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Staying ahead of the proliferation of new forms of tobacco consumption is like playing a game of "whack-a-mole", says Sandra Mullin, senior vice-president of policy, advocacy and communication at Vital Strategies, an international non-profit organisation that has partnered with governments around the world to develop tobacco control policies

The handle on the new Top-O-Matic isn't particularly ergonomic but it does make the machine easy to hold on to