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Chewing tobacco, snuff, and other forms of smokeless tobacco don't get into the lungs

The chapter examines recent trends in the epidemiology of smoking over the past four decades, takes a close look at the characteristics of smokers and those who have quit smoking, and discusses variations in the prevalence rate of smoking by sociodemographic characteristics and state of residence

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By region, incidence rates were highest in the Northeast (202 per 100,000 persons) and lowest in the West (170 per 100,000 persons)

So I guess thats why Im not the most objective guy when it comes to chewing