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In addition, oxidative stress also induces fetal programming which contributes to the development of adult-onset diseases (Luo, et al., 2006) Endothelial cells of blood vessels are damaged as early as during the first month of life of children exposed to second hand smoke and these effects can be detected during the first decade of life (Das, 2003)

This burden is likely to increase as consumer purchasing power improves coupled with intensive efforts by the tobacco industry to expand the African market