“…As a result, we looked for factors which might affect the oral microbiome at a community level. Our primary confounders included oral hygiene and health, tobacco use, family history of NPC, and tea consumption ( 11 , 12 , 14 – 18 , 23 , 24 ). We also considered a history of oropharyngeal inflammation, the region where an individual lived, and alcohol use as covariates primarily expected to affect the microbiome, as well as salted fish consumption, which is primarily seen as a risk factor for NPC ( 13 , 25 , 26 ).…”