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Discussion Smoking causes several pathologic changes and is a major predisposing factor in certain diseases 19

In contrast to joints which are made with cigarette papers, blunts encase marijuana within tobacco leaves

Nationally, the smokeless tobacco use prevalence among high school students was 2.5%.2 In 2021, 2.1% of high school students in South Dakota smoked cigars, cigarillos or little cigars on at least one day in the past 30 days

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