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The death from salivary gland cancer of beloved National Baseball Hall of Fame player Tony Gwynn (1960-2014), a longtime user of smokeless tobacco, sparked greater educational efforts in the US to curb spitting tobacco use among teenagers, especially athletes

[137] "Multi-component" interventions were defined as those that combined two or more of the following strategies known as the "5 A's": [46] : 3843 Ask Systematically identify all tobacco users at every visit Advise Strongly urge all tobacco users to quit Assess Determine willingness to make a quit attempt Assist Aid the patient in quitting (provide counselling-style support and medication) Arrange Ensure follow-up contact Substitutes for cigarettes Nicotine replacement therapy (NRT) is the general term for using products that contain nicotine but not tobacco to aid smoking cessation