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The debate regarding tobacco harm reduction and the role of smokeless tobacco as part of a public health strategy to reduce cigarette smoking - as opposed to what has been characterized as the "quit or die" approach - has accelerated dramatically ever since the publication in 2001 of a 600-page report by the respected Institute of Medicine (1OM)

End of text box The appreciation of the Canadian dollar post 2000 sparked renewed interest in the size of the difference in the prices paid for consumer goods in Canada and the United States

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As the harm-reduction pioneer Michael Russell said, in 1976, People smoke for the nicotine, but they die from the tar. And so people keep looking for healthier ways to deliver a fix