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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

1 We have to understand the intent we place on tobacco

Today, Tobacco Nation is comprised of the same 12 states we identified in 2017 Alabama, Arkansas, Indiana, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Ohio, Oklahoma, Tennessee, and West Virginia with smoking prevalence within the top quarter of adult smoking prevalence in the country