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As yields fell, they moved their operations westward. By the time of the Revolutionary War, Virginia was exporting around 55 million pounds of tobacco per year from farms distributed throughout the colony, and, while records are imprecise, had imported a labor force of more than 200,000 African slaves to work its many plantations

Years of smoking were calculated to date of screening

These adults were classified as having a past year MDE

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Including a breakdown of the lawsuit against the state for taxing nicotine pouches as tobacco products, which was ultimately overturned