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Since the 1970s, the government has gradually implemented anti-smoking measures and health education and tobacco control policies to reduce the prevalence of smoking

Winter (ed.), Tobacco Use by Native North Americans: Sacred Smoke and Silent Killer , University of Oklahoma Press, 2000

But what is not appreciated is that smoking during pregnancy increases the risk of defects in the child that are life-long. Women should quit smoking before becoming pregnant, or very early on, to reduce the risks He said very few public health educational policies mention birth defects when referring to smoking and those that do are not very specific this is largely because of past uncertainty over which ones are directly linked

According to Dutta et al

The most common causes are viral upper respiratory infections such as the common cold