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Tobacco has a long history in the United States. An estimated 45.3 million people, or 19.3% of all adults (aged 18 years or older), in the United States smoke cigarettes in 2010. By state, in 2010, smoking prevalence ranged from 9.1% in Utah to 26.8% in West Virginia. By region, in 2010, smoking prevalence was highest in the Midwest (21.8%) and South (21.0%) and lowest in the West (15.9%). In 2009 46.6 million, or 20.6 percent of adults 18 and older were current smokers.
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