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The harms extend to the state and NHS, costing an estimated 21.8 billion in lost productivity caused by ill health and the direct costs of treatment each year. I do not dispute the medical harms caused by tobacco smoking

is moist snuff, also called dip

2013Feb;128(12):159

In very highprice markets like Australia or the United Kingdom, the annual cost of a onepackaday habit can explode well beyond 7,000 dollars or more in US dollar terms