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People in the Pacific Northwest smoked tobacco long before Europeans showed up Unearthed pipes reveal the earliest record of nicotine use in the region Ancient pipes and pipe fragments found at five archaeological sites along the Snake and Columbia rivers in Washington contain evidence of tobacco use, new research shows

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Just because someone knows how to give advice to smokers [32] and has the skills to do so does not mean that they are necessarily interested in giving advice to smokers and are motivated to do so