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For example, 1 pack year is equal to smoking 1 pack per day for 1 year, or 2 packs per day for half a year, and so on. Along with a persons age and smoking history, quantifying a pack year can help doctors determine whether someone should be screened for lung cancer

While our comprehensive approach to addressing tobacco use in Hawaii has led to quantifiable decreases in deaths due to smoking, an increase in targeted marketing to our youth and young adults and new technology in the form of e-cigarettes requires our state to take additional measures to protect our young people. Under the new law, people under 21 caught smoking are subject to a $10 fine the first time and $50 fines for repeat offenses

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