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And in those groups, you see higher rates of tobacco-related disease and deaths, including death from cancer. Southern states have higher smoking-related cancer deaths than, say, states like Utah or Connecticut because black men tend to smoke more than white men and Southern states have more black residents

These include women, people with mental health or medical problems, and heavy drinkers of alcohol -- groups that typically have difficulty with smoking cessation

While there are many treatments available to help tobacco smokers quit, most people prefer to step down their nicotine use slowly over time

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If something suspicious is found, a biopsy is performed

Observations & Recommendations Chapter 5