Yu T, Cai S, Zheng Z, Cai X, Liu Y, Yin S, et al. Office on Smoking and Health; 2014. Smoking injures the local defenses in the lungs by increasing mucus . A Paris hospital network study suggests that regular smokers may be safer from COVID-19 infection than the general public, according to reports by Radio France Internationale and the Guardian . CAS BMJ. 2020. https://doi.org/10.32388/FXGQSB 8. Feb 19. https://doi:10.1111/all.14238 28. Lachapelle, F. COVID-19 preprints and their publishing rate: an improved method. However, nicotine, the addictive component of cigarettes, can be safe when used in other forms, and there is some biological plausibility regarding a possible role of nicotine in COVID-19 infection. Smoking injures the local defenses in the lungs by increasing mucus production and inflammation. Tobacco and nicotine derivatives uses are multiple in nature. The relative risks from this study can provide an estimate of the strength of associations that can be used to guide tobacco control decisions.". University of California - Davis Health. And smoking has . Res. There's no way to predict how sick you'll get from COVID-19. Clinical characteristics of 113 deceased patients with coronavirus disease 2019: retrospective study. Cancer patients Anyone shown without a mask was recorded prior to COVID-19 or recorded in an area not designated for patient care, where social distancing and other safety protocols were followed. HHS Vulnerability Disclosure, Help May 29. Clinical Therapeutics. Background Conflicting evidence has emerged regarding the relevance of smoking on risk of COVID-19 and its severity. But given the devastating health effects of smoking, and the deep-pocketed tobacco industry's efforts to downplay the dangers of smoking, 4. https://doi.org/10.1093/cid/ciaa270 24. PubMed Central Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Publishers note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Breathing in any amount of smoke is bad for your health. The liver has the greatest regenerative capacity of any organ in the body, making it possible for surgeons to treat cancerous and noncancerous diseases with Mayo Clinic in Rochester is again ranked No. ciaa270. Cite this article. Lancet 395, 497506 (2020). University of California - Davis Health. All data in the six meta-analyses come from patients in China. "Smoking increases the risk of illness and viral infection, including type of coronavirus." Although scientific discussions could be continued afterwards on the preprint servers, the media and many scientists did not follow these discussions. "This is important because we now can better emphasize all of the factors that can contribute to COPD beyond tobacco exposure." In low and middle-income countries, which contribute to over 85 percent of all COPD cases worldwide, "non-smoking COPD may be responsible for up to 60-70 percent of cases," noted the report's authors. Smoking even just 1 cigarette a day increases your risk for heart disease and stroke, and damages your cilia. While not smoking every day may seem like it's safer, there's no such thing as safe smoking. Guo FR. Google Scholar. The origins of the myth. Overall, the findings suggested that smokers were underrepresented among COVID-19 patients based on the prevalence of smoking in the general population. J Eur Acad Dermatol Venereol. Dis. 2020. A study, which pooled observational and genetic data on . Induc. Mar 27. https://doi:10.1001/jamacardio.2020.1017 15. Original written by Stephanie Winn. Introduction The causal effects of smoking and alcohol use on the risk of infectious diseases are unclear, and it is hard investigate them in an observational study due to the potential confounding factors. Here, we suggest a few steps to help reduce tobacco use during this pandemic and hopefully long after. Med.) Both findings emphasise the great caution needed in interpreting (social) media claims of preprint results. Mo P, Xing Y, Xiao Y, Deng L, Zhao Q, Wang H, et al. Internet Explorer). Moreover, there is growing evidence that smokers have worse outcomes after contracting the virus than non-smokers3. Simons, D., Shahab, L., Brown, J. Secondhand smoke has always been a killer, but COVID-19 has made exposure to tobacco smoke potentially deadlier. An updated version of this meta-analysis which included an additional Information in this post was accurate at the time of its posting. determining risk factor and disease at the same time). J. Med. Med. The risk of transmitting the virus is . Arch. Qeios. Characteristics of those who are hospitalized will differ by country and context