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Smoking in Hawaii has decreased drastically over the last few years, and instead there has an increase in the use of electronic cigarettes, with 22% of students in post-secondary education smoking e-cigarettes.

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As of March 2019, the excise duty on a packet of 20 cigarettes was 3,19 euros, and with VAT added the total tax was 4,09 euros

The tax increase was designed to help pay for the cost of children's health insurance under the State Children's Health Insurance Program (SCHIP.) Initially, revenues more than doubled from $7.6 billion in 2008 to $17.1 billion in 2010, once the law fully took effect