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In 2022, as per global estimates, around 253 million people in India were tobacco users, making it the second-highest country in the world for tobacco use. According to the World Health Organisation (WHO), from 2017 to 2018, the economic cost of tobacco use for people aged 35 and older was estimated to be Rs 1,77,341 crore (USD 27.5 billion), a very high cost leading to several diseases like cancer, lung damage, kidney damage, heart problems and stroke. The most common forms of tobacco use in India are smokeless tobacco, such as khaini , gutkha , betel quid with tobacco, and zarda , and smoking tobacco, such as bidi , cigarette, and hookah. The Health Ministry has been campaigning against tobacco use prohibiting smoking in various public places as part of the National Tobacco Control Programme

In most consumer products, words like natural, additive-free, and organic do generally mean the product is a healthier option

Brand, pack, and technology recognition can serve as potential gateways or contributors for the initiation and continued use of flavored tobacco products [35]

One interesting fact about smoking Dokha is that there is no residual smell left on soft furnishings or clothing unlike western pipe tobaccos, particularly cigarette smoke so it is considered to be less offensive to non-smokers How to care for your pipe tobacco If you are choosing a Western pipe tobacco as opposed to Dokha Arabic pipe tobacco, then you will have to think carefully about what kind of container you will need especially if you buy it in bulk

Byrd says that too many can contribute to health issues like vitamin deficiencies, tooth and jaw disease, heart failure, and a shorter lifespan