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it is a common constituent of a quid known as paan, which is chewed by millions of people in the region
The clearest effect is on birth weight (though it is widely believed this reduction is not as harmful as nave associations would predicti.e., smoking causing lower birth weight does not cause risks nearly as great as those for the average baby with that lower birth weight) [3]
Epidemiologic Methods: Studying the Occurrence of Illness
According to the American Cancer Society, pipe smoking is associated with a striking increase in laryngeal cancer mortality, with a relative risk (RR) of approximately 13.1
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