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West Virginia tried to pass a law in 2013 prohibiting the sale of all flavored tobacco products (except for menthol and mint flavors), but the bill was struck down by the states House

[11] In addition, Massachusetts Youth Risk Behavior Survey data indicated that use of cigars among high schoolers across the state dropped from 14.3% in 2011 to 6.7% in 2017

[7] However, all tobacco products deliver nicotine to the central nervous system, and there is a confirmed risk of dependence