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The numbers are staggering: Tobacco causes approximately 1.35 million deaths in India every year Nearly 28.6% of Indian adults use some form of tobacco India contributes around 6% of global tobacco-related deaths Tobacco-related illnesses cost the Indian economy more than 1 lakh crore annually Smokeless tobacco products such as gutka and khaini account for the majority of tobacco use in India Punjab's Growing Challenge Punjab faces a serious and often underestimated tobacco problem