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"The wide spectrum of smokeless tobacco products and variation in their toxicant levels is extremely concerning from a public health point of view as, in addition to causing cancer, smokeless tobacco products affect the whole human system and cause many other serious diseases," said Dr P C Gupta of Healis Sekhsaria Institute

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Tobacco use is a strong addiction, so campuses should invest in a variety of educational, behavior modification and pharmacologic programs to assist students, faculty and staff break the habit, he wrote

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