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19,20 More than 30 carcinogens exist in smokeless tobacco, including volatile and tobacco-specific nitrosamines, nitrosamino acids, polycyclic aromatic hydrocarbons, aldehydes, metals and polonium-210

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Similar to the smoked tobacco section, picture cards for chewing tobacco were developed during qualitative studies of tobacco use in rural Cambodia, and their use on a survey was validated by comparison with salivary cotinine tests 20