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(In addition, 32 percent of Marines said they used smokeless tobacco.) A 2009 Institute of Medicine (IOM) committee report requested by the military notes that smoking rates for soldiers returning from war zones are about 50 percent higher than rates for non-deployed personnel

Strong recommendations Strong recommendations are those for which the task force is confident that the desirable effects of an intervention outweigh its undesirable effects (strong recommendation for an intervention) or that the undesirable effects of an intervention outweigh its desirable effects (strong recommendation against an intervention)

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