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Given prior expectations about the effects of smoking on the immune system, its best to view the emerging data as intriguingly suggestive while keeping in mind the difficulty of conducting studies in the fog of a pandemic

doi: 10.1111/j.1360-0443.2006.01584.x

It also increased catalase activity in the lung and resulted in changes in the level and mRNA of major matrix metalloproteinases (MMP-1, MMP-9, and MMP-12), confirming pulmonary damage associated with hookah use [117, 118]

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We are continuing to raise retailers concerns with government, but we should prepare for this change to come into effect on 20th May. ACS has developed guidance for retailers with information on products included in the ban, when it will be introduced, penalties for non-compliance and how to communicate the ban with customers