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These chemicals irritate the delicate tissues of the respiratory system, leading to: Chronic Obstructive Pulmonary Disease (COPD): Smoking is the primary cause of COPD, a group of diseases including chronic bronchitis and emphysema that make breathing increasingly difficult

"But an hour smoking socially with a shisha is equivalent to 50 or 100 cigarettes

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It goes up punchy climbs30 to 40 percentand if youre not careful you will get cliffed out

Ghana has no national system for epidemiological surveillance of tobacco consumption and related social, economic and health indicators