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Chronic irritation may lead to inflammation and swelling of the vocal folds, resulting in: Hoarseness Raspy voice Voice fatigue Reduced vocal range Long-term smoking is also linked to Reinkes edema, a condition in which fluid accumulates within the vocal cords, causing a deepened or rough-sounding voice

However, a report by NHS Health Scotland found that as companies can pick and choose how to offset costs, usually by increasing prices on higher-end products, the taxation may not be as effective in encouraging those from poorer socioeconomic backgrounds to quit