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Top cancer experts sounded the alarm after researchers found an almost five-fold increase in the proportion of people smoking cigars, cigarillos, pipes and shishas

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In North Carolina, the adult tobacco use rate was 27.1% in 2019, as reported by the American Lung Association (2020) in the State of Tobacco Control. The state has struggled to reduce tobacco use, earning failing grades in efforts to prevent smoking and e-cigarette use