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The combined approach also decreased the chances of relapsing back to vaping and smoking

When we total the average figures for the 47 states contained in the model, as well as any imports and exports from Canada and Mexico, the states with the top five overall smuggling import rates are California (24.5 percent), New York (20.9 percent), Arizona (20.6 percent), Washington (20.1 percent) and Michigan (16.0 percent)

On current trends, the goal of minimal smoking prevalence by 2025 will be missed by a wide margin for these groups