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Sharma and others, 2024) cigarillos are likely to expose users to many of the same toxicants found in cigarettes (Blank and others, 2011) there is toxicity from heated tobacco and (like other forms of tobacco) the aerosol released by heated tobacco devices contains compounds that cause cancer (Committee on Toxicity, 2017) smokeless tobacco (for example, chewing tobacco or snuff) causes cancers of the oral cavity and pancreas and is classified as a group 1 carcinogen (International Agency for Research on Cancer, 2008) smokeless tobacco is associated with increased risk of tooth loss (Action on Smoking and Health, 2016) the use of waterpipes (such as shisha) increases the risk of lung cancer and oesophageal cancer (Darawshy and others, 2021) herbal cigarettes expose smokers to cancer-causing and gene-changing compounds and gases including carbon monoxide (Rahman and others, 2022) burning cigarette papers with their bleaches and dyes adds to the volume of smoke and the range of toxicants in the smoke, contributing to additional risks to smokers (Zumbado and others, 2019) Packaging regulations in the UK and other countries Cigarettes and hand-rolling tobacco are already subject to strict packaging regulations in the UK

Experts note that it is unclear at present if nicotine intake via e-cigarette is safe during pregnancy 2

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