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F spit tobacco in six areas: prevalence and patterns of use, health effects, environmental influences on use, product promotion and sales, regulation and enforcement, and educational efforts. BACKGROUND This report, requested by the Surgeon General, is the second on spit tobacco (snuff and chewing tobacco) by the Office of Inspector General. The fust, in 1986, concluded spit tobacco use by young people was a national problem with serious potential health consequences. The current inspection foc.
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