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Indiana sold an estimated 12.6 million fewer cigarette packs in the final six months of 2025 compared to a reference control state

Collectively, these microbial, physiological, and oxidative changes triggered by smoking may amplify its detrimental impact on health, exacerbating a wide range of diseases and impairing the bodys ability to repair and protect itself

Some states, including Punjab, Haryana, Kerala, Mizoram, Karnataka, and Jammu and Kashmir, have already banned e-cigarettes as an unapproved drug

The researchers also found that the majority of people responding to the surveys felt their health had improved since using the devices