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Per WSJ , Philip Morris and Altria will need to make progress in less-risky products (AKA e-cigarettes, vaping) to drive real gains

La Vecchia (1986) Smoking in Italy, 1949-1983, Preventive Medicine, 15: 274-81

A container of spit tobacco can have as much nicotine as 80 cigarettes, and studies have shown that smokeless tobacco users show symptoms of nicotine dependence at least as frequently as cigarette smokers

Its a process which sets in place a stubborn assortment of destructive behaviors such as parents possessiveness toward a favorite child, younger siblings anger at the older ones who cared for them, and miserable self-absorption which require concerted efforts, if not extreme measures, to break