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Nationally, the , cigar use prevalence among high school students was 3.1 was 5.7%.2 Economics of tobacco use and tobacco control Tennessee tobacco taxes Tennessee received $406.3 million (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2023.4 Of this, the state allocated $2 million in state funds to tobacco prevention in fiscal year 2023, which is 2.6% of the Centers for Disease Control and Preventions annual spending target.4 Smoking-caused health care costs: $3.10 billion per year.4 Smoking-caused losses in productivity: $8.5 billion per year.5 Tennessee tobacco laws Tennessee tobacco laws Tobacco taxes Tennessee is ranked 43rd in the U.S

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28 A modified version focused on ask, advise, and refer has also been proposed for oral health professionals, but research suggests patients are more successful in quit attempts when using the 5 As approach
