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Pennsylvania alone Lancaster County, York County, the Lehigh Valley produced millions of cigars per year, most of them hand-rolled by workers in small factories and distributed under brand names that regional smokers knew and trusted

Footnote(s): [1] Similar to adult tobacco prevalence, this indicator does not include ENDS

The risk of starting to smoke for military members is nearly twice as likely among males and those ages 18 to 29, compared with females and adults aged over 45

This has fostered rooted and trusting relationships among board members, which, in turn, encourages brutal honesty when addressing the difficult issues facing the community