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On a national scale, a CDC (US Centers for Disease Control and Prevention) study of smoking cessation methods used by adults who smoked between 2014 and 2016 found that 35.3% of participants who used multiple methods during their most recent cessation attempt replaced some cigarette intake with e-cigarettes, and 24.7% switched completely from cigarettes to e-cigarettes [10]

The industry not only uses registered lobbyists and trade groups, but also astroturfed smokers rights groups that mobilize supporters on social media

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Nationally, adult smoking prevalence was 14.0%.1 In 2021, 4.1% of high school students in Iowa smoked cigarettes on at least one day in the past 30 days

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