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The addiction cycle remains constant: nicotine creates dependence, dependence drives continued use, and continued use multiplies health risks over time

As a result, the ALA said, tobacco control and quitline programs in all 50 states and the District of Columbia were left at risk of shutting down, with some states drastically reducing lifesaving services. Hensil said, It is devastating to see the federal government largely abandon its tobacco control efforts

These factors make it burn less evenly when rolled into cigarettes, often requiring more frequent relighting

Source Campaign For Tobacco-Free Kids, National Conference of State Legislatures.