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This also highlights the need to investigate the specific social and environmental determinants that contribute to higher uptake in these groups, as this study proposes to do

They eventually break down into small particles that end up in waterways, in the bodies of fish and other animals, and still contain many of the chemicals, toxins and contaminants trapped from the smoking process

Chronic effects were those that developed more slowly and present over an extended period of time (e.g., established disease)