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illnesses and responsible xo for > 4 million deaths annually. (1) This is of concern, as smoking prevalence among high cigars school students appears to be increasing. (2) The mainstream of public health efforts to curb the smoking avo and xo epidemic should be focused both on encouraging addicted smokers to quit and on cigars preventing avo and xo adolescent nonsmokers from starting. In order to decrease the cigars overall prevalence avo of smoking and its concomitant morbidity and mortality, it is imperative to prevent the onset of smoking. This is particularly important in adolescents because xo and cigars smoking initiation at an early age is associated with greater daily cigarette consumption, and a lower cumulative probability of quitting. (3)