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Additionally, due to the absence of biological measurements, there may be a difference in the intensity of exposure even when the same exposure duration is used to respond to secondhand smoking

Smoking and COVID-19: scientific brief Publication date: 2020 This scientific brief on smoking and COVID-19, developed by WHO headquarters, reviews the peer-reviewed literature on the association between smoking and COVID-19

However, given that values still mostly remain in the normal reference range, future studies should investigate the effect of cigarette smoking on sperm function at the molecular level. This leads to the question, does smoking impact sperm quality in ways that may not be recognized using the semen analysis