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There are many studies which show that in the developing countries, the lowest income groups spend as much as 10 per cent of total household expenditure on tobacco

The result is a noticeably cooler draw the smoke travels a fraction of a second longer before reaching the filter, losing heat and harshness along the way

It is a serious health hazard

Long-term damage includes: Lung cancer Chronic obstructive pulmonary disease (COPD) Heart disease Stroke Mouth, throat, and esophageal cancers And it doesnt stop there

In contrast, other attempts have been made to develop non-cigarette-specific dependence measures for smokeless tobacco, e-cigarettes, and waterpipes 16,17,18,19