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Similarly, findings from the Fifth National Survey on Psychoactive Substance Use in the Secondary School Population, also conducted in 2018, reported comparable patterns among Costa Rican high school students

In India, lead content in one of the brands of gutka was found to be 68 times greater than the defined limit54

Elephants and other browsers are also the main propagators of the plant in the wild: as they eat, they break off branches and crush them to the ground where they root and produce new spekboom plants

Many have been scavenged for their wood timber and recycled into houses or have been taken down for other reasons