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Because of these alarming trends the CDC and the USPSTF recently updated their prior guidelines on HCV screening calling for universal screening at least once in their lifetime for all average-risk individuals age 18 and older (229)(230)

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While the long-term public health consequences of dual tobacco use have not yet been established, public health and tobacco control researchers have advocated that in order to further reduce population harms from tobacco use, ST marketing activities aimed at new users or promoting dual use, including dissemination of free samples, providing consumers' instruction in product use, using youth-appealing messages, new flavorings and low nicotine levels, should be restricted [23]

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