Dove release ceremony on second anniversary of the Grenfell fire

What do you think the phrase 'And how?' implies in a conversation?

In what contexts might someone use the phrase 'And how?'

Can you provide an example of a situation where 'And how?' would be an appropriate response?

What emotions or reactions might the phrase 'And how?' convey?

How does the phrase 'And how?' affect the flow of a conversation?