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The unfortunate reality is that because the brains biochemistry is altered when consuming nicotine, it is extremely difficult for someone to quit smoking, even when honest attempts are made

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[115] Tobacco and cannabis were used in Sub-Saharan Africa, much like elsewhere in the world, to confirm social relations, but also created entirely new ones

Additionally, tobacco use disproportionately affects lower-income households, with Papua New Guineans in the lowest-income quartile smoking more on average than those in higher-income groups

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Retailers are the first line of defense in preventing the illegal sale of harmful and addictive products like cigarettes and smokeless tobacco to youth, said Mitch Zeller, director of the FDAs Center for Tobacco Products