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When Sweden falls down the rankings while eradicating smoking, and countries with far higher smoking rates climb the table while restricting quitting tools, the whole process appears to be a celebration of failure. Dr Human said Swedens success had been achieved by making safer nicotine alternatives accessible, acceptable and affordable

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In addition, concerns have been raised that oral nicotine pouch manufacturers are mimicking marketing tactics used by e-cigarette companies to attract young people, including influencer marketing, appealing flavors, and sponsored events