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As one of the US states with one of the highest smoking rates[4], the state of Indiana has implemented in collaboration with the organization Tobacco Prevention and Cessation Commission of the Indiana State Department of Health (TPC), a tobacco control program aimed at reducing the use of all tobacco products in Indiana as well as reducing exposure to tobacco smoke[5]

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Abstract The negative impact of cigarette smoking on the skin includes accelerated aging, pigmentation disorders, and impaired wound healing, but its effect on the skin barrier is not completely understood

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