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Indeed, although smoking remains the leading preventable cause of death, the Centers for Disease Control and Prevention (CDC) included tobacco control on its 1999 and 2011 lists of Ten Great Public Health Achievements because of the unprecedented reduction in smoking rates after the transformative 1964 Surgeon Generals report 3,7,20,21

Given the clear developmental impact that nicotine has on the emotional, cognitive, and addiction pathways of the brain, this is where providers may see deficits in their patients who smoke 2

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