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Perhaps the best summary of why a major health department ultimately chose to reject the smokeless/harm reduction strategy was articulated by Greg Oliva, assistant deputy director of the center for Chronic Disease Prevention and Health Promotion in the California Department of Public Health at a conference convened by the California Department of Public Health in 2004, The Seduction of Harm Reduction. Here is an excerpt of his presentation: The way the term harm reduction is being used today, it means nicotine maintenance, and that means switching from a more hazardous product to a less hazardous product

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She made it three weeks, then started smoking cigars as a way to avoid cigarettes