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Making vehicles smoke-free would be expected to reduce childrens secondhand smoke exposure. Smoking in a vehicle with the windows open may reduce the amount of secondhand smoke exposure in the car, but levels are still high enough to be considered unhealthy for children

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The altered immune status in the lungs due to inhaled aerosols may involve effects on healing (lung fibrosis), inflammatory responses (hypersensitivity pneumonitis, acute eosinophilic pneumonia, and acute interstitial pneumonia), and the regulation of genetically damaged cells (potentially leading to lung cancer) [91]

Defamed for their off-putting smell and life-threatening health consequences, cigarette use amongst students began to decline beginning in the mid-1990s

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