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The residents use a pipe called a bamboo bong in the traditional way of smoking Tuklaw tobacco

[14] The gender gap tends to be less pronounced in lower age groups

Tobacco addiction affects health in the following ways: Immediate Effects : Immediate effects of tobacco addiction include instant increase in blood pressure and heart rate , which spike significantly within minutes of inhaling smoke, as studied by Tobacco Free Kids 2009 titled Smokings Immediate Effects On The Body. For instance, smoking causes increased blood pressure and heart rate, which rise significantly within minutes of smoking, according to an article by Medical News Today 2022 titled Can smoking cause high blood pressure? This increase in heart rate leads to a heightened risk of heart problems over time

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In South Africa, hubbly and their related tobacco products, fall under the definition of tobacco product as indicated in the Tobacco Products Control Amendment Act (2007)