Any type of smokeless tobacco is considered a form of tobacco harm reduction because it does not involve smoke or tar. This typically includes snus, chewing tobacco, tobacco strips-lozenges-stick-gum, and . These products can provide nicotine without lighting tobacco on fire and inhaling it, thereby reducing the harm caused by the smoke and tar from tobacco. Nobody is going to claim these products are 100% safe, but many claim they are safer than smoking tobacco. It is another way to approach the problem, and it is gaining popularity quickly thanks to e-cigarettes.

The results of this study suggest that anti-smoking advocates such as Dr. Glantz are wrong in asserting that very few smokers "have switched away from cigarettes or managed to use them as a bridge to eventually go off cigarettes." Instead, there appears to be a large number of smokers who have indeed switched completely from smoking to vaping, and there also appears to be a large number of smokers who have successfully used electronic cigarettes as a bridge to complete smoking cessation.

Clive further shows how the misguided headlines created by Glantz have already led to public policy makers being misled by this misrepresentation of the science.

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