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That makes it a less popular form of tobacco among those students than cigarettes (which 9.2 percent reported using within a 30-day period), electronic cigarettes (13.4 percent) and hookahs (9.4 percent), the CDC said

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[16] Alternatively, it could have originated in the Safavid dynasty of Persia, [9] [17] [18] from where it eventually spread to the Indian subcontinent

Behavioral interventions were more effective when they provided more intensive counseling, were augmented with messages and self-help materials tailored for pregnant persons, and included messages about the effects of smoking on both maternal and fetal health and strong advice to quit as soon as possible