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The exact mechanisms by which smoking contributes to the development of rheumatoid arthritis are not fully understood, but it is believed that smoking may trigger an immune response that leads to joint inflammation

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At the same time, it has limitations

In July, Health Minister Stephen Robertson foreshadowed a prohibition on smoking in cars carrying children during the review of tobacco legislation expected to start soon

doi: 10.1016/j.yrtph.2015.05.018