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The World Health Organisation (WHO) categorises tobacco as a major public health threat, contributing to over 8 million deaths globally each year

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In response to the proliferation of oral nicotine products on the market that lack FDA approval, Truth Initiative joined 5 leading public health and medical organizations to urge the FDA to take immediate action to prevent tobacco companies from illegally marketing new tobacco products in the United States without FDA authorization, including Altrias on

This was big business, as it became the largest export and was also used as currency by the Virginia settlers