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Sierra Leone government partnership with the Oxford Policy Fellowship Recognising that Sierra Leone was now one of the few countries in the world that had not domesticated the Convention, the Ministry of Health and Sanitation sought the right kind of expertise to support the necessary public consultations and development of legislative instruments for tobacco control

The study, commissioned by the Department of Health, draws on the latest data from the British Doctors Study, which began in 1951 as one of the worlds first large studies into the effects of smoking, and the Million Women Study, which has tracked womens health since 1996

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The cancer risk associated with newer variants of smokeless tobacco or oral nicotine products remains somewhat uncertain, primarily due to limited research compared to traditional chewing tobacco and snuff