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State Summary State Customers must be 21 years or older to purchase tobacco products (cigarettes, cigars, tobacco in any form), e-cigarettes, vapor products, cigarette paper or wrapper (See Restricted Products section)

TOBACCO IN HAWAII 1,400 lives lost to tobacco use each year in Hawaii 10% of high school students in Hawaii smoke $526 million tobacco-related health care costs to Hawaii taxpayers each year HEALTH RISKS Smoking harms nearly every organ of the body, causes diseases and reduces one health Heart disease Stroke Cancers/ Lung cancer COPD (chronic obstructive pulmonary disease) including emphysema and chronic bronchitis Smoking can cause complications during pregnancy such as eptopic pregnancy and miscarriage Smoking while can pregnant can lead to stillbirth, premature birth and low birthweight babies Effects of Secondhand Smoke (ETS): Secondhand smoke is the smoke exhaled from the lungs of smokers mixed together with the smoke that comes from the burning end of a cigarette, cigar or pipe

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