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5.3 Heavy metals and other chemical pollutants Chemical pollution, especially in occupational settings, is another significant factor contributing to HNC, particularly NPC, especially in high-incidence areas

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So the cigarette smoke or aerosol acts kind of like a marker of where it is. In other words, if you can smell it or see it, you know where the virus could be

Approximately one in four still light up in some local authorities in England, such as mid-Devon (25.1 per cent) and Hastings (23.7 per cent)

A small amount is placed between the lower lip and gum, where it remains without chewing