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There are several areas of concern, such as the rise in the use of electronic cigarettes and other electronic nicotine delivery systems, particularly among young adults we still dont know enough about their implications for cancer incidence or death and also about the use of smokeless tobacco in rural populations.While we focus most on combustible tobacco, the tobacco industry keeps evolving its product portfolio (e.g., the use of Zyn pouches has risen to epic proportions in the past year) and the use of menthol cigarettes in particular among Black people (ethnicity/race), blue collar workers (who make up a large population of the work force in Louisiana, especially in rural areas, and those with a higher prevalence of chronic disease

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