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Indias decision, however, did not ban the use of such devices outright and a senior Health Ministry official told Reuters after the announcement that e-cigarette use would not be barred

"The thing with a vape pen is that you can get liquids with really high THC concentrations," she says

At a global level, the World Health Organization has estimated that alcohol causes 1.8 million deaths annually (about 3.2% of all deaths)

With significantly cheaper tobacco alternatives, ENDS usage also depends on affordability, further highlighting the need for investments in research on vaping behaviour, addiction patterns, and socio-economic drivers to inform policy

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