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While tobacco has been chewed across the subcontinent for centuries, often in a concoction known as "paan", Chaturvedi said gutka took over in recent decades as a more convenient, ready-made version for modern life

[43] highlighted the existence of a subgroup of problematic users characterized by a poor self-model of adult attachment, along with increased anxiety and depression

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Democratic Representative Kent Smith of Euclid notes that activists warned secondhand smoke was a danger in the 80s, but eventually "Enough data came out that policymakers that probably didnt want to act eventually acted and the public health benefited. He compares that to new data from Environment Ohio which found that 18 Ohio cities had at least 30 days of elevated smog pollution