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To identify updates to Cochrane reviews included in the guideline, we carried out an additional search on June 24, 2024 (Appendix 2)

They contain no nicotine and are often used as a natural alternative to tobacco or for relaxation, ritual, or flavor

Premium cigars, defined as cigars weighing more than three pounds per thousand cigars and wrapped in whole tobacco leaf, are exempt.10 Quitting statistics and benefits Quitting statistics in Maine The CDC estimates 48.7% of daily adult smokers in Maine quit smoking for one or more days in 2017.3 In 2014, the Affordable Care Act required that Medicaid programs cover all quit medications.7** Maines state quit line invests $14.64 per smoker, compared with the national average investment per smoker of $2.21.7 Maine has no private insurance mandate provision for quitting tobacco.7 Notes and references Updated April 2019 *National and state-level prevalence numbers reflect the most recent data available

A blend is pressed into a flake and then cut and rubbed out to the consistency required