how can tobacco affect your social health What is a Consequence of Using Tobacco? 26 Health Effects of Smoking

Akinbami, Kit, and Simon (2013) found that exposure to secondhand smoke was associated with exacerbation of asthma symptoms in children, including sleep disturbance, activity limitations, and wheezing during exercise

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Smoking is the risk factor of several diseases, it could impact human microbiome directly or indirectly through immunosuppression, oxygen deprivation, biofilm formation, or other potential mechanisms

Reports from the first European explorers and conquistadors to reach the Americas tell of rituals where native priests smoked themselves into such high degrees of intoxication that it is unlikely that the rituals were limited to just tobacco