Our study found that the three regions with the highest age-standardized mortality and DALYs rates for lip and oral cavity cancer due to smoking were South Asia, Eastern Europe, and Central Europe, while the three countries with the highest rates were Kiribati, Pakistan, and Palau
That's because local police enforce state law and the state law says anyone 18 and older can smoke or use tobacco products

Establishments are required to post signs stating that sales to underage consumers are prohibited.6,7 Underage consumers are prohibited from buying, possessing, and using vapor products, including e-cigarettes.6,7 The sale or distribution of vapor products, including free samples, to underage persons is prohibited.9 Vending machines must be inaccessible to underage persons or in line of sight of cashier.9 Quitting statistics and benefits Quitting vaping and smoking in Kentucky The CDC estimates 47.0% of daily adult smokers in Kentucky quit smoking for one or more days in 2019.3 In 2014, the Affordable Care Act required Medicaid programs cover all quit medications.7** Kentuckys state quit line invests 73 cents per smoker, compared with the national average of $2.28.7 Kentucky has a private insurance mandate provision for quitting tobacco.7 Notes and references Updated August 2021 *National and state-level prevalence numbers reflect the most recent data available

Campaign to prevent smoking Captions are provided by our contributors