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While it is well understood that wildfires emit more than prescribed burns per acre burnt 65,66 and that their ignition times 67,91 , plume behaviors 92 , and temporal impacts on air quality in downwind communities are distinct 26 , the difference in health effects from exposure to WFS and PBS at equal concentrations represents a gap in the literature 24,26

These populations tend to be those who experience inequities in multiple areas of their lives, including those at lower socioeconomic levels, those without college degrees, American Indians/Alaska natives, African American/Black communities [and Latinos], the American Cancer Society reports

Smokeless tobacco products include chewing tobacco like betel quid and paan, sucked or "moist oral" tobacco as well as inhaled tobacco products like snuff

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In the context of psoriatic disease, all of the above applies, but it is equally worth considering the further effects too