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Yossi Harel-Fisch, director of Bar-Ilan University's International Research Institute on Adolescent Well-Being and Health, told the Jerusalem Post that social distancing and other public health measures implemented during the COVID-19 pandemic contributed to mental distress that caused some adolescents to turn to tobacco use

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Furthermore, information on use of alternative tobacco products was not collected

This change is usually irreversible and is what we think of when we note a smokers voice. Smoking is common among vocal athletes for many reasons