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(12) California : Reports the highest number of adult smokers at 2,644,835, but with a relatively low smoking rate of 9.70%, reflecting the states large population

For example: a person who has smoked 15 cigarettes a day for 40 years has a (15/20) 40 = 30 pack-year smoking history

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But studies have also found that e-cigarettes didn't cause the type of disruptions in the body seen with tobacco smoking