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As expected, there was variation between individuals, but the CSE effects seem to be consistent, except for the IL6 responses, which is in line with the clinical findings among smokers 31

Owners and persons in charge are responsible for ensuring no employees, clients or patrons are smoking indoors or within 25 feet of any door, exit, window that opens or ventilation intake

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A coordinated effort from all stakeholders, especially from the police, educational institutions, and the community, is required to improve this situation