Reason 1 is best addressed by physician counseling and drug therapy. Reasons 2-4 are best addressed by physician counseling and referral to a stop smoking program where follow-up education, personalized behavioral therapy and group support can be carried out. For those who fear weight gain, it should be explained that the average weight gain when a person stops smoking is only about ten pounds and this can be curtailed by regu-lar exercise and healthy eating habits. Besides, modest weight gain is a much, much smaller health risk than the risk of smoking. BupropionSR and nicotine replacement thera-pies, particularly nicotine gum, have been shown to delay but not prevent weight gain. Reason 5 is addressed by finding sources of pleasure other than a nicotine "high" which is craved, such as shopping with the money saved by quitting tobacco and focusing on the pleasurable feelings attained through quitting; improved hygiene, fresh breath, more sex appeal, sharper taste and smell, less throat irritation, less productive cough, less dysp-nea, more energy, freedom from worry over future health risks and self pride. Cravings for cigarettes after quitting may be handled more immediately by practicing the four "D's": Delay (the urge to smoke will pass); Deep breathe; Drink water; Do something else to take your mind off smoking (e.g., chew gum, eat a low calorie snack, go for a brisk walk, etc).

Getting people over the hump of withdrawal symptoms from nicotine (nicotine depend-ence) takes 2-3 weeks from the last use of tobacco. Psychological dependence, however, continues much longer, often a lifetime, and is usually the greatest obstacle to smoking cessation. It is obvious that the reasons people continue to smoke (habit, addiction) are far different than the reasons they started to smoke in the first place (social pressures): The approach to smoking cessation described above is, therefore, different from the ap-proach to smoking prevention described on pages 11-14. .

8. a) Who is the Surgeon General?

The Surgeon General is the chief medical doctor in the United States responsible for the public health. The Surgeon General's health warnings regarding the use of tobacco are, by law, printed on the packs of tobacco products and on tobacco advertisements.

b) How can you decide for yourself if the Surgeon General's Reports and warnings that are
printed at the bottom of tobacco ads and tobacco packs are true?
What are the two most important questions you must answer?

To best determine if any information is true, the two most important questions to answer are: Who is the source of the information? and What is the evidence for the information? (See Critical Thinking pgs 57-59 and CD-ROM-1 on Main Menu).