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Maternal smoking has also been associated with mitochondrial dysfunction, including mitochondrial ultrastructure changes, mitochondrial swelling, reduced ATP generation, loss of mitochondrial membrane potential, and increased mitochondrial DNA copy number (Lei et al., 2018)

Prolonged exposure to thirdhand smoke (the residual nicotine and other chemicals left on surfaces) can be harmful, especially to children and pets

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These chemicals include: Nicotine Formaldehyde Hydrogen cyanide Carbon monoxide Arsenic Lead Ammonia Benzene Tobacco-specific nitrosamines (TSNAs) Polycyclic aromatic hydrocarbons (PAHs) The connection between smoking and genes At least 70 of these chemicals are carcinogens, which means they cause cancer