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Few of the children interviewed, or their parents, understood the health risks or were trained on safety measures

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There is no basis for the claim that Harms from smokeless tobacco products vary by product type. The Initiative departs from mainstream science with an additional assertion: Smokeless tobacco use causes precancerous oral lesions, oral, esophageal, and pancreatic cancer. Their source for that hyperbolic statement is the same as a recent FDA campaign: embarrassingly weak and misleading information from Paolo Boffetta and colleagues at the International Agency for Research on Cancer, debunked here