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leading to about 480,000 fatalities a year See more Daily Mail on Google - save us as a Preferred Source Kentucky and West Virginia have the most smokers per capita out of any state in America, data from the Centers for Disease Control and Prevention (CDC) shows likely thanks to their history of tobacco plantations leading them to be slow to restrict smoking while western states like California and Utah recorded the lowest rates

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"One of the issues with cigarettes is that they have hundreds of added ingredients, not just what is naturally in the tobacco plant," environmental health scientist with Mount Sinai School of Medicine, Dr Luz Claudio told Medical Daily in an email

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We teach them that the only thing that should be going into their lungs is air, says Jocelyn Rubin, an M.S.N