500
This behavior can cause a number of health problems, including cancer, cardiovascular disease, reproductive troubles, and increased infant mortality.
What is is smoking? According to a 2008 report from the Centers for Disease Control and Prevention, each year in the United States nearly 450,000 people die of a smoking-related illness, resulting in 5.1 million years of potential life lost, $96 billion in direct medical costs, and $96.8 billion in lost productivity. In 2009, Virginia had the 19th highest smoking rate among the states; Virginia's adult smoking rate of 19 percent was above the national average of 17.9 percent.