HIV:
Any individual at risk of HIV infection should be provided informed consent and screened (20).
Teenagers and tobacco:
Avoid substance abuse and tobacco abuse. Quit tobacco use as soon as possible by using a combination of several methods to assist in cessation. For instance, combine nicotine replacement with at least one additional method such as an exercise program, hypnosis, or formal counseling such as support groups. The recommendation to counsel patients to stop smoking, stop using tobacco products, and provide methods of cessation is reinforced by the USPSTF (21). Many resources are available to assist in smoking cessation such as the online sites http://smokefree.gov/, http://www.cdc.gov/tobacco/campaign/tips/quit-smoking/ and the phone number for free help 1-800-QUIT-NOW.