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[15] [22] Cancer [edit] Chewing tobacco is a cause of oral cancer, oesophagus cancer, and pancreas cancer
Even being in the same room as someone who has recently used a cigarette or vape can impact us through what is called third hand smoke/aerosols that is the residue that remains on the walls, furniture, clothing, and more (ALA)

Mann implies that the Columbian Exchange can have negative results

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