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October 17, 2001 The Institute of Medicine published Clearing the Smoke: Assessing the Science Base for Tobacco Harm Reduction

Seek immediate medical attention if: Youre so short of breath that you cant perform basic activities such as climb stairs Your lips or fingernails turn blue or gray with exertion Youre not mentally alert Tests to determine if you have emphysema include imaging and lab tests

Acknowledgements We thank the NIH and the FDA for their support via award R01ES025257

For cleaning the headlining, use ValetPRO Advanced Interior Cleaner sprayed in 30cm square areas, then gently agitate with a soft Leather Brush or Microfibre Cloth

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The article describes the link between smoking and increased risk of bacterial and viral infections, and how waterpipe use is a significant conduit for infection transmission