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Placing readily recognizable tobacco-free schools signs on campuses across the state will remind students, staff, faculty and entire communities that tobacco use has no place in school at any time. KMA President Bruce Scott, M.D., said, Smoking remains the leading cause of preventable death and disability in the United States and it is estimated that today there are 119,000 kids under the age of 18 in Kentucky who will ultimately die prematurely from smoking