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Furthermore, recommendations aimed at improving the quality of estimates in the attribution of mortality have been followed when calculating AM.9 A total of 747 deaths may not seem high, especially when compared with the mortality burden of 56,000 deaths attributable to smoking in Spain,31 but these figures account for 2 deaths every day in the population aged 35 years and over in Spain

Gupta PC, Mehta FS, Pindborg JJ

These dichotomous actions of tobacco smoke triggering the immune response while nicotine may suppress the immune response demonstrates how smoking can throw off the balance of the immune system

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