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Third, avoid smoking and exposure to secondhand smoke

Across the whole of New York State, smoking causes $12.07 billion in health care costs and $18.2 billion in lost productivity costs annually

For example, the process of mining gold and the additional metals used to create white gold can be particularly damaging

3 Below are the rates for other forms of tobacco use in 2023 : Any tobacco use: 16.8% Cigar smoking: 1.0% Pipe smoking: 0.1% Smokeless tobacco: 0.3% Missouri Data Among Missouri college students, past year use of any tobacco/nicotine products has increased from 23% in 2023 to 28% in 2025, matching rates in 2020
