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According to the Bloomberg Initiative to Reduce Tobacco Use, which focuses on 10 low- and middle-income countries with the greatest number of smokers (China, Indonesia, Vietnam, Philippines, Brazil, Ukraine, Mexico, Bangladesh, Pakistan, India), nearly 80 percent of tobacco users live in low- and middle-income countries

This means it has fewer additives, less sugar, and a greater focus on safety

Studies found that the smoke emitted from some forms of surgery was toxic and in a few cases contained infectious materials like bacteria or viruses

In light of these issues, this review aims to comprehensively examine the toxicity of waste cigarette butts and explore eco-innovative solutions to tackle the CBs litter problem

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