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At the individual grade levels, past month consumption declined among 8th and 10th grade students between 2024 and 2025, but increased 0.6 percentage points among 12th grade students
Overall, the researchers found, breathing secondhand smoke in private social settings nearly tripled the risk of being diagnosed with sinusitis, while breathing it at work more than doubled the risk
Bidi smokers face a higher risk of developing potentially-fatal chronic obstructive pulmonary disease (COPD), among other illnesses, because tobacco is packed more loosely in bidis, requiring smokers to inhale more strongly
While selling nicotine pouches within Germany is restricted under novel food regulations, personal import from EU-based online retailers is permitted
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