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Based on a more recent prospective cohort study from 9,835 COPD cases with a 9.1-year follow-up in the China Kadoorie Biobank, using coal and wood burning for cooking was positively associated with the incidence of COPD ( Studies have shown that biomass smoke exerts a deteriorating health impact mainly through deposition in the airway mucosa of particulate matter, nitrogen dioxide, carbon monoxide, sulfur oxide, formaldehyde, and polycyclic organic matter (Salvi and Barnes, 2009)