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[187] Human Rights Watch interview with Miguel T., 12, Wayne County, North Carolina, July 2, 2013

These are made by curing and grinding tobacco leaves, then mixing them with flavorings, sweeteners, and sometimes areca nut (which adds another layer of risk)

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In this age group, competing causes of death, such as from other chronic diseases and injuries from falls, may reduce the toll from these cancers [38, 52]

Chewing tobacco may increase the risk of: Mouth cancer Esophageal cancer Pancreatic cancer Gum disease Heart disease Stroke Lung Diseases Caused by Smoking Cigarettes Smoking cigarettes and using other tobacco products can lead to an increased risk of respiratory issues, including: Chronic instructive pulmonary disorder (COPD) Emphysema Chronic bronchitis Lung cancer Asthma Lung Cancer Center understands how difficult it is to quit smoking tobacco