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Full smoking bans are also on the agenda in Britain following a recent High Court ruling in support of an inmate complaining about the health impact of second-hand smoke

Indirectly, smoking can lead to secondary polycythemia due to increased carboxyhemoglobin levels, which reduces the oxygen-carrying capacity of the blood and results in tissue hypoxia [11, 12]

In addition, there is a clear doseresponse relationship between the intensity of the intervention and its effectiveness in sustaining abstinence from smoking, especially in persons who are not using cessation medications