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If current trends continue, it will cause up to one billion deaths in the 21st century

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For existing smokers, cessation treatments must emphasize that attempting to quit by switching to smokeless tobacco is not effective, [91] and this strategy still exposes users to known carcinogens

The leading companies can look at penetrating deeper into villages by tailoring their product portfolio, packaging, promotion and distribution as per rural needs

However, there are also potential negative impacts, for example if these products are used by people who would not have become smokers and, worse, if the gateway hypothesis, i.e

It sinks down into the padding