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In India, the number of deaths caused by tobacco per year is expected to touch 1.5 million by 2020, up from 1.3 million deaths in 2017

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We also see this when we look at a map of smoking among women across the world: across much of Africa and Asia, rates are very low

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While primary transmission occurs through direct sexual contact, theoretical risk exists when sharing smoking devices with someone who has active oral HPV lesions