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Key recommendations for Spain include: Making harm reduction a central pillar of tobacco control policy Ensuring access to safer alternatives for adult smokers Implementing proportionate taxation that encourages switching from cigarettes Preserving consumer choice by allowing flavours in smoke-free products Establishing science-based nicotine limits based on research Launching public awareness campaigns about the relative risks of different nicotine products

The current track record of the FDA under Robert Califf and Brian King raises significant concerns about its commitment to harm reduction in tobacco regulation