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10.1136/jech-2024-222463 62

For the first few years of my life, we lived in a one-story, L-shaped house in Spartanburg with a huge backyard with many colorful azalea bushes and honeysuckles, a gorgeous dogwood tree in the front yard, and a massive magnolia tree which separated us from our neighbors

That system should include the evidence-based tobacco dependence treatment prompts of the 5As: Ask, Advise, Assess, Assist and Arrange

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Tobacco use, the leading environmental factor, significantly increases risk, with smokers being 2.13 times more likely to develop head and neck cancers than non-smokers ( Journal of Clinical Oncology )