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Sci Rep 12 , 8257 (2022)

The tobacco leaves are hung like usual to dry out

Nonetheless, these data clearly highlight the urgent need for all stakeholders to work together to develop and implement evidence-based, population-level interventions to reduce the burden of tobacco use for racial and ethnic minorities and other underserved populations

The course of the disease is featured and frequently aggravated by intermittent exacerbations, acute changes in the airway microbiome, for example by introduction of a new strain of a respiratory pathogen, lead to larger inflammatory responses, which present clinically as exacerbations of COPD [80], so changes in the composition and activity of the microbiome may be implicated in their appearances