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Underlying mechanisms may include chronic airway inflammation, impaired mucociliary clearance, increased bronchial hyperresponsiveness, increased development of T helper cell 2 (Th2) pathways relative to Th1 pathways, increased production of IgE, and greater allergic sensitization [9,25]

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Make clear to residents that they are responsible for the behavior of their guests and need to inform them of the smokefree policy

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