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5,000 surveys were sent out, 222 came back with 216 respndents confirming they were smokers

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In addition to an increased risk of cancer, chewing tobacco is associated with the following health risks: gum disease heart disease oral lesions, such as white patches in the mouth (leukoplakia) A However, the American Lung Association notes that chewing tobacco is associated with numerous health risks, so we shouldnt view it as a healthier alternative to cigarettes