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Nowadays, there is a shocking trend seen wherein youngsters in the age group of 20-30 are affected with oral cancer," added Dr Suhas Aagre, Oncologist and Hemato-Oncologist at Asian Cancer Institute

Otoniel Rivera and Juan Plascencia were sewing together tobacco leaves with a large metal needle, fitting them in long collars that their boss Cesreo Zamarripa hangs out to dry on tall stakes

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For example, when projects paired commercial tobacco control programming with cultural activities such as Powwows, projects saw youth more strongly embraced their culture, were more empowered to be leaders for commercial tobacco control initiatives and advocated for their communitys health