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[8] Burden of Tobacco use Health Burden of Tobacco use The burden of non-communicable diseases (NCDs) is escalating in Afghanistan

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]

Then came the evolution of technology as the industry started designing stylish heavily featured mods, reliable pod kits and more recently big puff vapes

13,14 These have been imple- mented in a range of outdoor areas including parks, playgrounds, sportsgrounds, outdoor dining and drinking areas, main streets, transport waiting areas and beaches

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