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1 Introduction Smoking is the proven cause of numerous health conditions including the wide variety of non-communicable diseases ( Tobacco use contributes to poverty by diverting household expenditure from basic needs such as food and shelter to tobacco ( Moreover, evidence from research indicates that smoking initiation often occurs during adolescence, making it a critical concern for health of young adults ( In the Arab world tobacco consumption follows trends similar to that in other regions of the world, however, the availability of different traditional, as well as the new and emerging methods have aggravated the issue and posed greater challenges ( Tobacco control in the Arab world faces common challenges and patterns that are influenced by shared cultural and socio-political features

Some studies find a specific cancer risk connected to snus use, and other studies find the opposite

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