their nonsmoking peers to report poorer overall health
             2.4 to 2.7 times more likely to report cough with phlegm or blood, shortness of breath when not exercising, and wheezing or gasping
             3.0 times more likely to have seen a doctor or other health professional for an emotional or psychological complaint.
             The PHS guideline, "Treating Tobacco Use and Dependence: A Clinical Practice Guideline," contains evidence-based information about first-line pharmacologic therapies (bupropion SR, as well as nicotine gum, patches, inhalers, and nasal sprays) and second-line therapies (clonidine and nortriptyline). It also highlights new evidence about how telephone counseling can help patients quit.
             "There has never been a better time for health professionals to help their patients break free from the deadly chronic disease we know as tobacco addiction," said David A. Satcher, MD, Assistant Secretary for Health/Surgeon General. "Starting today, every doctor, nurse, health plan, purchaser, and medical school in America should make treating tobacco dependence a top priority."
             The guideline is aimed at practicing clinicians. Studies have shown that more than 25 percent of U.S. adults smoke and that 70 percent of them would like to quit. Of those smokers who try to quit, those who have the support of their physician or other health care prov
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