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Overcoming barriers such as staff shortages, limited resources, and cultural sensitivities is crucial for the long-term success and scalability of SBSPIs in fragile contexts

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Short term Increased tendency to clot Increased blood pressure and heart rate Thins arteries reducing oxygen circulation Long term Thins arteries reducing oxygen circulation Atherosclerosis (plaque forms on the artery wall) Increase in size of aorta Increased risk of myeloid leukaemia (blood cancer) Brain diseases Smoking affects the efficiency of the limbic and paralimbic areas of the brain

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