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They might then notice their gums start getting irritated

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Exclusion criteria included occurrence of any chronic diseases, history of lung diseases (e.g., asthma or bronchial hyperactivity in childhood), presence of any allergic diseases, any medication intake (current or in the last 2 weeks), acute illnesses or infections in the last 2 weeks, influenza vaccination in the last 2 weeks, and current pregnancy or lactation

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Survey results also demonstrate that as communities continue to implement and monitor the program those reductions are sustained or even increased over time