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Ten lakh people in India die from tobacco-related diseases every year. India, after China, has the second largest population of tobacco consumers in the world—30 crore consume oral tobacco, mainly women in rural areas, often risking head and neck cancers, and another 20 crore, predominantly men, risk lung cancer, coronary artery disease and chronic obstructive pulmonary disease by smoking. Health policy should aim to add years to life and add life to years. As smoking and oral tobacco take so many lives in India, reducing the number of such deaths should be high priority for policy makers and medical professionals. Fortunately, technological advances have made that task easier. In 2004, Chinese pharmacist Hon Lik developed the world’s first commercially viable electronic cigarette. This produces an aerosol that provides nicotine while avoiding the tar and other toxic products of tobacco combustion.