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Although this follows the first increase in 20 years between 2019-2020, as reported by the Campaign for Tobacco Free Kids, 2021 marks the first time cigarettes sales fell under 200 billion, and the overall trend is one of decline, with sales dropping 70% from a high of 636.5 billion cigarettes in 1981

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The impact of comprehensive state tobacco control programs is discussed in more detail in Chapter 5 of this report

Nationally, the cigar use prevalence among high school students was 3.1%.2 Economics of tobacco use and tobacco control Virginia tobacco taxes Virginia received $425.3 million (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2023.4 Of this, the state allocated $11.9 million in state funds to tobacco prevention in fiscal year 2023, 13% of the Centers for Disease Control and Preventions annual spending target.4 Smoking-caused health care costs: $3.61 billion per year.4 Smoking-caused losses in productivity: $9.4 billion per year.5 Virginia tobacco laws Virginia tobacco laws Tobacco taxes Virginia is ranked 44th in the U.S