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Typically, when states increase their cigarette tax rates, its followed by a spike in revenue that later leads to a revenue decrease, sometimes even dipping to lower revenue levels than before the tax increase

In addition, the charcoal burned in the pipes often produces its own toxins , including high levels of carbon monoxide and cancer-causing chemicals

Canadian Tobacco, Alcohol, and Drugs Survey (CTADS)

13.8% of middle and high school students used flavored e-cigarettes in the past 30 days

Why the findings matter According to the National Survey on Drug Use and Health, conducted each year by the federal Substance Abuse and Mental Health Services Administration, daily smokers tried their first cigarette around age 15 and formed a daily habit around age 18