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There are two types of smokeless tobacco (chewing tobacco), the traditional one, which has nicotine and tobacco

These can range from coughing and throat and nose irritation to exacerbated asthma symptoms, altered heart and lung function, heart attacks, and even premature mortality, particularly among those with underlying health conditions [5]

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So in England there is a variation between 1 in 10 people who are employed in managerial roles smoking and 1 in 4 of those who are employed in manual labour

Mazza, M., Pomponi, M., Janiri, L., Bria, P., & Mazza, S

Cocaine: Razor blades, pipes, lighters, and straws