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The term was first used to describe the air around London in the early 1900s

The rising cost of the habit, linked to higher taxes, has meant that many can no longer afford to smoke, and those who can smoke provide revenue for anti-smoking campaigns and quitting support services, to name a few options

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Examples include assessing current tobacco use patterns and history, evaluating readiness to quit using a validated framework such as the stages of change model, discussing health risks specific to the patients clinical situation, reviewing cessation strategies including behavioral techniques and pharmacotherapy options, setting a quit date or establishing goals, and providing referrals to cessation resources such as quitlines