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Smoking is the biggest risk factor for lung cancer and we see that the trends in lung cancer follow those in smoking with a lag of around 20 years

Additionally, there is the need for continued surveillance of the patterns of e-cigarette use, particularly daily use, as this represents a concerning emerging pattern of use with a greater risk of nicotine addiction and subsequent combustible cigarette initiation, Blaha said

All other tobacco products are taxed at 30% of the manufacturers list price.6,7 Clean indoor air ordinances Smoking is prohibited in all government and private workplaces, schools, childcare facilities, restaurants, bars, casinos/gaming establishments, retail stores and recreational/cultural facilities.7 No smoke-free restrictions exist for e-cigarette use.9 Flavor restrictions The sale of cartridge-based and disposable e-cigarettes with flavors other than menthol is prohibited.10 Licensing laws Retailers and wholesalers are required to obtain a license to sell tobacco products.6 A license is required to sell e-cigarettes.9 Youth access laws Effective December 2019, the United States adopted a law raising the federal minimum age of sale of all tobacco products to 21