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If we had a strong media campaign continuously and we had the counties and schools funded continuously, if everybody had been able to work the way it was supposed to, I think it would have been a lot more successful.105 The successes in California were instead achieved only in the face of a hostile tobacco industry, an equally hostile political system, and a body of advocates at the state level who were often slow to act

Overall, while both snus, nicotine pouches and chewing tobacco are forms of smokeless tobacco used orally, the manner in which they are consumed and the mechanisms through which nicotine is delivered to the body set them apart

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The scope of this guideline was determined based on the PIPOH (Population, Interventions, Professionals, Outcomes, Healthcare setting) framework