depending on available resources, access to hospitals, clinical protocols and possibly other A report of the Surgeon General. Apr 27. https://doi.org/10.1016/j.clinthera.2020.04.009. We investigated the association between smoking and COVID-19 during an outbreak of the disease on a naval vessel. UC Davis tobacco researcher Melanie Dove. Wu J, Wu X, Zeng W, Guo D, Fang Z, Chen L, et al. Smoking affects every system in your body. Preprint at MedRxiv https://www.medrxiv.org/content/10.1101/2020.09.04.20188771v4 (2020). Farsalinos, K., Barbouni, A. All observational studies reported the prevalence of smoking amongst hospitalized COVID-19 patients. Those who reported smoking and were hospitalized due to pneumonia from COVID-19 were less likely to recover. In epidemiology, cross-sectional studies are the weakest form of observational studies. Underner M, Peiffer G, Perriot J, Jaafari N. Rev Mal Respir. Wan, S. et al. & Kachooei, A. R. Prevalence of comorbidities in COVID-19 patients: a systematic review and meta-analysis. Emami A, Javanmardi F, Pirbonyeh N, Akbari A. Due to the preliminary nature of the many non-peer-reviewed reports issued during the COVID-19 pandemic, preprint repositories were deliberately excluded from this review. To update your cookie settings, please visit the Cookie Preference Center for this site. DOI: https://doi.org/10.1016/S2213-2600(20)30239-3. Care Respir. The highest achievable outcome in cross-sectional research is to find a correlation, not causation. Questions? Kozak R, If you don't remember your password, you can reset it by entering your email address and clicking the Reset Password button. Guo et al., 39 however, later identified errors in the University of California - Davis Health. 2020;368:m1091. Electronic address . J. Med. Zhang X, Cai H, Hu J, Lian J, Gu J, Zhang S, et al. 2020;75:107-8. https://doi.org/10.1016/j.ejim.2020.03.014 39. CAS B, Zhao J, Liu H, Peng J, et al. 8, e35 (2020). Bottom line: Your lungs and immune system work better . We now know that <20% of COVID-19 preprints actually received comments4. CAS Vardavas CI, Nikitara K. COVID-19 and smoking: A systematic review of the evidence. Alraddadi, B. M. et al. Zhou Effect of smoking on coronavirus disease susceptibility: A case-control study. 6. 343, 3339 (2020). 2019;30(3):405-17. https://doi.org/10.1097/EDE.0000000000000984 5. One of these studies reported observational data for 7162 people in hospital and outpatient settings in the United States of America but did not include any statistical analysis of European Radiology. For additional information, or to request that your IP address be unblocked, please send an email to PMC. npj Prim. Along with reduced use of cessation services, the quit line consortium report indicated that US Department of the Treasury data show a 1% uptick in cigarette sales during the first 10 months of . for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Epub 2020 Jun 16. Get the latest science news in your RSS reader with ScienceDaily's hourly updated newsfeeds, covering hundreds of topics: Keep up to date with the latest news from ScienceDaily via social networks: Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. MMW Fortschr Med. However, the epidemic is progressing throughout French territory and new variants (in particular . Population-based studies are needed to address these questions. and transmitted securely. Crit. Further, most studies did not make statistical adjustments to account for age and other confounding factors. Chen J, et al. Active smoking is associated with severity of coronavirus disease 2019 (COVID-19): An update of a metaanalysis. Use the Previous and Next buttons to navigate the slides or the slide controller buttons at the end to navigate through each slide. Alharbi AS, Altwaim SA, Alharbi AS, Alsulami S. Cureus. 2020;18:37. https://doi:10.18332/tid/121915 40. And, so, it's very likely that people who are engaging in those behaviors are more likely to get the infection and spread it to others," says Dr. Hays. Smoking impairs the immune system and almost doubles the risk of, Data from the previous Middle Eastern respiratory syndrome coronavirus (MERS) and severe respiratory syndrome coronavirus (SARS) is scarce. Second, many smokers have already died of smoking-related illnesses (far) before they reach the age of the average COVID-19 hospital inpatient (around 68 years)31,32. Introduction. 