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Spittle and shells litter the ground, as men, women and older children laugh and chatter with lips stained bright red

Blending laborers replenish supplies of the different tobaccos for the blending line

Women exposed to smoke also have an increased risk of having a baby with a cleft palate

If public health problems involving STDsthe associated shame and stigma, economic precariousness, lack of access to effective treatmentssound similar to those involving substance use disorders (SUDs), its likely because they are, but both diseases can also contribute to each other

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