Exposures related to ILD include silica, asbestos, nicotine, beryllium, radiation, and medications such as antiarrhythmics, antineoplastics, antibiotics, and anti-inflammatory drugs [3-5]
These adverse effects on the immune system not only occur in active smokers, but also in those exposed to smoke passively in contaminated environments, and may persist for decades after exposure has ended
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Similar reductions have been seen in many wealthy countries, though in some poorer countries, smoking prevalence is not declining as consistently
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