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Nationally, the smokeless tobacco use prevalence among high school students was 2.5%.2 In 2021, 3.5% of high school students in West Virginia smoke cigars, cigarillos or little cigars on at least one day in the past 30 days

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Smoking, unfortunately, can affect this particular system in many ways

Together, these approaches aim to foster a school culture in which smoking is socially discouraged and non-smoking is normalised (Figure 1)