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This review article outlines some techniques and strategies that optometrists can use to begin important discussions with their patients about tobacco use, to both support prevention and cessation efforts to support healthy ocular systems and improve public health

Because nicotine itself leaves the human body within a matter of hours, testing directly for nicotine is highly unreliable

Adult Smokeless Tobacco Use (State-Specific) In 2014, current smokeless tobacco use was highest in: 3 Wyoming: nearly 9 in every 100 people (8.8%) West Virginia: nearly 9 in every 100 people (8.5%) Montana: nearly 8 in every 100 people (7.6%) Mississippi: more than 7 in every 100 people (7.5%) In 2014, current smokeless tobacco use was lowest in: 3 Delaware, Hawaii and Massachusetts: more than 1 in every 100 people (1.5%) California: more than 1 in every 100 people (1.6%) Connecticut and Maryland: nearly 2 in every 100 people (1.8%) NOTE: In the list above, "current smokeless tobacco" means using chewing tobacco, snuff, or snus every day or some days at the time of the survey

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