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"People within the queer community, especially the transgender and gender diverse community, are fearful of coming to health care practices in many ways because of discrimination, and so health care providers who are knowledgeable or understanding of these disparities need to make themselves visible," Garfield said

Stansell, who holds a doctorate degree in public health and works as the hospital's senior in-patient tobacco treatment specialist, visits patients every day who are identified as smokers to assess whether they're interested in quitting and offer ways to help

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The smoke can be inhaled by children, or ingested through putting items in their mouths

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