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Similar content being viewed by others Introduction The Institute for Health Metrics and Evaluation (IHME), in its Global Burden of Disease 2019 report, attributes an annual loss of 8.71 million lives to tobacco use, including 2.5 million Disability-Adjusted Life Years (DALYs), a metric representing years lost to ill-health, disability, or premature death, due to smokeless tobacco (SLT) alone [1, 2]

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