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North Carolina Key Facts State population: 4 million Medicaid population: 6 million Medicaid enrollees in primary care case management: 83 percent Medicaid enrollees who smoke: 27 percent Through their participation in the Centers for Disease Control and Preventions (CDC) 6|18 Initiative, the North Carolina Department of Health and Human Services, which houses both the Division of Health Benefits (Medicaid) and the Division of Public Health (public health), have collaborated since 2017 to streamline and increase coverage of tobacco dependence treatment and services

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only 13.2% of ever e-cigarette users were able to successfully quit combustible cigarette smoking, while 22.2% of e-cigarette users started or restarted smoking combustible cigarettes.[27] Nonetheless, e-cigarettes may provide a viable harm reduction strategy at the individual level for smokers who are able to successfully transition partially or exclusively to e-cigarettes.[24] However, this is likely most effective if reviewed on a case-by-case basis rather than as a general recommendation for smokers not intending to quit because the data do not currently support the use of e-cigarettes as a population-level harm reduction intervention

The concentration in milk often correlates with concentration in plasma