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Further, this would avert 1,499 cases of impoverishment due to out-of-pocket spending on tobacco-attributable diseases and 16,823 catastrophic health expenditures

International Journal of Environmental Research and Public Health: American Lung Association: The Centers for Disease Control and Prevention: National Association of Secondary School Principals: The Centers for Disease Control and Prevention, Notes from the Field: E-CigaretteAssociated Cases Reported to Poison Centers United States, April 1, 2022March 31, 2023 CDC, MMWR, June 2023

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Labor costs are the biggest component driving shade production, said Andrew Urbanowicz, a broadleaf tobacco farmer in Enfield and president of the ConnMass Tobacco Growers Association