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Moreover, urge to spit out in public places, sharing of SLT products and repetitive hand to mouth contact increases the risk of transmission of infection.[] Tobacco use in form of smoking has been found to be detrimental to respiratory tissues, contrary to this, in another report it has been stated that smokers are 23% less likely to suffer from COVID-19 infection than non-smokers, which may be due to protective effects of nicotine that blocks the docking sites or entry of virus in the body through neurons in the olfactory cells or lung cells, but this hypothesis still remains unclear.[] In our opinion, more evidence-based investigations are required to substantiate the association as most of the reported studies have focused on evaluation of smoking status in hospitalized patients with medical co morbidities

Nicotine Consumption Methods The method of nicotine delivery influences how quickly and how much of the drug is absorbed

Whitehill, Don Cipollini, Daniel A

This compares to 0.2-3% of patients who do not have a PPC