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Tobacco and its use for smoking and chewing was introduced to the West in the early 1600s by explorers from the Indians of the Caribbean and America

[3] Golpea A, Martn-lvarezb J, Galianob A, Asensio E, Effect of IQOS introduction on Philip Morris International cigarette sales in Spain: a Logarithmic Mean Divisa Index decomposition approach , Gaceta Sanitaria, 2022;36(4):293300

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Based on this information and the similarity of our findings to those reported by the NCDS (where smoking status was assessed later in pregnancy), it is likely that the majority of mothers in our study who were smoking at the first antenatal visit continued to smoke throughout pregnancy