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One other important distinction is that passengers must be at least 21 years old to smoke on sailings departing from the United States and 18 years old on sailings departing from other countries.

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If current trends persist, another BILLION tobacco-related deaths will occur during the 21st century

doi: 10.3389/fpubh.2023.1142635 Summary Keywords constipation, tobacco, smoke exposure, NHANES, serum cotinine Citation Cui G, Jiao X, Wang Z and Zhang Z (2025) Association between tobacco smoke exposure and constipation among American adults: a National Health and Nutrition Examination Survey