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The same three countriesChina, the United States, and Indiawere also the world's leading producers in 2024, collectively responsible for 34% of global production volume

4 A Canadian study in 2019 5 found that a 10% increase in pocket money corresponded to a modest but statistically significant rise in smoking initiation (0.7%) and smoking intensity (0.6%)

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This contributes to Gum disease Bad breath Discolored teeth Loss of teeth Decrease in ability to taste and smell Long Term Effects Throat Smokers are at risk of developing tumors of the throat Surgical removal of the tumor may be necessary, including the vocal cords (laryngectomy) Artificial vocal cords may be implanted Voice aids may be used Two Indian Smokers Smokers Two Indian smokers, one enjoying a cigarette, the other after being operated on for cancer