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Chabrol H, Niezborala M, Chastan E, de Leon J: Comparison of the Heavy Smoking Index and of the Fagerstrom Test for Nicotine Dependence in a sample of 749 cigarette smokers

41 tobacco-dependent localities where Tobacco Indemnification and Community Revitalization Commission made investments to revitalize the region Source: Virginia Tobacco Indemnification and Community Revitalization Commission, 2010 Annual Report The 1998 Master Settlement Agreement (MSA) between large tobacco manufacturers and the Attorneys General of 46 states led to a major increase in costs to consumers who still choose to smoke or chew, reducing demand for tobacco substantially

It also restricted where tobacco could be sold

Rhode Island ($13.72), Connecticut ($13.63), Maryland ($13.47), and Massachusetts ($13.28) round out the top five, each more than $3 above the $10.15 national average

Repeated episodes can become life-threatening and may eventually lead to permanent damage