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Disease prevention and social change, the state, society, and public health in the United States, France, Great Britain and Canada (Russell Sage Foundation, 2007)

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"UF study finds more teens smoke hookah"

6 What is Smokeless Tobacco

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Smokeless tobacco is sometimes used in the workplace by employees, especially if the employer does not provide many cigarette breaks or if the employee is consistently using both hands during work (which doesn't provide opportunities for cigarette smoking)