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Figure 2 presents a scatter plot of per-adult sales and smoking prevalence for the 47 states in our sample for the year 2006

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Evidence for interaction is most apparent in structural and functional lung outcomes: In a comprehensive HRCT/physiology study from New Zealand, emphysema was uncommon among cannabis-only users but more frequent in tobacco-only smokers and highest in dual users, consistent with at least additive-if not synergistic-effects on airway and parenchymal injury (9)

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Environmental Protection Agency (EPA) notes that smoke particles can accumulate on indoor surfaces and contribute to poor air quality if not properly cleaned