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As at July 2024, nearly 30 countries have implemented plain packaging, including Australia, Belgium, Canada, Cook Islands, Denmark, Finland, France, Georgia, Guernsey, Hungary, Ireland, Israel, Jersey, Mauritius, Monaco, Myanmar, Netherlands, New Zealand, Niue, Norway, Oman, Saudi Arabia, Slovenia, Singapore, Thailand, Turkey, United Kingdom, Uruguay COSH urges the Government to implement rotation of PHWs or update the PHW images regularly to sustain the effects of PHWs, and adopt plain packaging to enhance the effects

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Common risks include: Nasal damage, including tissue breakdown Increased risk of addiction due to fast absorption Higher chance of overdose Heart strain and circulation problems Mental health changes such as anxiety or paranoia Even occasional use can lead to long-term damage, especially when substances are mixed or taken in high doses

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