A 2014 report commissioned by Public Health England on electronic cigarettes concluded that snus has a risk profile that includes possible increases in the risk of oesophageal and pancreatic cancer. The report stated that snus use is not associated with an increase in the risk of having a myocardial infarction, but is associated with an increased risk of dying from one if a person does have one. The report also concluded that there is no increased risk of COPD or lung cancer.