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Perceived effectiveness of four different cigarette health warning label themes among a sample of urban smokers and non-smokers in China [published online ahead of print, 2021 Aug 16]

Research has shown that harmful chemicals leached from discarded butts, which include nicotine, arsenic and heavy metals, can be acutely toxic to aquatic organisms. A 2011 study by San Diego State University suggested that the chemicals leached from one smoked cigarette butt were capable of killing half of the fish present in a one-litre bucket of water, while researchers at the UKs Anglia Ruskin University found cigarette butts significantly hindered the growth of terrestrial plants

These changes have led to the rise of new brands and innovative manufacturing techniques, expanding the range of options available to fans

Kool Non-Menthol Blue (aOR 1.68, 95% CI 1.33 to 2.23)