55: 2000547 https://doi.org/10.1183/13993003.00547-2020 13. Smoking also reduces our immunity, and makes us more susceptible to . Bone Jt. To summarize, smoking is known to increase TB infection and also adversely affect treatment outcomes in TB making it a deadly duo. For the majority, the increased stress of a potentially fatal disease, possibility of loss of employment, feelings of insecurity, confinement, and boredom, could increase the desire to smoke. Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, et al. Lancet 395, 10541062 (2020). This was likely due to the small sample size with only 55 participants, of whom 20 were smokers. Journal of Medical Virology. J. Intern. Also, many manuscripts did not initially follow the traditional time-consuming peer review process but were immediately shared online as a preprint. use of ventilators and death. A review was conducted on 12 May 2020 on smoking and COVID-19, using MEDLINE, EMBASE, Cochrane Library, and WHO Global Database. Klemperer, E. M., West, J. C., Peasley-Miklus, C. & Villanti, A. C. Change in tobacco and electronic cigarette use and motivation to quit in response to COVID-19. & Niaura, R. Smoking, vaping and hospitalization for COVID-19. Image, COVID-19, smoking, and cancer: a dangerous liaison, The Lancet Regional Health Southeast Asia, Statement on offensive historical content. Current smokers have. Most recent smoking status was determined from primary care records (70.8%) and UK Biobank questionnaire data (29.2%). May 9;1-8. https://doi:10.1007/s11739-020-02355-7 35. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. As we confront the coronavirus, it is more important than ever for smokers to quit and for youth and young adults to stop using all tobacco products, including e . ", The researchersre-analyzed data from the British Cold Study (BCS), a 1986-1989 challenge study that exposed 399 healthy adults to 1 of 5 "common cold" viruses. The statistical significance This includes access to COVID-19 vaccines, testing, and treatment. 8, 247255 (2020). 161, D1991 (2017). The lungs produce more of the ACE2 receptor/protein, which acts as a "doorway" for the virus. "Our communities . Clin. SARS-CoV-2, the virus that causes COVID-19, gains entry into human cells . To obtain Smoking is known to increase the risk of infection of both bacterial and viral diseases, such as the common cold, influenza and tuberculosis1, and smoking is a putative risk factor for Middle East respiratory syndrome coronavirus infection2. also found an unusually low number of smokers among patients with a cardiovascular or cerebrovascular disease11. of America. Will Future Computers Run on Human Brain Cells? Due to the great need for knowledge about COVID-19 and the associated publication pressure, several manuscripts were quickly published in peer-reviewed journals without undergoing adequate peer review. Nicotine Tob. OBJECTIVE During the state of alarm and once the confinement decreed by the COVID-19 pandemic ended, a cross-sectorial study was carried out in Spain between May 4th and 22nd, 2020 by volunteers who . Mar 13.https://doi:10.1002/jmv.25763 33. Dis. BackgroundCigarette smoking has been proven to be a risk factor in the development of many diseases. Several reports have claimed a smoker's paradox in coronavirus disease 2019 (COVID-19), in line with previous suggestions that smoking is associated with better survival after acute myocardial infarction and appears protective in preeclampsia. Thirty-four peer-reviewed studies met the inclusion criteria. Chen Q, Zheng Z, Zhang Banning tobacco sales might not be wholly effective if people are still able to access cigarettes and so other measures need to be implemented to discourage tobacco use. Smoking cessation in the elderly as a sign of susceptibility to symptomatic COVID-19 reinfection in the United States. Yang X, Yu Y, Xu J, Shu H, Xia J, Liu H, et al. The impact of COPD and smoking history on the severity of Covid-19: A systemic review and meta-analysis. Although likely related to severity, there is no evidence to quantify the risk to smokers Please share this information with . Bookshelf They reported only 5% of current daily smokers in their patient group. J. This review therefore assesses the available peer-reviewed literature Third, since exposure to health misinformation on social media is more common among youth and young adults6, primary HCPs may choose to actively bring up the subject of smoking and COVID-19 in consultations with youth and young adults and advise non-smokers to never start smoking. 2022 Nov 22;10:985494. doi: 10.3389/fpubh.2022.985494. We also point out the methodological flaws of various studies on which hasty conclusions were based. Clinical Characteristics of Coronavirus Disease 2019 in China. Zhao, Q. et al. Farsalinos et al. Watch: Dr. J. Taylor Hays discusses the connection between smoking and COVID-19. 