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States with a strong smoking culture, such as Kentucky and West Virginia, are gradually transitioning toward e-cigarettes, which are perceived as a less harmful alternative to traditional tobacco products

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Rather than containing tobacco leaf, nicotine pouches contain purified nicotine combined with plant fibres, flavourings, sweeteners, and food-grade ingredients

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Other studies had similar positive findings

"If Philip Morris is truly committed to a smoke-free future, it should immediately take two steps: 1) Actively support the policies to reduce cigarette smoking that are endorsed by the public health community and an international public health treaty, the World Health Organization Framework Convention on Tobacco Control