sancti spiritus tobacco Tabakfabrik in Trinidad, Provinz Sancti Spiritus, Kuba Engl.: Cuba, Provinz Sancti Spiritus, Trinidad Sancti Spíritus Tobacco Collection and

Specific health impacts include: Lung disease (chronic bronchitis, COPD, lung cancer) Heart disease and stroke commercial tobacco doubles the risk Diabetes complications smoking worsens insulin resistance Pregnancy complications , including low birth weight and stillbirth Increased risk of COVID-19 severity , especially among elders and those with comorbidities Source: U.S

As with many health behaviors that are shaped by culture and social norms, the trends are complex and hard to predict

Excess moisture ( over 75 percent ) can be removed simply by leaving the lid cracked open slightly

Correspondence to: Dr Arti Singh, MD MPH School of Public Health KNUST Kumasi Ghana [email protected]