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"What we have not seen is a reduction in the use of smokeless tobacco and so thats where were focusing a lot of our prevention efforts now, is educating airmen on the hazards of smokeless tobacco." According to the Centers for Disease Control and Prevention, smokeless tobacco is just as harmful as smoking and can lead to cancer

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Of the 13 studies that meta-analyzed serious adverse events, two reported point estimates suggesting increased serious adverse events with nicotine EC, with other estimates showing no difference