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Such anti-tobacco animus helps explain a glaring paradox within public-health circles: Many public-health experts avidly embrace harm reduction for other conditions—needle exchange and methadone for heroin addicts, “wet” public housing for people who continue to drink, condom distribution and HPV vaccination for sexually active adolescents—but, for nicotine addiction, they urge abstinence and downplay the importance of a less risky alternative.
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