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Although HTPs were introduced in 2017, survey only measured HTP use from 2019 13 , limiting the ability to capture changes in tobacco use during the earliest adoption period

Moreover, only minimal medications and counseling are covered in state employee health plans, the report said

[65] [66] Since 2019, the smoking age in the Northern Mariana Islands has been 21 under federal law

Chronic, heavy alcohol use can result in a spectrum of alcoholic liver diseases including: 14 Alcoholic steatosis (fatty liver)

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