On the Indian subcontinent, companies such as ITC Limited, Godfrey Phillips India Ltd., Dharampal Satyapal Limited, and Manikchand Group are the dominant players in the domestic chewing tobacco and paan masala markets, competing on distribution reach, price, and regional brand affinity rather than on product innovation or harm-reduction positioning
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The child cohort included 78 participants (aged 218): 26 passively exposed to HTPs, 26 to conventional cigarettes, and 26 unexposed controls