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The states that have the highest grades are taking affirmative action to work to increase their tobacco taxes, to raise the minimum age of sale of tobacco products to 21, to put into place youth prevention programs that are evidence based and also to help smokers get the help they need to quit, Sward said.

The International Consortium of Investigative Journalists

it's gross, it smells and it's awful." Education on local levels There are 31 local municipalities that have strong smoke free work place, restaurant and bar laws Montgomery is not one of them and that alone is only scratching the surface in what needs to be done in Alabama to "really turn the tide," Lyerly said