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This reduction in daily smoking prevalence was not accompanied by an increase in the quit rate* (15.1% in 2021/22 and 17.4% in 2022/23) or by an increase in the prevalence of ex-smokers (reduced from 29.0% to 27.7%)

The prevalence of phlegm among dual e-cigarette users included 215 individuals data from three studies 22,24,57

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In Missouri, the adult smoking rate is even higher

If finalized, this proposal will likely increase the number of claims subject to the adjustment described in the discussion above