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While additional research is required to fully understand the exact relationship between smoking and infection from SARS-CoV-2, it has been well-documented that smoking is a major risk factor for the incidence of respiratory infection, including other coronaviruses such as MERS, as well as for the severity of disease progression [ 75 , 76 ]

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According to the National Institute on Deafness and Other Communication Disorders, or NIDCD, Smoking is a form of vocal cord abuse. Frequent damage to the vocal cords can result in changes in the way your voice works and sounds