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People of Chennai are more exposed to e-cigarettes (60%) than traditional cigarettes since it is an urban area, and it is one of the metropolitan cities in India, whereas Chengalpattu is a rural area with a low literacy rate and limited access to resources (39.9%)

In one such study, researchers screened seven oral nicotine-delivery products, including nicotine replacement therapy (NRT) products and PMIs nicotine pouches, commercialized as ZYN , for 43 HPHCs potentially present in tobacco products