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Acknowledgements We are extremely grateful to Mr

With rules about selling tobacco having become stricter across the world, including in South Africa where an update to tobacco legislation will ban smokes and vapes from being sold from vending machines and being shown at tills, its not surprising that Big Tobacco is looking for other ways to reel customers in

Chew carries higher long-term risks due to tobacco content and direct gum exposure

Other potential symptoms of oral cancer include [2]: White patch (called leucoplakia) or red patch (called erythroplakia) on the inside of the mouth Non-healing scab on the lip or mouth ulcer Bleeding from the mouth that is unrelated to an injury Pain and/or difficulty chewing Swollen glands (lymph nodes) or a mass in the neck Jaw pain or swelling Difficulty swallowing, chewing, speaking, or moving the tongue or jaw Numb tongue or area of the mouth Loose teeth or dentures Persistent bad breath Figure 5: Oral Growth

4-ethylphenol

doi:10.1136/tobaccocontrol-2013-051469