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We used a public health framework that balanced tensions between utilitarianism, which posits that actions are desirable if they benefit the majority, and liberalism, which maintains above all that individuals have the right to self-determination in health

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It remains one of the worlds leading causes of preventable illness and deaths, such as cancer, and a significant contributor to non-communicable diseases, including heart and chronic respiratory diseases

Chewing tobacco production comes with tobacco leaves that have been cured, fermented, and cut so you can easily pinch and place them in your mouth