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Because they are oral nicotine products, theres no smoke or spitting involved

d Includes Asian, American Indian or Alaska Native, Native Hawaiian or Other Pacific Islander and Other (not listed)

However, only people of high rank or the very rich would be able to buy it in the 19th century

A single puff of TS consists of around chemical 7,000 compounds such as polycyclic aromatic hydrocarbons, ammonia, aromatic amines, and various other chemicals and gaseous particulates that are hazardous (Mathers and Loncar 2006)

Formaldehyde is a colorless, water-soluble gas that has a pungent odor (but this may not always be detectable if levels are low)