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4 EVALUATION AND SCREENING The American College of Obstetricians and Gynecologists recommends that clinicians ask about tobacco use (along with secondhand smoking) before pregnancy, throughout pregnancy, and during postpartum periods, and advise patients regarding the significant perinatal risks and the importance of quitting tobacco or nicotine use in any form, including e-cigarettes and vaping

Low safety quotient Burning any plant matter produces tar, carbon monoxide, particulates, and other toxic compounds all of which can damage the lungs and raise cancer and heart-disease risks

It should be noted, however, that despite this overall decline in initiation since 1965, trends over the past twenty years are not entirely encouraging

Bostic says evidence so far shows menthol bans do reduce smoking