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A health and national security cess and excise duty on pan masala and tobacco products respectively will be over and above 40 per cent Goods and Services Tax (GST) rate, while in case of 'biris' it would be on top of the 18 per cent GST rate effective February 1, 2026, as per notifications issued by the Finance Ministry late on December 31, 2025

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However, competitive pressure is increasing

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Surveillance Research 2012 Source: World Health Organization, Global status report on non-communicable diseases 2010 The Centers for Disease Control (CDC) looked at consumption over the past decade