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This is concerning, since tobacco smoke is composed of thousands of toxic chemicals and compounds, including many carcinogens, which when inhaled can lead to disease and death, especially among vulnerable populations

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Smoking has long been implicated in higher risk for oral and genital human papillomavirus (HPV) prevalence and viral load, progression to cervical pre-cancer, and vulval intraepithelial neoplasia 18,19,20,21,22,23