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If a tobacco control measure isnt passed because of this letter, the price could be paid in lives of people who might otherwise quit smoking. The tobacco control bill going through Zambias parliament includes proposals to go further than UK legislation by also applying to e-cigarettes, and mandating that graphic health warnings cover 75% of product packaging

Furthermore, tobacco smoke induced lower airway dysbiosis in COPD, enriching oral commensals and promoting inflammatory pathways involving IL-17, IL-6, ERK/MAPK, and PI3K

Smoking cessation significantly improved both physiological and sexual health in male smokers, regardless of their baseline level of erectile dysfunction [122,123]

This has inspired the recent surge in legislation surrounding tobacco products, including e-cigarettes

In these circumstances, oxidative stress is seen to arise