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Both betel-quid and gutka chewing increase the risk of cancer of the oral cavity and oropharynx.[4,12] The carcinogenic component of chewed betel quid arises from the areca nut.[4] Relative risks are typically stronger for betel quid with tobacco than for betel quid alone.[12] A meta-analysis of oral cavity cancer studies conducted on the Indian subcontinent calculated a statistically significant eightfold increase in risk for betel quid with tobacco and a statistically significant twofold increase in risk for betel quid alone.[12] A statistically significant tenfold increase in oral cavity cancer risk for betel-quid chewing was demonstrated by studies conducted in China or Taiwan

[23] In this survey, 90.1% of respondents reported seeing no-smoking signs on wards, and 90.5% reported seeing colleagues smoking in hospital

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However, indoor air isnt always clean either in fact, indoor air often has two to five times higher concentrations of some pollutants (source)

Parkinson disease causes rigidity tremors, and bradykinesia and may result in difficulty getting out of a chair

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