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Figure 1: Changes in global tobacco use prevalence Globally, the prevalence of current tobacco use decreased from 34% to 22% between 2000 to 2022

(The data throughout this section will focus on the first six states listed because Massachusetts sales only began in November 2018 and revenue data are not yet available.) As a result, there are now more than half a dozen states gaining real world experience with a tax that did not exist a decade ago

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Considering both direct costs of hospital care and medication, and indirect costs of lost productivity, it has been calculated that the annual global cost of smoking-related disease and death amounts to $1.4 trillion

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