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Alterations of repair mechanisms, generation of squamous cell metaplasia, and of goblet and basal cell hyperplasia are present in the airway epithelium of smokers with and without COPD, causing airflow limitation 31,32,33

Health NOTE : Hookah smoking is often mistaken as safer than cigarettes, but a single hookah session can expose you to as much or more carbon monoxide and nicotine as multiple cigarettes

This will be on top of the current maximum fine of 2,500 that councils can already impose