sentences:  The exception is Sweden, where there is a long tradition of smokeless tobacco (snus) use among men.In October 2008 the American Association of Public Health Physicians (AAPHP) became the first medical organization in the U.S. to officially endorse tobacco harm reduction as a viable strategy to reduce the death toll related to cigarette smoking.Cigarette manufacturers have attempted to design safer cigarettes for almost 50 years, but results have been marginal at best.