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Nationally, e-cigarette use prevalence among high school students was 18%.2 Economics of tobacco use and tobacco control Tobacco taxes in North Carolina North Carolina received $458.6 million (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2023.4 Of this, the state allocated $13.4 million in state funds to tobacco prevention in fiscal year 2023 13.5% of the Centers for Disease Control and Preventions annual spending target.4 Smoking-caused health care costs: $4.42 billion per year.4 Smoking-caused losses in productivity: $10.8 billion per year.5 North Carolina tobacco laws North Carolina tobacco laws Tobacco taxes North Carolina is ranked 48th in the U.S