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The analysis, published in The Lancet Oncology 1, highlights that nearly 9 in 10 (88%) of all oral cancer cases caused by smokeless tobacco and areca nut use occurred in South-Central Asia and more than 95% (96.4%) occurred in low- and middle-income countries Cecilia Magnusson, Adjunct Professor at the Department of Global Public Health at Karolinska Institutet, who played a crucial role in analyzing data and identifying the regional impact of these risk factors in Europe, emphasizing the need for targeted public health interventions

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The use of chemical fertilisers or pesticides is not permitted throughout the growing and harvesting of the tobacco leaf, and during the manufacturing process, no moisture retainers, preservatives or other chemicals are allowed