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As of 2021, New York State Department of Heath Bureau of Tobacco Control (NYS DOH BTC) reported a tobacco use rate of 22.7% in Washington County, which is nearly double the NYS average of 12% of adults being current smokers

"Outbreak of Electronic-Cigarette-Associated Acute Lipoid Pneumonia - North Carolina, July-August 2019"

doi:10.1021/acs.chemrestox.6b00174 59

The cigarette's design, including filter ventilation, significantly affects nicotine yield
