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These figures from the Federal Trade Commission Reports on Cigarettes and Smokeless Tobacco Sales and Marketing Expenditures for 2021 document a continued concentration of tobacco industry expenditures in the retail environment

However, 19 states have laws that prevent a local government (city or county) from enacting an age higher than the states legal age to purchase tobacco products

Reproductive health effects include reduced fertility, pregnancy complications, low birth weight, and increased risk of birth defects

Retrieved 11 September 2019

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