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The percentage of men smoking has particularly declined since the early 21st century, from 43% in 2000

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[2] Using chewing tobacco can cause various harmful effects such as dental disease, oral cancer, oesophagus cancer, and pancreas cancer, coronary heart disease, as well as negative reproductive effects including stillbirth, premature birth and low birth weight

It explained that: Toxicity and the harm caused by tobacco products differ both within and between product classes