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Smoking is still the primary, causal risk factor leading to COPD, but environmental exposures, such as exposure to biomass fuel combustion, air pollution, and occupational exposures, and poor lung development (both pre- and post-natal) are increasingly recognized as important causes of COPD [3, 12]

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Keywords: Respiratory tract infections, Cotinine level, Secondhand smoke exposure(SHS) Cite this paper: Nahla M