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Eleven of these current packaging warnings in Australia (including the lung with emphysema) describe a negative health aspect of smoking, two describe the effects of smoking on others, and one encourages current smokers to quit

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This approach involves deriving a conservative estimate of the minimum risk associated with chewing tobacco that is consistent with existing evidence, which is in turn translated into a star rating reflecting the evidence of association 18

Despite these limitations, our study provides significant evidence to support further prospective investigation into the relationship between poly-tobacco use and adverse birth outcomes