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Dr Cristina Bastardo for her support in the reading and evaluation of the spirograms, Pulmocor for loaning us the spirometer, MSD (Dr Ftima Afonso) for her assistance in photocopying the questionnaires, the Scholar Health team from the Lumiar's Health Centre, children, families, the Schools teachers and directors (EB Alto da Faia, EB 57 Telheiras, EB 91 Bairro da Cruz Vermelha, EB31 Prof Lindley Cintra) for their collaboration

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Beyond 2025, investment in next-generation smoke-free technologies and regulatory frameworks that support harm-reduction assessment and innovation is expected to further strengthen the appeal of reduced-risk products