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While these factors dont guarantee the presence of cancer, they can be important to consider: Tobacco Use Smoking and Chewing Tobacco : Tobacco use, including smoking cigarettes and chewing tobacco, is a major risk factor for oral cancer

Despite the overall progress India made in reducing tobacco consumption, it remains a public health priority, not only because of the situation in the north-eastern regions, but also because in India as a whole, the levels of tobacco use in 20152016 were largely comparable to the levels in 19981999 (Table S2), and smokeless tobacco and bidi consumption still play a major role in many parts of the country (Table S1)