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But as lung physicians, it is our job to be concerned about the substances inhaled into the lung, particularly those that can bypass our usual defence mechanisms such as these ultra-fine mists." "We believe it is likely not just that this will happen again, but that it has happened already but not been recognised

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The phase 1 interviews highlighted how patients saw the health workers as an authoritative figure, whose advice they were willing to take: I think if the health workers advise it (not smoking), it will be more effective because family members say that every day and no-one listens to them (phase 1: male smoker 58, rural district) A challenge identified across the PHCCs was the high levels of absenteeism among health workers