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Doctors usually tell pregnant women to stop smoking and not have too much caffeine because these things can harm the baby

But when it comes to communicating research to the wider public, we must avoid conflating the relatively limited harm of nicotine dependence with its effects on maintaining tobacco addiction, and therefore well-established tobacco-related harm, not least because of the impact this has on risk perceptions of those most in need of nicotine-based treatment: Tobacco users

It was also smoked in cigarettes and cane-tubes to give strength to the head, induce sleep, relieve pain, rejuvenate the stomach, cure headaches, relieve sorrows and difficulties, and relax the spirit. Its toxic properties were also well known: those who use it too frequently

For example, in 2013, the high school cigarette smoking rate in Hawaii was 10.4% much lower than the national rate of 15.7%