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Additionally, recent data provided by clinical and pre-clinical research demonstrates that nicotine exposure during pregnancy may heighten the risk for adverse neurodevelopmental disorders such as Attention-Deficit Hyperactivity (ADHD), anxiety, and depression along with altering the infants underlying brain circuitry, response to neurotransmitters, and brain volume

[2] In Ethiopia, tobacco use is responsible for over 9,884 deaths annually, contributing to 5% of all non-communicable disease deaths, with 29% of these deaths attributed to cardiovascular diseases