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1 Youth in NC use tobacco products at a significantly higher rate than the national average 23.8% of NC high-schoolers reported using e-cigarettes in the past 30 days, compared to only 18% nationally

Under Korean law, these public health alerts must be refreshed every 24 months to combat "warning fatigue" a phenomenon where smokers become desensitized to the graphic images

Failure to promptly correct warning letter violations can result in further action such as civil money penalties, seizure, and/or injunction.

5 Although the cigarette smoking rate among youth is the lowest on record at 2.1%, nearly 1 in 5 high school students (18.7%) reported vaping nicotine in 2022