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Every kid at the end of elementary school can recite all the bad things that are due to smoking, but as soon as they hit middle school and see those ninth-graders smoking, all that stuff goes out the window, says Peter Shields, a physician at the Ohio State University Comprehensive Cancer Center in Columbus who studies the impact of environmental factors, including tobacco use, on cancer risk

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When powerful emotions would come up in group, [clients] would fire up cigarette after cigarette to deal with those feelings and quell anxiety, he recalls

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Globally, smoking is still the third largest risk factor for preventable death with tobacco products killing 8 million people a year