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The high consumption of chewing tobacco products is a major contributing factor

Seattle and King County Public Health put together a training resource for retailers that is available for statewide use: Responsible Retailing of Tobacco and Vapor Products - Point of Sale

However, e-cigarettes aren't regulated and we would always recommend in the first instance that smokers try licensed nicotine replacement therapies." On Wednesday, the National Institute for Health and Care Excellence (Nice) is due to publish fresh guidance on "new approaches to help reduce the harm from smoking tobacco"

And ethically, major questions remain on how, if ever, we should get there