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doi:10.1056/NEJMsr031421

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9 Sidestream smoke is also richer in ultrafine particles, which more easily penetrate the alveolar membrane and reach systemic circulation

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"But, if you've got two million kids with a 1% increase, you start to see changes in the prevalence of respiratory disease, heart disease and cancer." Baumgartner, who presented her work on Sunday at the annual meeting of the Paediatric Academic Societies in Denver, Colorado, said more than a third of children in the US and globally were exposed to secondhand smoke levels similar to those associated with adverse cardiovascular effects in her study