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Author contributions AD was responsible for the design of the intervention materials and conduct of the, and was also responsible for analysing the quantitative and qualitative data and writing the manuscript drafts

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Nearly 356 million people use ST in 140 countries, whereas 82% of this burden lies in Southeast Asia.[2] More than 4000 chemicals that are carcinogenic, like tobacco-specific nitrosamines (TSNA), areca nut-specific nitrosamines (ASNAs), alkaloids, polyphenols, tannins, and lime powder are found in these products