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Bidis are relatively cheap, priced much lower than manufactured cigarettes 11,12 , and readily available in India, allowing easy access and affordability of the product, particularly among people of low socioeconomic status (SES) 11

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Signs must state: SALE OF CIGARETTES, CIGARS, CHEWING TOBACCO, POWDERED TOBACCO, SHISHA OR OTHER TOBACCO PRODUCTS, HERBAL CIGARETTES, LIQUID NICOTINE, ELECTRONIC CIGARETTES, ROLLING PAPERS OR SMOKING PARAPHERNALIA, TO PERSONS UNDER TWENTY-ONE YEARS OF AGE IS PROHIBITED BY LAW

This can interfere with pressure equalization in the middle ear, leading to pain, fluid, and infection

This may be due to muscle soreness from coughing or muscle tension resulting from nicotine cravings

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