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Maryland was a notable exception multiple pieces of legislation passed that increased the cigarette tax by $1.25 per pack and added e-cigarettes to the state smokefree workplace law as well as made other smaller improvements making the Free State the runaway winner of the most improved state in this years report, it said

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The agency states the following: Cigarette smoking causes more than 480,000 deaths annually in the US, or about 20% of all deaths in the country More than ten times as many US citizens have died prematurely due to cigarette smoking than were killed in all the wars fought by the US About 90% of all lung cancer deaths are related to smoking About 80% of all deaths caused by chronic obstructive pulmonary disease (COPD) are smoking-related Smokers are about 25 times more likely to develop lung cancer than non-smokers Smoking can cause 12 kinds of cancer If no one in the US smoked, the CDC estimates that the number of cancer-related deaths could be cut by about a third