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Yes, it increases risks of asthma, birth defects, and low immunity

The source of nicotinewhether from traditional tobacco smoke , vaping, or smokeless tobaccodoes not matter
Consequently, the Asia-Pacific region remains not only the largest contributor to global tobacco consumption but also one of the most stubborn obstacles in achieving global reductions in tobacco use, placing substantial strain on international public health initiatives For Instance, In January 2025, an article by financial time report that cigarette sales in China increased despite anti-smoking campaigns, driven by loosely enforced regulations and heavy reliance on tobacco as a revenue sourceChina produced 2.4 trillion cigarettes in 2023, up over 35% since 2003, and cigarette sales captured nearly 47% of global volume

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