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When there is an absence of evidence to provide confidence that there is benefit from implementing a new prevention service or when a conclusion of possible benefit requires a high level of speculation on linkages of uncertain evidence, but there is high certainty that some patients would be harmed or scarce health care resources expended, the task force may make a strong recommendation against service implementation

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Together, these actions represent powerful, science-based approaches that will have an extraordinary public health impact

It may be justly considered that in most cases the use of tobacco is an abuse