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Thomas Novotny, a professor at San Diego State University and an expert on tobacco pollution, said the Bay Areas 7 million-plus residents smoke roughly 4.76 billion cigarettes a year, and studies suggest that between one-third and two-thirds of all cigarettes end up as litter

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These distinctive features have made them highly favored by consumers (Zheng et al., 2022a)

This research is a powerful reminder of the urgent need to address cigarette smoking as the leading preventable cause of death and disease in the UK