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Respiratory Effects of Cigarette Smoke Airway and Lung Damage Repeated exposure leads to: Chronic irritation of the throat and bronchial tubes Scarring and narrowing of airways Reduced ability to clear mucus and pathogens Over time, this damage can develop into chronic obstructive pulmonary disease (COPD) , including: Chronic bronchitis (persistent cough with mucus) Emphysema (difficulty exhaling due to damaged air sacs) These conditions significantly reduce oxygen delivery to the bloodstream and heart

For people without central air conditioning who have forced-air heating (that is, its heated by warm air coming out of vents, rather than by a radiator or hot pipe that circulates steam), the options are pretty similar

The sons of these tough men grew up equally tough