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Adult tobacco use prevalence fell from 26.2% in 2010 to 19.5% in 2024, while the number of tobacco users declined to 1.2 billion in 2024

Smoking, vaping rates down in SD and US Even though tobacco use is dramatically down in South Dakota, an average of 1,300 people die each year from smoking-related illnesses and the state spends an estimated $433 million annually on associated health costs, according to the American Cancer Society

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We have and continue to put our shoulder into everything we do, with thought into all decisions sometimes agonizing but I believe the results are worth it