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Tobacco use is also banned in public seating areas (such as bleachers and restrooms), in all district-owned vehicles, and during any school-sponsored activity where students or staff represent the district

Smoking is a leading cause of preventable diseases, including lung cancer, heart disease, stroke, and respiratory disorders

The composition and balance of the microbiota are influenced by a variety of factors, including host genetics, diet, environmental exposures, and lifestyle choices [27, 28]

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Ezzati, C