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A separate Cochrane review by Chamberlain et al

It is not that the incidence of smoking is low in India if we take into consideration the widespread bidi habit The consumption of tobacco in all its forms cigarettes, cheroots, bidis, gutka and other forms of chewing tobacco is our number one health challenge now

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Retrieved April 1, 2016

It is recommended to actively implement a coordinated strategy for the prevention and control of laryngeal cancer at three levels: primary prevention should focus on tobacco and alcohol control and strengthen relevant legislation, especially for low-income, lower-middle-income and high-risk countries, and occupational safety and health