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Nutt acknowledges these problems, but argues that his analysis provides value to policymakers

The health and economic cost of tobacco According to WHO: The tobacco epidemic is one of the biggest public health threats the world has ever faced, responsible for over 7 million deaths annually, as well as disability and long-term suffering from tobacco-related diseases. Additionally, a study by the organisation found that approximately 80% of the 1.3 billion tobacco users worldwide live in low- and middle-income countries, where the burden of tobacco-related illness and deaths is heaviest

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Decreasing Exposure to Secondhand Smoke Exposure to secondhand smoke is the third leading cause of preventable death in the United States, killing more than 50,000 nonsmokers each year

All other tobacco products are taxed 95% of the taxable sales price.7,8 Clean indoor air ordinances Smoking is prohibited in government workplaces, private workplaces, schools, childcare facilities, restaurants, bars, casinos/gaming establishments (tribal establishments exempt), retail stores and recreational/cultural facilities.7,8 E-cigarette use is prohibited in and on grounds of child care facilities, schools, playgrounds, school buses, elevators, within 500 feet of schools, in indoor early learning facilities, in vehicles used to transport children and outdoors on property during non-business hours in a place that would not be considered a public place and at least 25 feet from entrances, windows and vents.10 Youth access laws The minimum age to purchase tobacco products in Washington is 21

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