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The knowns and unknowns of smokeless tobacco in WHO EMRO countries Mohammed Al-Hamdani, Rana Abouzoor Discover Public Health

Education and awareness are the keys and those have to take place at an early age

It also has the lowest smoking rate in Europe

In addition, the working group concluded that involuntary smoking (exposure to secondhand or "environmental " tobacco smoke) is carcinogenic to humans.

For female partners exposed to secondhand smoke, there is evidence of: Reduced ovarian reserve Poorer response to ovarian stimulation during IVF Lower embryo implantation rates Higher risk of miscarriage Couples where both partners are exposed to tobacco even passively may therefore have compounded fertility disadvantages that are entirely addressable through cessation