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From the publication of the first Surgeon Generals report on the harmful effects of smoking in 1964, prevention specialists have brought the percentage of Americans who have smoked a cigarette in the past week down to 14% in 2019 from its high of 45%

Participants will undergo a urinary cotinine test (to detect any nicotine use), an exhaled CO test, and complete self-administered questionnaires (DASS 21, FTND, AUDIT, SF-36, QSU-brief, PHQ-9, MNWS, mCEQ, and concomitant medication record)

Yet Missouri allocated just $2.9 million to tobacco control programs, including cessation, education, and youth prevention no increase from the prior year