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This is problematic as all states, according to Center for Disease Control (CDC) recommendations, underfund relevant spending programs like cessation and youth prevention campaigns.[34] In fact, states only spend 2.4 percent of the revenue on tobacco prevention, which means that more resources could be dedicated to these programs without needing to further increase taxes.[35] Alcohol Excise taxes on alcoholic beverages are some of the oldest taxes in America

Environ Health Perspect 126(2):027010 Chowdhury R, Ramond A, O'Keeffe LM, Shahzad S, Kunutsor SK, Muka T et al (2018) Environmental toxic metal contaminants and risk of cardiovascular disease: systematic review and meta-analysis

Even smoking fewer cigarettes than 1 a day increases the risk of dying early, compared to people who have never smoked

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