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Other author conflicts of interest are noted in the manuscript

First, heavy smoking causes immunosuppression[22] such as reduction in CD4+ cells, impaired NK cytotoxic activity[27] and recognition of virus-infected cells, and induces apoptosis of lymphocytes[26]

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This is despite the acknowledgement that taxes represent the most cost-effective means to reduce tobacco consumption, particularly among youth and low-income groups, thereby lowering the countrys burgeoning healthcare costs associated with treating tobacco-related diseases

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