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The total private and state economic costs of smoking are high in Wyoming: $450 million from lost productivity in 2010 (WYSAC, 2012b) and almost $258 million in total health care costs (Smoking Attributable Mortality, Morbidity, and Economic Costs [SAMMEC]Smoking Attributable Expenditures [SAE], 2017)

Large cigars and cigarillos make up 95% of the market share and little cigars only 5%, according to the American Lung Association (ALA)

"Reducing the exceptional affordability of hand-rolling tobacco using tax escalators: a health and economic impact modelling study for England"

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