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Governments have lost about 19.4 billion in lost tax revenue

The growing popularity of smoke ceremonies, wellness rituals, and mindfulness practices in Western markets creates a new category of non-smoker herbal cigarette users, expanding the total addressable market beyond ex-smokers and harm-reduction seekers

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Its time we cleaned up our beaches and stopped treating them like one giant ashtray."

Third, underreporting in substance use surveys, driven by stigma and legal fears, further deflates GBD estimates, especially where surveillance is weak

Research using salivary cotinine a nicotine metabolite found measurable nicotine exposure in regular blunt users who reported no tobacco use