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They did not: former smokers who quit entirely had modestly elevated odds, whereas former smokers who switched to vaping had lower odds

Disruption of this delicate microbial balance by cigarette smoke leads to persistent immune activation, epithelial injury, and heightened susceptibility to infection and chronic airway disease

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While current service provision meets the needs of some people who want to quit, it is of critical importance to consider how the needs of smokers who may fail to quit, are lost to the service and/or who resume smoking within 4 weeks can be better served

Respondents suggested forming anti-smoking committees composed of trained, non-smoking pupils and staff who could offer support and foster social belonging for those resisting smoking