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Chronic irritation may lead to inflammation and swelling of the vocal folds, resulting in: Hoarseness Raspy voice Voice fatigue Reduced vocal range Long-term smoking is also linked to Reinkes edema, a condition in which fluid accumulates within the vocal cords, causing a deepened or rough-sounding voice

We encourage primary care clinicians to familiarise these resources and share them with people in the community seeking information about the health impacts of alcohol April 2025 news and updates New digital tool to support young people to quit vaping is here

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