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The rise in blood pressure is due both to an increase in cardiac output and in total peripheral vascular resistance. Interestingly, the study also noted that while the act of smoking causes spikes in blood pressure, stopping smoking can also have the same effect as a part of withdrawal, describing the effect as a paradox

In Liberia the International Red Cross, Pentecostal Mission Unlimited-Liberia and Samaritans Purse are aiding the Ministry of Health