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In 2022, as per global estimates, around 253 million people in India were tobacco users, making it the second-highest country in the world for tobacco use. According to the World Health Organisation (WHO), from 2017 to 2018, the economic cost of tobacco use for people aged 35 and older was estimated to be Rs 1,77,341 crore (USD 27.5 billion), a very high cost leading to several diseases like cancer, lung damage, kidney damage, heart problems and stroke. The most common forms of tobacco use in India are smokeless tobacco, such as khaini , gutkha , betel quid with tobacco, and zarda , and smoking tobacco, such as bidi , cigarette, and hookah. The Health Ministry has been campaigning against tobacco use prohibiting smoking in various public places as part of the National Tobacco Control Programme
Although usually associated with the sport king nonsmokers and nondrinkers, the truth is that this equation is not always the case
Since 2008, cigarette smoking among Illinois high school seniors has decreased from 21% to 5% in 2018
Recently, another study associated regular ENDS use with lower cardiorespiratory fitness [104], an independent predictor of cardiovascular diseaserelated mortality [105]
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