2020. Careers. PubMed Proven interventions to help users quit include toll-free quit lines, mobile text-messaging cessation programmes, medRxiv.2020:Apr 23. https://doi.org/10.1101/2020.04.18.20071134 7. Evidence from other outbreaks caused by viruses from the same family as COVID-19 suggests that tobacco smoking could, directly or indirectly, contribute to an increased risk of infection, poor prognosis and/or mortality for infectious respiratory diseases [39] [40]. 1. A university hospital in Paris appears to have collected their data more systematically: they asked 482 COVID-19 patients whether they smoked or had done so in the past, resulting in only 9 missing answers27. The .gov means its official. Med. For older adults, pregnant women, people with lung disease, and those at risk for COVID-19 or recovering from it, inhaling wildfire smoke can be dangerous. Ando W, Horii T, Jimbo M, Uematsu T, Atsuda K, Hanaki H, Otori K. Front Public Health. Background: Identification of prognostic factors in COVID-19 remains a global challenge. The influence of smoking on COVID-19 infection and outcomes is unclear. PubMed Preprint at https://www.qeios.com/read/WPP19W.4 (2020). According to a peer reviewer of a different study, unknown can be explained by the fact that many patients were too ill to answer the questions about smoking29. Interestingly, the lead author of this research has been funded by the tobacco industry in the past, and also other researchers who have made similar claims can be linked with the tobacco industry, indicating a possible conflict of interest. Alterations in the smoking behavior of patients were investigated in the study. . Complications of Smoking and COVID-19. calculation and concluded that this association was indeed statistically significant (OR 2.2 (95% CI 1.3 3.7). Acad. The Lancet Respiratory Medicine. Epidemiological, clinical and virological characteristics of 74 cases of coronavirus-infected disease 2019 (COVID-19) with gastrointestinal symptoms. Fontanet A, Tondeur L, Madec Y, Grant R, Besombes C, Jolly N, et al. The double-edged relationship between COVID-19 stress and smoking: Implications for smoking cessation. Mar 25. https://doi:10.1093/cid/ciaa242 20. According to the 2019 National Youth Tobacco survey, 27.5% of high school and 10.5% of middle school students use e-cigarettes, with 21% of high schoolers vaping on a near daily basis. Reed G ; Hendlin Y . Eur. The tobacco epidemic is set to continue, despite assurances from many tobacco companies that smoke-free devices are safer than traditional cigarettes. A number of recent studies have found low percentages of smokers among COVID-19 patients, causing scientists to conclude that smokers may be protected against SARS-CoV-2 infection. 2020;9(2):428-36. https://doi:10.21037/apm.2020.03.26 31. March 28, 2020. Smoking and vaping lower the lung's immune response to infection. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. In this article, we shed light on the process that resulted in the misinterpretation of observational research by scientists and the media. on the association between smoking and COVID-19, including 1) risk of infection by SARS-CoV-2; 2) hospitalization with COVID-19; and 3) severity of COVID-19 outcomes amongst hospitalized patients such as admission into intensive care units (ICU), 18, 58 (2020). Global Burden of Disease: GBD Compare Tool, 2020 (Available from: https://vizhub.healthdata.org/gbd-compare/) Accessed: April 27 2020. "These findings may have implications for addressing tobacco use at the population level as a strategy for preventing COVID-19 infection," said Elisa Tong, senior author and UC Davis Department of Internal Medicine professor. When we look more closely at specific patient groups in the data, we see that, of the 24 included chronic obstructive pulmonary disorder (COPD) patients, only 3 had ever smoked (12.5%); the other 21 patients are found in the category smoking status never/unknown11. 2020. https://doi.org/10.32388/WPP19W.3 6. Induc. In combination with past findings, the current findings published today in the Nicotine and Tobacco Research journal support urgent recommendations to increase tobacco control efforts for countering COVID-19. Prevalence of underlying diseases in hospitalized patients with COVID-19: a systematic review and meta-analysis. Apr 23;S0163-4453(20)30234-6. https://doi:10.1016/j.jinf.2020.04.021 38. which are our essential defenders against viruses like COVID-19. 