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Description
According to the nations 2013-2014 Demographic and Health Survey, the most recent available, 26.5 percent of men aged 15-59 and 4.1 percent of women aged 15-59 here use tobacco

dislodging obstructive material from oesophagus by inducing vomiting Tobacco administered by inhalation Nasal polyps

Flake tobacco usually requires rubbing (breaking up) before it can be smoked

But after reading comments here on TR about smoking it dry, I stuffed a pipe and wow

J., Slater, J
