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While the 20th century saw roughly 100 million tobacco deaths, mostly in rich countries, some estimates project up to 1 billion in the 21st century, mostly in developing nations

Considering the outsize impact of tobacco industry products on health, we knew it would be essential to track these little-known products and come to understand them better, said Mary Hrywna, an assistant professor at Rutgers Biomedical Health Sciences Center for Tobacco Studies

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However, in reality, these products result in some of the same or even additional health risks as cigarettes[4]