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inn The decriminalization and potential increased use of marijuana in Canada in is unlikely to pose a TB risk for most Canadians, but serious consideration should be given to monitor the impact in high-TB burden communities and populations. These are settings where high TB incidence rates, high prevalence of smoking and crowded indoor spaces co-exist and can lead to explosive transmission. There have been calls from the WHO and others for clinical and program-level integration of anti-smoking and TB elimination work Footnote 3Footnote 6. The cluster described in detail above is not the only recent example of smoking-related TB transmission in Toronto.

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