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In 2008, the New York Office of Alcoholism and Substance Abuse Services issued a tobacco policy that required that all publicly funded addiction treatment programs implement smoke-free grounds, have no evidence of smoking among staff, and make tobacco dependence treatment available for all clients. A year later, according to a 2012 paper in the American Journal of Public Health, client smoking rates dropped from 69.4% to 62.8%

Smoking cigarette is the leading cause of preventable and premature death in United States, accounting for 443,000 deaths every year, according to Centers for Disease Control and Prevention (CDC)

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The DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th ed.) uses the term Cannabis Use Disorder with graded severity (mild, moderate, severe) rather than the binary dependence vs