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In addition, the concurrent use of tobacco and alcohol is common and increasing over time, especially among socioeconomically disadvantaged population 24,49

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Documenting presence of items like flavored tobacco products and single cigars in your community can be a powerful way to draw attention to the problem and garner support

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Whereas with marijuana, we see this as an opportunity to address the harms of criminalization while also regulating cannabis. But health department opinions vary, even within the same state: New Yorks Association of County Health Officials opposes legalizing recreational weed