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Of great concern is the fact that more than 80% of these deaths are expected to occur in low- and middle-income countries including India.[] The first Global Adult Tobacco Survey of 2010 reports that currently 34.6% of adults (47.9% males and 20.3% females) in India are users of tobacco products.[] Additionally, prevalence of tobacco use is high among people seeking help for use of other psychoactive substances as well.[] In view of the magnitude of the problem, it becomes necessary for us to understand the effect of tobacco on various body systems

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This underscores the significance of incorporating comprehensive health education initiatives in school curriculum to equip youth with necessary skills and knowledge to make informed decisions about tobacco use (33, 34)

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