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Sales of nicotine pouches have increased rapidly in the U.S.7 Cigarettes In 2024, 1 of every 91 middle school students (1.1%) reported that they had smoked cigarettes in the past 30 days.3 In 2024, nearly 1 of every 59 high school students (1.7%) reported that they had smoked cigarettes in the past 30 days.3 Cigars In 2024, 1 of every 125 middle school students (0.8%) reported that they had smoked cigars in the past 30 days.3 In 2024, 1 of every 67 high school students (1.5%) reported that they had smoked cigars in the past 30 days.3 Smokeless tobacco In 2024, 1 of every 125 middle school students (0.8%) reported that they had had used smokeless tobacco in the past 30 days.3 In 2024, 1 of every 67 high school students (1.5%) reported that they had had used smokeless tobacco in the past 30 days.3 Heated tobacco products In 2024, 1 of every 143 middle school students (0.7%) and 1 of every 111 high school students (0.9%) reported using heated tobacco products in the past 30 days.3 Heated tobacco products, also known as "heat-not-burn" products, deliver nicotine to the user by heating tobacco leaves rather than a nicotine-containing liquid like e-cigarettes

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