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Recognizing co-occurring psychiatric conditions and trauma histories is essential, as untreated mental health symptoms frequently drive continued alcohol use

We acknowledge that there are sacred uses of tobacco and our work specifically focuses on commercial tobacco

Even the higher smoking and vaping rates among school survey takers are lower than the rates in 2020, so the decline in both behaviors is real

West Virginia raised the smoking age to 21 in 2024 to comply with federal law

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To continue reducing youth tobacco use, the CDC and FDA recommend proven policies including "price increases, smoke-free policies, counter-marketing campaigns, and healthcare interventions." Holbrook said his school have held assemblies and conferences for students and their families about the ill effects of vaping and hopes that other schools are doing the same and teaching about the harmful effects as early as elementary school.