RICHMOND, Va. (AP) — More work needs to be done to keep young Americans from using tobacco, including creating smoking bans and increasing taxes on tobacco products, the U.S. Surgeon General's office said in a report released Thursday.

Almost one in five high school-aged teens smokes, down from earlier decades, but the rate of decline has slowed, the report said.

It says it's particularly important to stop young people from using tobacco because those who start smoking as teenagers can increase their chances of long-term addiction. They also quickly can experience reduced lung function, impaired lung growth, early heart disease and other health problems like asthma.

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