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The laws preventing tobacco consumption in India, Bangladesh and Pakistan are weak and implemented ineffectively 50-75% of tobacco users in India use smokeless varieties, which explains why India has the highest number of oral cancer cases in the world Alongside this, women prefer consuming tobacco in the smokeless form

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That distinction means pouch users are less likely to get addicted to the product than are people who smoke cigarettes or vape much as people who chew coca leaves are less likely to get addicted than people who smoke crack cocaine, says Jonathan Foulds, a smoking cessation researcher at Pennsylvania State Universitys Cancer Institute

Publicity surrounding JUULs appeal to youth coupled with rising youth ENDS use in the USA has led to federal, state and local restrictions on the sale of flavoured ENDS that appear to have reduced JUULs overall market share and opened the door for competing products such as Puff Bar