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There is some evidence that environmental smoke contributes to asthma, chronic obstructive pulmonary disease (COPD), pneumonia, and stroke

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Figure 1 Table 4 Smoking prevalence in 74,791 participants by the three COVID-19 periods

Persistent exposure to tobacco smoke impairs the respiratory systems natural defenses, leading to chronic irritation, compromised lung function, and an increased risk of serious conditions such as COPD and lung cancer