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A third or more of states got an F for their tobacco taxes, access to prevention programs and limits on flavored tobacco products, while Arizona was one of 23 states with an A for public-smoking restrictions

"Lifestyle-related risk factors give cause for concern, as they may slow, or even reverse the great gains in life expectancy if left unchecked." Read more: How to prevent cancer What is the European health report

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But we still have a very long road ahead of us in helping people develop the tools and skills that go along with living a tobacco-free lifestyle. Smoking Declining The CDC estimates cigarette smoking and exposure to secondhand smoke causes 443,000 or 1 in 5 deaths every year in the U.S