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reported that chronic e-cigarette use was associated with elevated neutrophil elastase and matrix metalloproteinase-9 activity, accompanied by increased mucin concentrations, collectively reflecting impaired mucociliary clearance (59)

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The latest CDC data shows that for the year 2019, smoking among white adults was statistically indistinguishable from that of black adults with 15.5 and 14.9 percent respectively smoking

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