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Washington, DC: The National Academies Press; 2008.  R.  Brandon, Marina Unrod, and Vani N. 1 Smoking is responsible for at least 30% of all cancer deaths. It accounts for 87% of all lung cancer mortalities, and also contributes significantly to mortality rates for oral cancer, as well as cancers of the esophagus, larynx, bladder, stomach, pancreas, kidney, and cervix. In addition to cancer, smoking contributes significantly to coronary heart disease, chronic obstructive pulmonary disease, cardiovascular disease, stroke, and ulcer disease.

This includes coverage of smoking cessation interventions by third-party payers, establishment of smoke-free campuses by hospital administrators, and strong cessation advice and assistance by every healthcare provider. ACKNOWLEDGMENTS Preparation of this chapter was supported by National Cancer Institute grants R01 CA134347 and R01 CA154596. , and has served on a scientific advisory board for Pfizer, Inc. REFERENCES 1. Centers for Disease Control and Prevention. Smoking-attributable mortality, years of potential life lost, and productivity losses—United States, 2000–2004.

5 Intensive Interventions The most intensive interventions tend to be multisession treatments typically offered through smoking cessation clinics, in either group or individual formats. Of the empirically supported intensive interventions, the most common approach is cognitive-behavioral counseling. ” It usually involves multiple sessions over multiple weeks, and may begin before the target quit date. 5 In addition to counseling, the guideline also found evidence for intratreatment social support, and it therefore recommends providing support and encouragement as part of treatment.

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Age-time patterns of cancer to be anticipated from exposure to general mutagens by Pierce D. A.

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