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Most people already know: cigarette smoke contains countless harmful and even carcinogenic substances

These medications should be used for at least 12 weeks to help with cessation

History of the Tobacco 21 Movement As of August 2022, the total list of states and cities that have raised their MLSA to 21 includes more than 570 cities and counties in 45 different states.The map below from Tobacco21.org, which is current as of August 8, 2022, illustrates in white the remaining states in the US without a statewide T21 policy in place

The largest contributor explaining the enormous differential in the growth of the two numbers is the massive step up in associated excise taxes per cigar, equating to $0.05 per unit in 2008 and $0.13 in 2009 for JMC