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Smoking during pregnancy raises the risk of miscarriage by 2432% and spawns an estimated 5,000 miscarriages, 300 perinatal deaths, and approximately 2,200 premature births annually in the UK, as highlighted by the Royal College of Physicians (2010) in Passive Smoking and Children: A Report by the Tobacco Advisory Group. Respiratory infections : Nicotine weakens the immune system and damages the airways, making individuals more susceptible to infections like pneumonia and bronchitis

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23 , this type of market structure has allowed TTCs to resist regulation and shape policy environments through lobbying, financial contributions, research funding and formation of front groups including curtailing packaging restrictions in countries such as Australia 23,24