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There is some excellent information from the Ontario Tobacco Research Unit in the following PDF

Some of the potential risks and side effects include: burning the face, neck, eardrum, middle ear, or ear canal from hot wax or ash starting a fire puncturing the eardrum blocking the eardrum with candle wax bleeding contracting secondary infections experiencing temporary hearing loss developing otitis externa (swimmers ear) causing damage to the middle ear Such risks increase greatly when children are involved, as they tend to move around during the procedure, which can allow hot wax or ash to fall outside the protection of the covering

They are similar to snus, an oral smokeless tobacco product primarily used in Norway and also in Sweden, the only European Union (EU) country where it is legal

The long-run total effects for both price and income are estimated with large standard errors, reflecting the uncertainty inherent in extrapolating dynamic effects to the steady state