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Nationally, adult e-cigarette use prevalence was 7.7%.1 In 2022, 4.9% of adults in South Dakota used smokeless tobacco every day or some days

Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 19902015: a systematic analysis for the Global Burden of Disease Study 2015

Interstate sales of cigarettes are subject to PACT Act registration and reporting

It rapidly crosses the blood-brain barrier, stimulating the release of neurotransmitters like dopamine, which affects mood, focus, and anxiety

What actually happens in practice This is the part where we separate what the law says from what we could actually find evidence of

Instead, those that can afford the tax will pay it, while poorer smokers will turn to drug dealers to supply tobacco products