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"We historically have been producers of tobacco and we cannot renounce that," Fidel Castro joked to a group of students in 2003

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There is a myth that smokeless tobacco as an alternative to smoking is somehow less harmful While it is true that smokeless tobacco is less likely to cause lung cancer, they are still linked to oral cancer which is often deadly and very expensive to treat

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If the participant reports that they have stopped smoking and they are taking a particular medication that requires a dose adjustment due to this, the participants GP will be informed

However, the first lockdown was also a period of great stress for many people, and we saw rates of smoking and risky drinking increase among groups hardest hit by the pandemic