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Public Health Englands stance on smokeless nicotine Public Health England (now UKHSA) has consistently maintained that nicotine replacement and smokeless products are substantially less harmful than smoking- a position supported by Cancer Research UK and numerous independent researchers

Bidis are relatively cheap, priced much lower than manufactured cigarettes 11,12 , and readily available in India, allowing easy access and affordability of the product, particularly among people of low socioeconomic status (SES) 11

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