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Countries in the region are implementing demand reduction strategies as advocated by the WHO MPOWER package and other initiatives for tobacco control

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On top of that, the stresses of economic uncertainty and unemployment across the country have translated into more smoking

Among these harmful chemicals are ammonia, arsenic, formaldehyde, acetone, and numerous others, which are known to be detrimental to human health

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Prolonged exposure to second-hand smoke can cause airway inflammation, broncho-constriction, airway obstruction and lung tissue damage, increase the likelihood of developing COPD, worsen existing COPD symptoms and accelerate lung function decline [100, 101]