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Unlike previous reviewers, these authors derived relative risk (RR) estimates for cancers of the mouth and associated upper respiratory sites related to use of chewing tobacco, moist snuff, dry snuff and a fourth category in which the type of ST was unclear or undetermined (ST unspecified)

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Varieties of SLT include Plug, Loose-leaf, Chimo, Toombak, Gutkha, Twist and Pan-masala or Betel-quid, which comprises tobacco, areca nuts, slaked lime, sweeteners, and flavorings wrapped in a betel leaf [1]

However, stringent government regulations, health awareness, and public smoking restrictions are constraining traditional cigarette sales