2020;157:104821. Kodvanj, I., Homolak, J., Virag, D. & Trkulja V. Publishing of COVID-19 preprints in peer-reviewed journals, preprinting trends, public discussion and quality issues. 3. Almansour A, Alamoudi NB, AlUrifan S, Alarifi S, Alagil J, Alamrie RM, Althunyan A, Alghumlas A, Alreedy A, Farea A, Alshehri S, Alumran A. Tob Induc Dis. No Kentucky counties have a high risk of Covid-19, according to this week's Centers for Disease Control and Prevention's weekly risk map, and only 30 of the 120 counties are at medium risk.. Clinical characteristics of 145 patients with corona virus disease 2019 (COVID-19) in Taizhou, Zhejiang, China. Pharmacological research. 2020. consequences of smoking: 50 years of progress. A, Mechanistic studies postulate that the increased susceptibility to infection might be due to upregulation of the angiotensin converting enzyme 2 (ACE2) receptor, the main receptor used by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) to gain entry to host mucosa and cause active infectionan apparently unique mechanism to this virus. Financial support for ScienceDaily comes from advertisements and referral programs, where indicated. Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, et al. Guo FR. Lippi et al.38 analysed data from 5 studies totalling 1399 patients and found a non-significant association between smoking and severity. MeSH Google Scholar. Smoking may enhance the risk of COVID-19 by its biological effects and behaviors of smokers. J. Respir. In the meantime, to ensure continued support, we are displaying the site without styles of hospitalization with COVID-19 or of infection by SARS-CoV-2 was found in the peer-reviewed literature. Tob. / Nicotine Dependence Center / Mayo Clinic", "And we know from the previous coronavirus outbreaks, especially the MERS (Middle East respiratory syndrome) outbreak, that smokers were more susceptible to infection and more likely to get more serious infection," says Dr. Hays. Case characteristics, resource use, and outcomes of 10 021 patients with COVID-19 admitted to 920 German hospitals: an observational study. Clinical course and risk factors Critical Care. Mar16. Talk to your doctor or health care . These findings are consistent with known harms caused by smoking to immune and respiratory defenses and some observational evidence of increased COVID-19 infection and disease progression in current smokers. across studies. Luk, T. T. et al. Preprint at MedRxiv https://www.medrxiv.org/content/10.1101/2020.03.09.20033118v1 (2020). Journal of Medical Virology. 8(5): 475-481. https://doi.org/10.1016/S2213-2600(20)30079-5 27. Smoking marijuana, even occasionally, can increase your risk for more severe complications from Covid-19, the disease caused by the novel coronavirus. "We stand before Californians today with a humble message of thanks for taking the hard steps to help manage COVID-19, and with an ongoing commitment to be prepared for what comes next," said CDPH Director and State Public Health Officer Dr. Toms Aragn. 2020;382(18):1708-20. https://doi:10.1056/NEJMoa2002032 14. Hu L, Chen S, Fu Y, Gao Z, Long H, Wang JM, et al. Coronavirus symptoms: 10 key indicators and . Allergy. 2020 Science Photo Library. The data showed that current smokers had an increased risk of respiratory viral infection and illness, with no significant difference across the types of viruses. Such studies are also prone to significant sampling bias. Zheng Z, Peng F, Xu If you smoke or vape and get the COVID-19 virus, you increase your risk of developing more severe COVID-19 symptoms. Much of the global focus on tobacco prevention and cessation focuses around non-infective respiratory, cardiovascular, and cancer related deaths, and much of the e-cigarette promotional rhetoric revolves around potentially saving billions of lives that . 2020. The social behavior of smoking and vaping also can increase the risk of spreading the virus, as people who smoke or vape oftentimes do so in groups. 2020. All outcomes related to screening, testing, admission, ventilation, recovery, and death need to be evaluated relative to smoking status and adjusted for comorbid conditions, such as ischaemic heart disease and COPD. Eisner, M. D. et al. Accessibility Epidemiological, clinical characteristics of cases of SARS-CoV-2 infection with abnormal imaging findings. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 2020. Collecting smoking history is challenging in emergency contexts and severity of disease is often not clearly defined and is inconsistent Shi Y, Yu X, Zhao H, Wang H, Zhao R, Sheng J. Clinical features and treatment of COVID-19 patients in northeast Chongqing. Before The harms of tobacco use are well-established. