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To compare results across countries, we plotted the ratios of the postintervention to preintervention MSPEs for the adjoining countries and the other low- and lower-middle-income countries

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In the 2026 report, Kentucky received the following grades: Funding for State Tobacco Prevention Programs Grade F Level of State Tobacco Taxes Grade F Strength of Smokefree Workplace Laws Grade F Coverage and Access to Services to Quit Tobacco Grade C Ending the Sale of All Flavored Tobacco Products Grade F In 2025, the tobacco control and prevention landscape fundamentally changed when the administration took a series of actions that weakened enforcement and jeopardized public health efforts across the country

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