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Some darkening is normal during aging, but complete color loss signals degradation
This could be particularly challenging for LMICs with limited resources for surveillance or research, and an area for technical assistance from higher income countries, civil society or WHO
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Smokeless tobacco is classified as a known human carcinogen by IARC, and various constituents are similarly classified ( Currently, there is no way to relate a particular level of a chemical constituent in STPs to cancer risk
E-pipes may be automatic or use a manual switch, but they're always electronic
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