more than 480,000 deaths annually; and
WHEREAS, According to the National Youth Tobacco Survey, 3.9
million middle and high school students used tobacco in 2016;
and
WHEREAS, In 2016, according to the National Youth Tobacco
Survey, 47.2% of high school tobacco users and 42.4% of middle
school tobacco users used two or more different types of tobacco
products; and
WHEREAS, E-cigarettes remain the most commonly used tobacco
product among youths for the last three years; and
WHEREAS, Smoking-related illnesses in the United States cost
$170 billion per year in direct medical care for adults and $156
billion per year in lost productivity; and
WHEREAS, Cigarette smoking increases the risk of cancers of
the mouth and throat, lung, esophagus, pancreas, cervix, kidney,
bladder, stomach, colon, rectum and liver, as well as acute
myeloid leukemia; and
WHEREAS, Smoking greatly increases the risk of debilitating,
long-term lung diseases such as emphysema and chronic
bronchitis; and
WHEREAS, Smoking also causes heart attack, stroke, diabetes
and cataracts; and
WHEREAS, Half of all smokers who keep smoking will eventually
die from a smoking-related illness; and
WHEREAS, A smoker's heart rate and blood pressure drop just
20 minutes after quitting smoking; and
WHEREAS, One year after quitting smoking, the excess risk of
coronary heart disease is half that of someone who still smokes,
and the risk of heart attack drops dramatically; and
WHEREAS, Fifteen years after quitting smoking, a smoker's
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