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Lack of awareness, lack of ash receptacles, and the increase of outdoor smoking add to the visible impact of cigarette litter

Perceived health risks were assessed using the mean of six items 25,26 that asked participants to indicate on a 7-point Likert scale (1 = very low risk, 7 = very high risk) their risk of developing smoking-related health conditions (i.e., lung cancer, heart disease, stroke, emphysema, respiratory infections, and other cancers) from regular use of each study cigarette

[48] [49] Proposed regulations were published for public comment in April 2022

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