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Abbreviations TKI: Tyrosine kinase inhibitor CMC: Catholic Medical Center BMI: Body mass index SCLC: Small cell lung cancer SBRT: Stereotactic body radiation therapy CCRT: Concurrent chemoradiation therapy GGO: Ground glass opacity HRs: Hazard ratios CIs: Confidence intervals OS: Overall survival NK: Natural killer PSV: Pneumococcal polysaccharide vaccine PCV: Pneumococcal conjugate vaccine References Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A

But, human presence and activities such as cooking, cleaning or smoking have been proven to have considerable impact