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Those are the killers. Cheryl Healton, DrPH, president and CEO of the American Legacy Foundation, the organization that created the successful youth anti-smoking campaign known as truth, said the biggest threat from novel tobacco products are their gateway effect, helping to create youth who are no longer nicotine naive and move on to more dangerous products. Luckily, she said the same prevention tactics employed by the truth campaign educating youth that they are being used by adults (in the tobacco industry) to make a profit can also be applied to products such as Orbs and Snus