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Overall, the trends indicate a rise in prevalence and past use of e-cigarettes across countries 9,27,29,30,31,32,33 , though prevalence of use declined in 2020 during the pandemic according to data from Canada and the United States 27,31

"For Georgia's tax to be so low is unacceptable, especially if we are really serious about trying to reduce smoking rates and reduce health care costs." The state's cigarette tax has remained at 37 cents since 2003, when state lawmakers voted to raise it from 12 cents

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While this shift may seem small, it represents an additional 350,000 Americans quitting smoking in 2014-15.