States With the Most Smokers

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North Dakota Badlands

15. North Dakota
> Pct. adults smokers:
19.9%
> State cigarette tax/pack: $0.44 (4th lowest)
> Cancer deaths per 100,000: 176.0 (10th lowest)
> Premature deaths per 100,000: 314.4 (20th lowest)

Tobacco Farm

14. Pennsylvania
> Pct. adults smokers:
19.9%
> State cigarette tax/pack: $1.60 (22nd highest)
> Cancer deaths per 100,000: 199.6 (14th highest)
> Premature deaths per 100,000: 342.8 (20th highest)

St. Louis, Missouri 3

13. Missouri
> Pct. adults smokers:
20.6%
> State cigarette tax/pack: $0.17 (the lowest)
> Cancer deaths per 100,000: 206.3 (11th highest)
> Premature deaths per 100,000: 381.1 (11th highest)

Tobacco Drying Barn

12. Ohio
> Pct. adults smokers:
21.0%
> State cigarette tax/pack: $1.60 (22nd highest)
> Cancer deaths per 100,000: 207.6 (10th highest)
> Premature deaths per 100,000: 376.6 (12th highest)

Birmingham Alabama

11. Alabama
> Pct. adults smokers:
21.1%
> State cigarette tax/pack: $0.68 (13th lowest)
> Cancer deaths per 100,000: 211.6 (8th highest)
> Premature deaths per 100,000: 461.0 (3rd highest)