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The Surgeon General estimated 1 in every 5 high school students and 1 in 20 middle school students used e-cigarettes in 2018

California joins Hawaii as the second US state to raise the smoking age to 21

There could be other possible reasons for littering such as: People cant be bothered or too lazy to find a bin People have no sense of pride in their community The bins are not suitable for disposing cigarette butts It's not cool to use a bin There is a lack of education / poor parenting of young people If an area is already dirty, why bother to look for a bin

High blood pressure is the leading cause of death and disability in the United States