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According to the Centers for Disease Control and Prevention, 1 in 14 pregnant women who gave birth in 2016 smoked during their pregnancy.

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What was once a routine personal habit, Alaa says, is now another example of the high cost of living that now defines daily life in Gaza, with extreme inflation brought on by Israel's genocidal war now rampant

"Some studies have shown that for every 10 percent increase in the price of cigarettes," she said, "adult consumption is reduced by approximately 4 percent and it goes up to about 7 percent among youth." But while raising the tax rate may lower smoking rates statewide, some studies have shown it can actually increase smoking along the border