, TISA members total cigarette consumption volume was approximately 15.5 billion sticks