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The observed findings highlight the need for public health policies and clinical interventions targeting high-risk groups, including those who smoke heavily and those regularly exposed to secondhand smoke

In England, most adults who smoke report doing so multiple times a day, with the average smoker consuming around 11 cigarettes each day [10]

corps of efficient teachers, under the management of an able superintendent, The methods used strike a happy me- dium, between the antiquated ideas that make school a terror and fads that make the school-room a silly play ground

doi: 10.15585/mmwr.mm7244a1 20

As a result, dual users may need additional resources and support compared to people who only use one nicotine product