Sandersona, Marcia Nishiokab, and Wayne Buhler, Nicotine Exposure and Decontamination on Tobacco Harvesters Hands, Annals of Occupational Hygiene , vol
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Pfister says other health effects include bad breath, periodontal disease or more commonly known as gum disease, gum recession, premalignant lesions in the mouth, scarring, possible reproductive effects in pregnancy and an increase of risk of vascular disease and diabetes