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Nationally, adult smoking prevalence was 14.0%.1 In 2022, 1.2% of high school students in California smoked cigarettes on at least one day in the past 30 days.2 Nationally, smoking prevalence among high school students was 3.8%.2 Other tobacco product use: California Vaping rate in California In 2022, 7.3% of adults in California used e-cigarettes.1 In 2021, 2.0% of adults in California used smokeless tobacco every day or some days.3 In 2022, 5.6% of high school students in California used electronic vapor products on at least one day in the past 30 days.2 In 2022, 0.3% of high school students in California used chewing tobacco, snuff or dip on at least one day in the past 30 days.2 Economics of tobacco use and tobacco control Tobacco taxes in California California received $2.7 billion (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2022.5 Of this, the state allocated $199.5 million in state funds to tobacco prevention in fiscal year 2022, 57.3% of the Centers for Disease Control and Preventions annual spending target.5 Smoking-related health care costs: $15.44 billion per year.5 Smoking-related losses in productivity: $28.1 billion per year.6 California tobacco laws California tobacco laws Tobacco taxes California is ranked 13th in the U.S

demonstrated that mice chronically exposed to e-cigarette aerosol accumulated elevated levels of DNA adducts in lung, bladder, and heart tissues, accompanied by a marked reduction in DNA repair enzyme activity, highlighting that both genetic integrity and repair capacity are compromised by such exposure (56)

Dermatologists need to be made aware of and encouraged to include child abuse in the differential diagnosis of any suspicious signs or symptoms

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As a result, tobacco companies face pressure to innovate and adapt their product offerings to align with changing consumer preferences and health regulations