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The smoke itself leaves a lingering odor, while reduced saliva production leads to dry mouth, creating an environment where odor-causing bacteria thrive

An earlier study of men with oral gonorrhea found that 84% of them still tested positive for infection after gargling with saline for a full minute, while only 52% were still positive after gargling for a minute with an antiseptic mouthwash

In our 2017 report, Tobacco Nation: The deadly state of smoking disparity in the U.S., we highlighted a group of 12 states in this region, all of which had higher smoking prevalence than the national average: Alabama, Arkansas, Indiana, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Ohio, Oklahoma, Tennessee and West Virginia

[27] Cyrus Jay, Recollections of William Jay, of Bath: with Occasional Glances at Some of His Contemporaries and Friends (London: Hamilton, Adams, and Co., 1859), 59