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Based on a review study of nine case-control studies and a cohort study on sinonasal cancer, this type of cancer is associated with increased TS

Nationally, the rate was 8.8%.2,3 Other tobacco product use: Washington E-cigarette and smokeless tobacco use in Washington In 2017, 4.3% of adults used e-cigarettes and 3.4% used smokeless tobacco.4 In 2018, approximately 10% of 8th graders, 21% of 10th graders and 30% of 12th graders in Washington used vapor products on at least one day in the past 30 days.2 In 2018, approximately 1% of 8th graders, 2% of 10th graders and 4% of 12th graders in Washington used chewing tobacco, snuff or dip on at least one day in the past 30 days.2 In 2018, approximately 2% of 8th graders, 3% of 10th graders and 7% of 12th graders in Washington smoked cigars, cigarillos or little cigars on at least one day in the past 30 days.2 Economics of tobacco use and tobacco control Economics of tobacco use in Washington Washington received $552.6 million (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2019.5 Of this, the state allocated $1.5 million in state funds to tobacco prevention in fiscal year 2019, 2.4% of the Centers for Disease Control and Preventions annual spending target.5 Smoking-caused health care costs: $2.81 billion per year.5 Smoking-caused losses in productivity: $2.2 billion per year.6 Washington tobacco laws Cigarette tax in Washington Tobacco taxes Washington is ranked 9th in the U.S

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