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Although current smokeless tobacco prevention and cessation work is frequently focused on the increased use of smokeless tobacco in the form of e-cigarettes, West Virginia's high chew tobacco rates still warrant prevention/cessation work as provided by the Spit It Out-West Virginia program

Some participants spoke about ways in which rolling cigarettes provided psychological relief

But, quitting is possible

This is where the Food and Drug Administration can assist

Illicit Tobacco Market: Characteristics, Policy Context, and Lessons from International Experiences (Washington, DC: National Academies Press, 2015), 4, [27] Julie Bosman and Matt Richtel, Vaping Bad: Were 2 Wisconsin Brothers the Walter Whites of THC Oils? The New York Times , Sept