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Furthermore, the perception of easy access to various products is a recognized factor in initiating substance use

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Unless widespread efforts to support smoking cessation are made by families, communities and society as a whole, the huge loss of life in the working-age population over the next 20 years will certainly add to the increasing difficulty in supporting Chinas ageing society and will be beyond the magnitude that any single existing intervention can prevent, they said

Its so engrained in culturehookah can sometimes be smoked at religious ceremonies or weddingsthat it can be hard to avoid