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Revision status Current edition published: June 2017 This BPG replaces the RNAO Best Practice Guideline Integrating Smoking Cessation into Daily Nursing Practice (2003 with revision in 2007)

The time spent on SBIRT must not overlap with time counted toward other services

the earliest evidence dates betel usage back to 10,000 BC, where remains of the areca plant were found in a cave in Thailand and betel chewing to 3000 BC when skeletons were found with blackening teeth in the Philippines

This equals mid-July