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According to smokefree.gov, cigarette smoke (or vapor from e-cigarettes) inflames small airways and tissues in the lungs, which can lead to tightness in the chest, wheezing, and shortness of breath

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The carcinogens present in tobacco smoke can damage the DNA in lung cells and lead to the development of cancerous tumors

According to Stanford anthropologist Matthew Kohrman, a faculty affiliate with APARC who studies smoking in China, this institutional reality is compounded by social factors

Conversely, fragmentation may persist in local markets where regulatory barriers or cultural preferences favor smaller, regional brands