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UNC professor of medicine Adam Goldstein started SAVE with friend Sheila Pratt in 1997 because one out of every five deaths in North Carolina is related to tobacco, and 80 percent of American smokers started smoking as teenagers

[63] In a November 2023 letter to Joe Biden, they claimed that their members made $23.7 billion in sales on menthol cigarettes and flavored cigars and another $10.7 billion in non-tobacco sales among these smoking customers during 2022

In addition to reconstituted tobacco, cigarette companies pack cigarettes with so-called puffed tobacco (also called "expanded tobacco"), which allows them to produce more cigarettes per pound of tobacco grown with lower levels of tar particles in the smoke

More than 8 million people die every year, which includes around 1.3 million non-smokers who have been exposed to second-hand smoke