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Physicians of the time warned, however, that in juveniles it could stunt their growth (an observation which could have been due to the large number of poor children seen roaming the streets and smoking)

Abbe, C., & Mitchell, C

(2012) Validation of key behaviourally based mental health diagnoses in administrative data: suicide attempt, alcohol abuse, illicit drug abuse and tobacco use

In response to the tar, goblet cells produce extra mucus, making it more difficult to breathe and leading to coughing