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Swedens long-standing use of snus, a tobacco pouch alternative, has resulted in the lowest smoking rates among developed nations, and public health data suggests that a similar switch to smoke-free alternatives could deliver a 10-fold reduction in smoking-attributable deaths compared to traditional measures alone, according to PMIs review of smoke-free alternatives and Swedens experience

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E-cigarettes entered the US market around 2007 and, as of 2018, were used by about 3.2% of adults, down from 4% in 2014, according to the Centers for Disease Control and Prevention (CDC)

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