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In 12 states a region we call Tobacco Nation that spans Alabama, Arkansas, Indiana, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Ohio, Oklahoma, Tennessee, and West Virginia both adults and young adults have 50% higher smoking prevalence and smoke many more cigarettes per capita annually than people living in other states

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Almost two decades ago, Carla Bartlett, a then 41-year -old West Virginia secretary and mother of two, was first diagnosed with cancer what her surgeon later labeled a garden variety type of kidney cancer

The value of exports surpassed that of imports of all tobacco products between 2010 and 2012