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Directions Directions: If you are under 18 years of age, ask a doctor before use

Challenge Due to the overall cultural acceptance of smokeless tobacco in rural communities, behavior change communications required a delicate approach that educates the potential dangers of smokeless tobacco without attacking the cultural norm that is woven into the rural lifestyle

Demand for tobacco products grew by the mid-19 th century

The UK Department of Public Health PHE has also released an Evidence review of e-cigarettes and heated tobacco products 2018, which believes that e-cigarettes are 95% less harmful than traditional, so smokers are encouraged to change to e-cigarette

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