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Several other countries in Asia and the Middle East, including Indonesia and Turkey, are faring as poorly or worse than China when it comes to kicking the habit

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Sanjid Amatya said smokers were asking to pick and choose the images on their packets, with the photograph of gangrenous toes bothering many consumers, as well as one of a sick child affected by cigarette smoke

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Much of the draw for young people to nicotine pouches, said Elise Stevens, an assistant professor at UMass Chan Medical School and director of the schools Center for Tobacco Treatment Research and Training, is built-in to the product the pouches are easy to use and very discreet, packed in a small, colorful tin