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Policy changes like greater spending on tobacco prevention and cessation and higher excise taxes must be paired with quitting support to be effective

This staggering prevalence places Nauru at the top of the list among countries with the most smokers

In the meantime, local and state level protections including prioritizing tobacco program spending in existing budgets, higher tobacco excise taxes on tobacco products, stronger local tobacco policies supporting smoke-free environments, and restrictions on the sale of flavored tobacco products are needed to address long-existing inequities in smoking rates and health outcomes in our country