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All this simply drove smoking underground

Immunologic effects Smoking profoundly impacts both innate and adaptive immunity, often aggravating pathological immune responses while suppressing defensive mechanisms [19]

According to a report by the Secretariat and the UN Development Programme (UNDP), the noxious effects of tobacco on the environment begin with the pre-production process, as a particularly high amount of deforestation occurs not only to create space for tobacco farming, but also because a lot of timber is required for the drying process of tobacco leaves after they are harvested

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