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Among AI/AN populations: 1 in 2 young adults aged 18 to 25 years use tobacco 1 in 5 adults aged 18 and over smoke cigarettes 1 in 12 adults aged 18 and over use smokeless tobacco 1 in 6 women smoked during pregnancy Smoking prevalence is highest in the Northern Plains region (Iowa, Michigan, Minnesota, Montana, Nebraska, North and South Dakota, Wisconsin, and Wyoming) What are the health risk of tobacco use

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Monitor Cigarette Quality: Regularly sample the output to verify that each cigarette meets the quality standards for consistency and appearance