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24 By replicating and building on findings from the NHIS study, 14 this work demonstrates that there is also an increased risk for long-term chronic disease due to childhood cigarette smoking

Finally, the health care costs of smoking, which amount to $96.7 billion caused directly by smoking and $4.98 billion caused by secondhand smoke exposure annually, are clearly high enough to be considered a significant burden on the nations financial goal

This age group had the greatest reduction in daily smoking prevalence between 2011/12 and 2022/23 (Figure 4), though prevalence did not decrease further between 2022/23 and 2024/25

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