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Some accounts even suggest Sir Walter introduced the habit to Queen Elizabeth herself

In 2025, 157 compliance checks at commercial tobacco retailers were conducted

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However, it is not without difficulty

"While the American Lung Association supports raising the age and sale of tobacco products to 21, we don't want to do that while undercutting the work that is going on in different communities to institute and enact best-practices with regard to the prevention and control of smoking," Ashley Lyerly, the association's lobbyist, said in a phone call Monday

The vast majority of cases have been associated with tetrahydrocannabinol-containing e-cigarettes