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- Individuals smoking more than 10 cigarettes a day should commence with the 21mg Step 1 patch, applied daily for four weeks

Then the number of lung cancer deaths in the population over and above the expected baseline is assumed to reflect the amount of smoking in that populationand in particular, the amount of damage caused by smoking, which is a function of the number of smokers and how much each has smoked over his or her lifetime

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There has been an alarming increase in the use of tobacco products, e-cigarettes and flavored delivery systems among youth and young adults in our community