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It may be chewed or used as an ingredient in betel quid

The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) Manual for use in primary care Overview The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) was developed for the World Health Organization (WHO) by an international group of researchers and clinicians as a technical tool to assist with early identification of substance use related health risks and substance use disorders in primary health care, general medical care and other settings

Next to it is a law character (a rectangle with arms and legs and the words state law, law, law, law, law on it) that is pointing at the vaping device