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Table of contents: Introduction: The threat of disruption Chapter 1: Dying for a smoke Chapter 2: The genesis of tobacco harm reduction Chapter 3: A stuttering evolution towards the quiet revolution Chapter 4: Community innovation - and commercial expansion Chapter 5: Fear, Uncertainty and Doubt Chapter 6: Follow the money Chapter 7: Regulating for health Chapter 8: The right to use and the right to choose Chapter 9: Future shoot Burning Issues: The Global State of Tobacco Harm Reduction 2020 - Executive Summary Harry Shapiro - KnowledgeActionChange A brief summary of our second GSTHR report which documents the development of tobacco harm reduction and use, availability and regulatory responses to safer nicotine products around the world