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Smoking, vaping rates down in SD and US Even though tobacco use is dramatically down in South Dakota, an average of 1,300 people die each year from smoking-related illnesses and the state spends an estimated $433 million annually on associated health costs, according to the American Cancer Society

Improving indoor ventilation systems and using air purifiers equipped with high-efficiency particulate filters can also aid in minimizing the impact of cigarette smoke

patent 5,932,126 "Latest Gallup Update Shows Cigarette Smoking Near Historical Lows"