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1 priority along with eliminating flavors in other combustible products such as little cigars," said Robin Koval, CEO of the Truth Initiative, an anti-tobacco advocacy group

The fact that American Spirit contains organic tobacco means that many smokers who use American Spirit products claim that the cigarettes are safer and better for smokers than the usual commercially available cigarettes.

Some variants without tobacco are pan masala and betel quid

2007 November

Self-reported data from the BRFSS indicate that adult smokers in the state account for approximately two-thirds of the cigarette consumption in the state