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research in Australia found 88 per cent prevalence, and values are similarly high in Europe.[7] Sixty-six per cent of women prisoners reportedly also smoke during pregnancy.[8] Smoking by prison staff is largely unexplored and very little data is available, although some studies show that the prevalence rates of staff smoking in detention facilities are higher than or comparable to those of the general population.[9] Staff smoking should systematically be addressed in tobacco control policies in prisons, as part of a wider approach promoting health in the workplace

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In this review, we summarized the effects of cigarette smoke on the pathogenesis of COPD, and focus on the cigarette smoke-induced EMT in COPD that occurs in the development of the latest clinical evidence