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The inflammation caused by smoking can exacerbate the effects of COVID-19, leading to complications such as pneumonia and acute respiratory distress syndrome (ARDS). Smokers are also more likely to require hospitalization and mechanical ventilation when infected with the virus

The US Centers for Disease Control and Prevention (CDC) routinely reports current cigarette smoking prevalence at the state level using data from the Behavioral Risk Factor Surveillance System (BRFSS) [10, 11]

Act 28: Tobacco substitutes, e-cigarettes included, are taxed at a rate of 92% of their wholesale price

Another positive step is that 51 out of 54 countries in Africa have ratified the WHO Framework Convention on Tobacco Control, thereby committing to implementing policies to reduce tobacco consumption

and those who buy cigarettes exclusively elsewhere