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First, smoking-related structural changes in the respiratory system, such as airway inflammation, fibrosis, and decreased mucociliary clearance, make it easier for pathogens, including hepatitis viruses, to invade and colonize the body

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1 The proportion of current cigarette smokers who report intermittent (nondaily) smoking is highest among cigarette smokers living in the West (43.1%) and lowest among those living in the Midwest (31.7%)