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According to HHS, the overall impact of smoking can be seen as follows: 7% of lung cancer deaths 32% of coronary heart disease deaths 79% of cases of chronic obstructive pulmonary disease Risks for many cancers Diabetes Immunesystem problems Reduced fertility Complications in pregnancies These huge health and economic pressures have made it necessary for the states to rely on tobacco taxes to fund health care and anti-smoking programmes

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Key drivers for the market include: Cultural Acceptance : Deeply embedded consumption practices, especially in rural and semi-urban areas, sustain demand for products like bidis, gutka, and khaini 35

-Pete Petropulos, Holder of the Silver Star, Bronze star and Purple Heart