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Policy makers can formulate their decisions on smoking control priorities and resource allocation based on the magnitude of the effect and the consistency of the evidence relating smoking to each of the 36 outcomes, as represented by the ROS and star rating for each smokingoutcome association 187

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Nationally, smokeless tobacco use prevalence among high school students was 2.5%.2 In 2021, 0.7% of high school students in Connecticut smoke cigars, cigarillos or little cigars on at least one day in the past 30 days

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