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If someone is not able to speak (or speak easily), inquire as to alternate methods of expression (e.g., writing or gestures)

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CANNABIS AND TOBACCO: COMMON USE PATTERNS Marijuana and tobacco Cannabis and tobacco products (including cigarettes, e-cigarettes, and smokeless tobacco products) are two of the most commonly used substances among youth in the United States

John Brereton records this pipe style in 1602: They gave us also of their tobacco, which they drink [smoke] green but dried into powder, very strong and pleasant, and much better than any I have tasted in England

Smoking is still widely recognized as a major risk factor for various diseases and health conditions