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Designed by Kevin Bailey, MA Collection Manager and Digital Archivist Center for the Study of Tobacco and Society The University of Alabama Assisted by Hannah Hurdle Intern, Center for the Study of Tobacco and Society

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In addition to smoked butts, they can also contain all types of cigarette litter, including plastic wrapping, loose tobacco, foil pack liners, rolling paper, and even ash

4,11 ASK the patient about all types of tobacco and nicotine being used at every visit, choosing the statement that best describes their tobacco or nicotine use, thereby reducing underreporting from asking yes or no questions 4 : I have never used tobacco or nicotine or have used minimal amounts of tobacco or nicotine in my lifetime (for example, fewer than 100 cigarettes in my lifetime)