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Tobacco Products are a Global Pediatric concern Tobacco and nicotine product use, along with exposure to second-hand smoke, are becoming increasingly serious and have posed an ever-growing global pediatric threat Tobacco use among children and adolescents is associated with an increased probability of tobacco addiction, reduced lung function, impaired lung growth during childhood and adolescence, increased incidence of asthma, subclinical atherosclerosis, mental health disorders (anxiety, depression), and developmental disorders (ADHD and behavioral disorders) in adolescents