Lung damage also occurs with smoking, which reduces the airflow through the lungs and interferes with normal ciliary function, and this in turn makes it more likely that pulmonary complications will occur
7D) were observed with latitude (r = 0.259), longitude (r = 0.311), and sampling year (r = 0.205), suggesting that protected areas located further north and further east tended to show higher contamination, while those sampled in more recent years tended to show lower cigarette butt burdens
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[PubMed] Department of Health and Human Services (US)
I hate smoking, as any of my friends can attest