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Special Populations Pregnant women Adolescents Smokeless tobacco users Maternal Smoking in WV In 2005, 26.6% of mothers smoked during pregnancy Low birth weight higher among smokers 15% compared to non smokers 7.6% Preterm births higher among smokers 14.1% compared to non smokers 11.9% Stats on WV babies Infant mortality/SIDS rate higher - 11.1 per 1000 live births among smokers compared to 6.8 for non smokers Pregnant women Nicotine patch (Wisborg et al, 2000) 250 smokers, placebo controlled trial Used 15 mg patch (16 hr) then 10 mg patch No significant difference in quit rates on patch Higher birthweight on patch Smaller study patch (Kapur et al, 2001) 38% stayed off smoking until after delivery-short term benefit

flue-cured crop will be in the ground by Wednesday and nearly all the other types as well

Their goal is to balance risk pools and ensure that premiums accurately reflect expected claim costs

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