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. Lippi G, Henry BM. Compared to other study designs, the BCS is considered a high-quality study because of its randomized trial design, little missing data, clear smoking status definitions, and laboratory-confirmed data. It also notes . Clinical characteristics of refractory COVID-19 pneumonia in Wuhan, China. Clinical trials of nicotine patches are . Karagiannidis, C. et al. association between smoking and ICU admission and mortality amongst 226 patients in Toronto, Canada. Interestingly, the scientists received mostly one patient file per hospital. Slider with three articles shown per slide. Smoking weakens the immune system, which makes it harder for your body to fight disease. After all, we know smoking is bad for our health. Preprint at bioRxiv. Epub 2020 Apr 8. In France, researchers first suggested that nicotine may play a role in protecting smokers9, triggering a run on nicotine products among the general public. At the time of this review, the available evidence suggests that smoking is associated with increased severity of disease and death in hospitalized COVID-19 patients. Tob. Low incidence of daily active tobacco smoking in patients with symptomatic COVID-19. Risk factors of critical & mortal COVID-19 cases: A systematic literature review and meta-analysis. Apr 28:1-9. https://doi.10.1007/s15010-020- 01432-5 9. 2020 Apr;162(8):59-60. doi: 10.1007/s15006-020-0431-x. For requests to be unblocked, you must include all of the information in the box above in your message. Liu W, Tao ZW, Wang L, Yuan ML, Liu K, Zhou L, et al. Google Scholar. meta-analyses that were not otherwise identified in the search were sought. First, in line with national guidelines, primary HCPs can choose to ask patients about their smoking status during consultations, inform smokers about the dangers of smoking, advise smokers to quit smoking and offer cessation support to all smokers. in the six meta-analyses of smoking and severity (five to seven studies in each analysis), resulting in 1,604 sets of patient data being reported more than once. Med. Zhao Q, Meng M, Kumar R, Wu Y, Huang J, Lian N, et al. Only cohort studies of sufficient size, in which a group of patients is followed over a longer period of time, would be able to determine whether smokers are actually protected against SARS-CoV-2 infection or not. This has led to claims that a 'smoker's paradox' may exist in COVID-19, wherein smokers are protected from infection and severe complications of COVID-19 . Well-designed population-based studies are needed to address questions about the risk of infection by SARS-CoV-2 and the risk of hospitalization with COVID-19. During the coronavirus disease (COVID-19) pandemic, the issue of tobacco smoking and risk for acute respiratory infection is again topical. "A quarter of the U.S. population currently smokes or has high levels of cotinine, a nicotine metabolite, and there is no safe level of smoke exposure for nonsmokers. . Correspondence to 2023 Jan 1;15(1):e33211. Investigative Radiology. Unable to load your collection due to an error, Unable to load your delegates due to an error. https://www.biorxiv.org/content/10.1101/2020.11.23.394577v3 (2020). 2020. Tobacco induced diseases. 2. Vardavas, C. & Nikitara, K. COVID-19 and smoking: a systematic review of the evidence. Individual studies not included in meta-analyses: Nine studies were not included in any of the meta-analyses identified. Zhu W, Xie K, Lu H, Xu L, Zhou S, Fang S. Initial clinical features of suspected coronavirus disease 2019 in two emergency departments outside of Hubei, China. None examined tobacco use and the risk of infection or the risk of hospitalization. However, 27 observational studies found that smokers constituted 1.4-18.5% of hospitalized adults. Ned. This may, for example, apply to patients with serious cardiovascular and lung diseases, which are often the result of long-term smoking. Journal of Medical Virology. The connection between smoking, COVID-19. Med. Much of the, Robust evidence suggests that several mechanisms might increase the risk of respiratory tract infections in smokers. ScienceDaily, 5 October 2022. According to the Global Center for Good Governance in Tobacco Control, the tobacco industry was actively involved in downplaying the role of smoking in COVID-19 by spreading claims that smoking or vaping protects against COVID-1910. COVID-19 attacks the lungs, and people who smoke or vape are at higher risk of developing lung infections.
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