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Tobacco accounts with manufacturers are required for participation
By 1997, TSWV had been reported in nearly every county in the state, with average incidence ranging from 10 to 15 percent in the Coastal Plains region and crop losses reaching up to 50% in heavily affected fields

It ultimately kills up to half of long-term users

10 In some regions, betel quid chewing begins as early as age 7 among both girls and boys