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A 2016 Surgeon General's report concluded that youth use of nicotine in any form, including e-cigarettes, is unsafe, causes addiction and can harm adolescent brain development, which impacts attention, memory, and learning
Though the use of any kind of tobacco has reduced to 27.3% as per National Family Health Survey-5 (NFHS-5) from 34.3% (NFHS-4) among men in Karnataka, chewing gutka or pan masala with tobacco has increased to 10.4% (NFHS-5) from 9.6% as the younger generation is getting more addicted to smokeless pan chewing..The percentage of smokers among men has come down to 12.2 from 17.6, in urban and rural areas..Bidi puffing has also reduced to 3.6% from 8.3% in the state
All of the included national public health strategies focused on improving health and wellbeing, with this being an underpinning general aim (see Supplementary Table 5) (23, 24, 2629, 31, 3540)
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