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The geography of smoking South Dakota is home to 3 of the 5 counties with the highest percent of cigarette smokers

Residents of Tobacco Nation are slightly less likely to be engaged in the labor force (61 percent versus 64 percent of the rest of the U.S.) and are more likely to work in industries like manufacturing (14 percent versus 9 percent)

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Although the use of e-cigarette is soaring, several review articles evaluating studies of e-cigarettes have concluded that the short- and long-term effects of e-cigarettes are limited or lacking [13,14]

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CDC and the Food and Drug Administration (FDA) are working with state health departments to determine what might be causing the illnesses