While the impact of reducing public SHS on the prevalence of CRS has not been formally evaluated, between 1997 and 2007, parallel to a marked decrease in SHS exposure 3132 , the prevalence of self-reported physician diagnosis of sinusitis in US adults decreased from 16% to 11% (Figure 1)
Notably, in some cases, while approaches may seem promising, evidence on costeffectiveness may be lacking
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