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He noted that hookah use currently isnt asked about in the Youth Risk Behavior Surveillance Survey System ( YRBSS) questionnaire, a national school-based poll that attempts to monitor the prevalence of unhealthy behaviors that contribute to the leading causes of death and disability among youth and adults. What is included on that list is cigarette smoking, chewing tobacco, and even electronic cigarettes

Reynolds Tobacco Company, maker of one of the most commonly used menthol cigarettes in the United States, says it wants to preserve access and choice, even as it maintains that it is committed to Tobacco Harm Reduction and promoting reduced-risk products. Altria, parent company of Philip Morris, claims the proposal would create unregulated, criminal markets. These claims illustrate how tobacco companies oppose public health measures by attempting to stoke fear

American Journal Preventive Medicine