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The school said exposure to these microbial toxins has been associated with myriad health problems in humans, including asthma, reduced lung function, and inflammation. David Christiani, the Elkan Blout Professor of Environmental Genetics at the Chan school and senior author of the study, said in the statement that the findings are concerning

"CDC - Fact Sheet - Betel Quid with Tobacco (Gutka) - Smoking & Tobacco Use"
In its most recent report on smokeless tobacco, the American Cancer Society attributes the increased use of alternative tobacco products among young adults to state and local smoking bans
