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A high prevalence of smoking in the first episode of psychosis is well established (Myles Reference Myles, Newall and Curtis2012)

However, Public Health England advises they are much less harmful than smoking and people should not hesitate to use them as an aid to giving up cigarettes

Fresh air dilutes and displaces the stale, compound-heavy air that has been sitting in a closed room

5456 The Centers for Medicare and Medicaid Services requires that clinicians provide counseling on abstinence maintenance or smoking cessation and appropriate cessation tools for screening reimbursement

[7] The kiseru would be the main way to smoke tobacco until after the Meiji Restoration of 1868, when cigarettes were introduced and rapidly became popular