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The state has the second-highest incidence of smoking-related cancers in the country, according to the West Virginia Department of Health

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Woodsmoke and tobacco smoke have many of the same hazardous carcinogenic chemicals in common such as NO2, Carbon Monoxide, Formaldehyde, Benzene, Acrolein and Polycyclic Aromatic Hydrocarbons

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With increasing availability of THC-containing products, the school nurse was also informed of symptoms that would be expected with THC in his age group including excitation (anxiety, paranoia) and sedation