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After an "extensive scientific review," the FDA said the pouches have met the public health standard set by the 2009 Family Smoking Prevention and Tobacco Control Act, which weighs the overall risks and benefits that such products would pose to the general population

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Industry interest was in settling once and for all the question of whether smoking is or is not the cause of certain diseases

The concerns are based on estimated smoking rates (based on risk factors), not actual smoking, which continued to decline (33% in 1974 to 25% in 1986 to 12% in 2018)