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Alcohol was the most harmful overall with a score of 72

And while a myriad of choices exists within the other tobacco products (OTP) category, the moist smokeless tobacco (MST) segment has faced its own set of unique opportunities and challenges for retailers as they try to appeal to the evolving needs of adult consumers

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In terms of reach, the Smokefree.gov initiativea large federal mHealth behavioral intervention program that focuses primarily on smokersreaches 56.5 million persons each year, including more than 3.6 million visitors to the Smokefree.gov website in 2018 (Yvonne Prutzman, NCI, personal communication, January 23, 2019)