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235) In fact, waterpipe tobacco products from many countries do not comply with these restrictions: in a sample of 79 WTS tobacco products from nine different countries, the textual labels on packages covered, on average, 3.5% of total surface area.130 Perhaps more important, 77% of waterpipe tobacco was labelled as 0% Tar despite the fact that waterpipe tobacco smoke contains substantial tar,65 and 64% were labelled as either 0.05% nicotine or 0.5% nicotine despite the fact that these descriptors are not related to actual nicotine delivery.114 Thus, current global tobacco control policy does not address WTS specifically, is not applied to WTS, and therefore likely fails to influence WTS

This is likely because it's so difficult to quit, thanks to how nicotine affects the brain

Baseball players chewing tobacco have long been associated with the habit, contributing to its cultural image, but this practice has also highlighted the health risks of prolonged nicotine exposure

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