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There are few interventions one can make as a health professional that have as profound an impact on the lives of patients as helping them address or overcome substance use issues, including tobacco

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The findings of epidemiological studies of people exposed to secondhand smoke can be difficult to evaluate due to the difficulties in determining the amount of secondhand smoke exposure, confounding exposures (the occasional cigarette or environmental exposure), and the lack of parallel but fully unexposed control groups [34]

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