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Last week the Food and Drug Administration (FDA) approved IQOS, a device that delivers nicotine by heating, not burning, tobacco sticks with a ceramic blade to produce vapor—not smoke. The decision means that for the first time, a “heat-not-burn” (HNB) product will be sold in the US. However, the agency added: “While today’s action permits the tobacco products to be sold in the US, it does not mean these products are safe or ‘FDA approved.’”