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Symptoms include coughing and increased mucus

The South accounts for a significant portion of national tobacco consumption, with widespread retail availability and brand loyalty among consumers

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Smoke-free initiatives, in particular, have changed attitudes and social norms toward SHS exposure and have been a key contributor to the decline of smoking prevalence 8

Acknowledgements Authors thank the Demographic and Health Surveys (DHS) Program for providing us access to data of twenty nine countries of the Sub-Saharan Africa region

The Protocol builds upon and complements Article 15 of the WHO FCTC, which addresses means of countering illicit trade in tobacco products, a key aspect of a comprehensive tobacco control policy