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concluded that the only significant risk factor for ST-induced oral lesions, specifically ST leukoplakia, was the extent and site of ST exposure

When children reported earning piece rate wages, they were paid by the stick, meaning their wages were determined by the number of tobacco plants they cut and placed on wooden sticks, or by the number of sticks of tobacco plants they hung in curing barns

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This process could take anywhere from months to years, depending on the type of lesion, location, and the severity of the dysplasia