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The financial stability of public services depended entirely on the steady preservation of a lethal addiction
Despite some inconsistencies, particularly among studies assessing respiratory disorders and suffering from methodological limitations and possible biases 30-33 , the findings from the reviewed studies indicate a growing body of evidence supporting the harmful effects of SHS on pets, with reported associations ranging from respiratory and cardiovascular alterations to neoplasms and biochemical markers of oxidative stress and inflammation
Although most data on benefits were of low certainty, the consistency in direction of effects across similar interventions provided greater overall certainty in the balance of benefits and harms
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