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Due to the development of 12-hydroxyeicosatetraenoic acid (12-HETE) and 13-hydroxy octadecadienoic acid (13-HODE), which are peroxidation products of the liver, small intestine, and plasma, exposure to ultrafine particles, like diesel, might exacerbate inflammation and oxidative stress in these areas (171, 172)

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"The WHO Global Adult Tobacco Survey (GATS) study found that 34.6% of adults use some form of tobacco, while about one million Indians die annually from smoking-associated disease (2010 data)," Farsalinos said

Tobacco use and the risk of cardiovascular diseases in developed and developing countries: University of Cambridge