English: The casual acceptance of smoking was common place when the American Cancer Society's Great American Smoke Out became nationwide more than 30 years ago. The first national Great American Smoke Out was in November 1977. This quarter century has brought about dramatic changes in the way society views tobacco use. Approximately 46 million adults in the United States currently smoke, an estimated half will die prematurely from diseases considered smoking related. November is also Tobacco Awareness Month. Ramstein Air Force base's Health and Wellness Center hosts many ways for Airman and their family's to kick the habit, to include Smoking Speciation classes, Behavioral Classes and tobacco free nicotine substitutes to assist with cravings that may otherwise sabotage a smoker's attempt to quit. (U.S. Air Force illustration by Airman 1st Class Brittany Perry)