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Establishments are required to post signs stating that the sale or distribution of tobacco products to minors is prohibited.6 Minors are prohibited from buying alternative nicotine products, including e-cigarettes.6 Quitting statistics and benefits Quitting smoking and vaping in Ohio The CDC estimates 47.2% of daily adult smokers in Ohio quit smoking for one or more days in 2018.3 In 2014, the Affordable Care Act required that Medicaid programs cover all tobacco cessation medications.7** Ohios state quit line invests $1.46 per smoker, compared to the national average of $2.14.7 Ohio does not have a private insurance mandate provision for cessation.7 Notes and references Updated August 2020 *National and state-level prevalence numbers reflect the most recent data available

in elementary, middle or high schools, as well as colleges and postgraduate institutions of law, medicine, business management and education

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Emerging studies suggest that CS-induced disruption of respiratory microbial communities may contribute to the pathogenesis of other respiratory diseases, including laryngitis, asthma and acute respiratory distress syndrome (ARDS)