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There are several reasons why people might litter cigarette butts

Heart Disease and Stroke Statistics-2023 update: a Report from the American Heart Association

[34] Overall, the available evidence supports the cautionary implementation of harm reduction interventions aimed at promoting e-cigarettes as attractive and competitive alternatives to cigarette smoking, while taking measures to protect vulnerable groups and individuals

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Any condition statement given, as a courtesy to a client, is only an opinion and should not be treated as a statement of fact