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Smoking is a major risk factor not only does it contribute to chronic bronchitis, but passive smokers are also at risk

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Nicotine and chemicals in cigarette smoke can cause the blood vessels in the ears to constrict or become damaged, interfere with neurotransmitters in the auditory nerve, trigger the release of free radicals (which can damage DNA causing disease), and cause tinnitus

Available from: Abera M, Tesfaye M, Belachew T, Hanlon C (2014) Perceived challenges and opportunities arising from integration of mental health into primary care: a cross-sectional survey of primary health care workers in south-west Ethiopia