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Hergens MP, Ahlbom A, Andersson T, et al
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Jian Li, a professor of work and health at UCLAs Fielding School of Public Health and School of Nursing
The practice of chewing tobacco dates back centuries, with Native American tribes in North America being the first known users
Figure 1 Regarding specific tobacco subtypes, 85.17% of the tobacco-related deaths and 84.81% of the tobacco-related DALYs in 2021 were attributable to smoking, while the deaths and DALYs caused by chewing tobacco and secondhand smoke were relatively low
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