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Among Alaska Native adults who used smokeless tobacco products between 2021 and 2023, about a third used iqmik, Knight said

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It made all counties "wet," starting in 2020, unless local voters in a referendum acted to keep it "dry." 17 At the time, the remaining 100% "dry" counties were Appomattox , Bland, Botetourt , Buchanan, Campbell , Carroll , Charlotte, Craig, Dickenson , Floyd , Franklin , Giles , Grayson, Green , Halifax , Henry , Highland, King William , Lee, Louisa , Lunenburg , Mecklenburg , Montgomery , Patrick, Pittsylvania , Pulaski , Russell , Scott , Smyth , Surry , Tazewell , Warren , Washington , Wise , and Wythe

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