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The use of gutkha has grown in popularity due to unsupported perception of safety, indoor smoking bans, ability to conceal use, increased social acceptance, and physiological effects, such as relaxation, increased concentration, heightened alertness, and diminished hunger

While excise taxes on both cigarettes and vapor products can be a legitimate way to recoup some societal costs associated with nicotine consumption, there is hardly any justification for taxing vapor products at a higher rate than combustible tobacco products.

Few public health educational messages mention birth defects when referring to smoking, the researchers said

The MS was operated both in ESI+ and ESI