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The decision they made in 2014 had a powerful public health impact by disrupting access to cigarettes and helping more of their customers be healthier

This high average confirms cigarette butts as the most prevalent littered item worldwide [3, 14], while the broad standard deviation reflects substantial variability among regions and environmental settings

These ulcers can lead to postprandial pain (pain after eating), maladaptive eating behaviours, narrowing (strictures) that require endoscopic dilation or surgical revision, or in severe cases, bleeding, perforation, and emergency surgery (laparotomy)

Those who want to reduce their environmental impact and avoid cigarette butt waste