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The disease severity is registered in Baltic States, the Northern Caucasus, Transcaucasia, republics of Central Asia, Byelorussia, Moldova, Ukraine, Krasnodar Territory, Lower Volga Region, Azerbaijan, Armenia, and the Far East

doi:10.1136/bmj.329.7480.1424

That said, parents having no clue that their teen is feeling the social pressure to use nicotine is not new to the social media age

Smoking and "Early Modern" Sociability: The Great Tobacco Debate in the Ottoman Middle East (Seventeenth to Eighteenth Centuries)

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Based on animal studies and a few human studies, when young people use nicotine: It may increase the chance of addiction