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Because relapse to smoking occurs frequently after quitting, long-term abstinence is often operationally defined as 6 months of abstinence

[33] This is seen as a precursor to dipping tobacco (moist snuff) use which is still popular today

Fact Sheet

[6] A national survey conducted by the Egyptian Smoking Prevention Research Institute showed that waterpipe smoking was inversely related to educational level, and that most users believed that using a waterpipe is less harmful than cigarettes

Colorado Traumatic Brain Injury and Follow-up System Databook

The United States is also home to Philip Morris International and Altria Group, the two largest tobacco companies globally, making it a logical choice as a major tobacco exporting country