“…According to the 2019 GBD, SHS caused 1.3 million (95% UI: 1.0–1.6 in millions) deaths globally in 2019 14 . In recent years, growing evidence has shown that exposure to SHS is associated with numerous adverse health outcomes in both children and adults, including respiratory diseases, cardiovascular diseases, kidney diseases, diabetes, neurodevelopmental issues, and myopia in children 15 - 17 . As highlighted in the literature, even brief and temporary exposure to SHS can impact the development of human atherosclerosis 18 .…”