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For the first time in a decade, daily and current smoking rates failed to decrease from the year prior (absolute increases of 0.1%)

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Since that report, a number of other reports have also been published by the Surgeon General highlighting health risks and dangers of exposure to tobacco smoke, in addition to emerging evidence regarding the benefits of smoking cessation and electronic nicotine-delivery systems (e.g., electronic cigarettes, vaping devices) ( TABLE 1 )

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In a primary care setting, physicians can offer a brief counselling intervention using a five-step algorithm called the five As (ask, advise, assess, assist, arrange)