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Released May 7, 2008* * Full Guideline, including detailed financial disclosure information, available at www.surgeongeneral.gov/tobacco Final Selected Topics Proactive quitlines Combining counseling and medication relative to either counseling or medication alone Varenicline Various medication combinations Long-term medication use Tobacco use interventions for individuals with low socio-economic status/limited formal education Tobacco use interventions for adolescent smokers Tobacco use interventions for pregnant smokers Tobacco use interventions for individuals with psychiatric disorders, including substance abuse disorders Providing cessation interventions as a health benefit Systems interventions, including provider training and the combination of training and systems interventions Peer Review/Public Comment Over 90 independent tobacco treatment experts served as peer reviewers Federal Register notice announced availability of guideline for public comment 2008 PHS Clinical Practice Guideline Update: Treating Tobacco Use and Dependence Brief history and developmental process Key findings of interest Combinations: Medication and Counseling Effectiveness of and estimated abstinence rates for the combination of counseling and medication versus medication alone (n = 18 studies) Combinations: Medication and Counseling Effectiveness of and estimated abstinence rates for the combination of counseling and medication versus counseling alone (n = 9 studies) Combining Counseling and Medication Recommendation: The combination of counseling and medication is more effective for smoking cessation than either medication or counseling alone

Second, nicotine content and nicotine delivery are not quite the same thing

Most local AQI scales (like the US EPAs) are set by national governments

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