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The dramatic decline in youth smoking is a public health success story of extraordinary importance because cigarette smoking is the leading cause of preventable death in our country and kills nearly half a million Americans every year, added Matthew Myers, president of the Campaign for Tobacco-Free Kids

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[65] While many adolescents may suspect cigars to be less harmful than cigarettes, cigars may be more harmful than cigarettes because they contain far more tar, a higher level of toxins, and contain a higher level of cancer-causing substances

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