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In discussing the progress made through the programs initiated through the act, the 2011 edition of the Rand Corporation report summary noted that, while Arkansas has made substantial progressin reducing smoking rates and tobacco-related health outcomes among its residentsthe state still ranks near the bottom nationally in smoking rates, other health-related behaviors, healthcare access, and health outcomes, further noting that, while in most cases, programs fulfilled their missions, several programs did not use all of their resources in the intended fashion, with the Minority Health Initiative being highlighted for having significant financial management problems

: Although the level of nicotine is lower, sub-ohms produce a lot of vapor in larger puffs, thereby releasing more of the substance

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