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Competing interests Saoirse Elizabeth OSullivan is a paid consultant to Vectura Fertin Pharma, Switzerland, and a paid employee of Artelo Biosceince, USA

It thus risks the transmission of infectious diseases like tuberculosis, aspergillus (a fungus that can cause serious lung infections), several viral infections, helicobacter infection (which can cause stomach ulcers) and even meningitis

Dasgupta, P., Rastogi, S., Pillai, S., Ordonez-Ercan, D., Morris, M., Haura, E., & Chellappan, S