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Surgeon General, Antonia Novello M.D., stated,"Within the next couple of decades the United States may face an epidemic of oral cancer due to the use of smokeless tobacco among teenagers." [6] The oral effects are the most immediate and visible manifestations of spit tobacco use
This means that Big Alcohol must sell to heavy, problematic drinkers
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Chewing tobacco, on the other hand, feels like the ultimate workaround
A study in the United Kingdom found that most e-cigarette advertisements were near childrens stores and in areas that were less affluent 103 , indicating that social health inequalities may exist, but more research is needed in this area
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