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Partly, that may be because the bidi industry employs many poor Indians with no recourse to better jobs

To effectively address the pandemic's adverse effects on smoking behavior, policymakers are encouraged to implement a comprehensive approach that considers the pandemic's long-term consequences, socioeconomic factors, and family environment, and particularly focuses on tailored interventions for vulnerable populations such as adolescents from lower economic status or those exposed to secondhand smoke within their families: Support for low-income families: Implement targeted support and programs for adolescents from low-income families to significantly reduce both CSP and DSP 41,42

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LaFaive and Todd Nesbit, Cigarette Taxes and Smuggling 2010: An Update of Earlier Research, Mackinac Center for Public Policy, Dec

However, when the bacterial infection is not defeated the inflammatory response becomes chronic