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Abstract Background Tobacco use is responsible for 5.4 million deaths every year worldwide and is a leading cause of preventable death

Research from the National Institute for Public Health and the Environment, an independent agency of the Dutch ministry of Health, showed that when these holes are blocked, the amount of tar, nicotine and carbon monoxide in all filter cigarettes is 2 to 20 times higher than limit values allowed in Dutch laws

Nicotine addiction is serious and often teens need specialized help to them break the grip nicotine has on their brain

This allows the individual to make an assessment in line with their role and expectations in society