A federal study says Kentucky and West Virginia have the highest death rates from smoking in the USA.

The study by the Centers for Disease Control and Prevention shows the death rate from smoking in Kentucky is about 371 for every 100,000 adults age 35 and older.

The death rate in West Virginia was 344.

The national average is 263 deaths per 100,000 adults.

The lowest death rates are in Utah and Hawaii.

The rates were calculated using death certificate data from the years 2000 through 2004, focusing on lung cancer and 18 other diseases caused by cigarette smoking.

Kentucky and West Virginia had the highest smoking rates.

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