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A global study on disease burden due to smokeless tobacco use in more than 100 countries concluded 4.7 million DALYs and 204 K deaths from ischaemic heart disease in addition to 62 K deaths due to cancers of the mouth, pharynx and esophagus with South-East Asia accounting for more than 85% of this burden [6]

Rani M, Bonu S, Jha P, Nguyen SN, Jamjoum L

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This diagnosis was doubted when more lesions were revealed on the patients back and limbs

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