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In acknowledgement of this, India for example, has already taken a positive step by banning spitting in public places to reduce the transmission of COVID-19. The study, which was funded by the National Institute of Health Research, estimates that in 2017 alone smokeless tobacco resulted in more than 90,000 deaths due to cancers of the mouth, pharynx and oesophagus and accounted for more than 258,000 deaths from heart disease
12 Thus, nicotine pouches may provide another alternative nicotine replacement product to aid in smoking cessation, though its long-term effects currently remain inconclusive
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