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The BBC reports that the study says an estimated 4.5 trillion butts are littered globally each year

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METHODS We conducted a secondary analysis of nine focus group (FG) discussions, stratified by gender and socioeconomic status (SES), based on public data sources about the SES level of the neighborhood in which the participants lives rather than individual-level SES, with young adults who smoke (aged 1824 years) held in Mexico City, Mexico (November 2018) and in Metro Manila, Philippines (March 2019) (Table 1)

After all, whle all smoking is considered bad by many people, its the ciggs that have caused the uproar about health related problems much more so than smoking pipes