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These conditions can lead to swelling in the Eustachian tube, causing inflammation in the middle ear.Children are slightly more likely to get middle ear infections if they use a pacifier (a dummy), often have close contact with other children, for example at daycare or a nursery school, were fed formula from the start rather than mother's milk, or are often exposed to cigarette smoke

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"If smokers switch to electronic cigarettes or other products that can be shown to cut the risks to their health, this could lead to a big improvement in public health," Deborah Arnott, the chief executive of the British health charity Action on Smoking and Health, told Reuters

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