1. what are the health risks associated with alcohol and tobacco used together?

2. what role do genetics and biological factors play into the co-use of alcohol and tobacco?

You did not show us the image of the burger, but i shall try to answer as best i can.  when purchasing food, always consider the ingredients as well as the person who prepared it. consider if they were hygienic people or not, in case the burger was infected with bacteria. no mortal should place an infected burger into their mouth.