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Faculty and other workers also smoke and use tobacco products and in many cases, have been doing so for years

Bloch said

Of note, smokers more frequently report fatalism, stigma, and mistrust in healthcare settings, which may contribute to screening avoidance 8

But because the harms of routine smoking are now so well established (which wasnt always the case), the practice almost certainly constitutes a sin against prudence and against temperance , which demands that we refrain from certain activities, especially pleasurable ones, when regularly engaging in them hinders our flourishing