division of alcohol and tobacco control Missouri Louisiana Office of Alcohol and

Of those cases, 80-90% can be attributed to smoking, but, sadly, that is not the only cause

Table 2 shows that there were significant increases in reported knowledge among people who smoke bidis that smoking causes cancer (from 80.2% during 20092010 to 91.3% during 20162017), heart attack (from 54.6% during 20092010 to 72.7% during 20162017), stroke (from 42.7% during 20092010 to 61.4% during 20162017), and reporting the belief that secondhand smoke causes serious illness among non-smokers (from 77.8% during 20092010 to 90.0% during 20162017)

doi:10.1136/bmjopen-2018-028535 113

A sensitivity analysis of various risk factors reveals that tobacco use and alcohol consumption significantly elevate the increased risk of having an initial stroke and subsequent strokes

These devices do not burn tobacco like traditional cigarettes do