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The BMJ Tobacco Control report also highlights how American Chambers can greenwash the industrys reputation, spotlighting sustainability initiatives in a way that distracts from its widespread health harms

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The length of time the person had quit smoking was not collected in the 2019 survey so it is difficult to assess the level of risk to health previous smoking may have on the estimated 60,000 adults aged 16+ years who are ex-smokers

Additionally, fish, birds, turtles, and other creatures have also been known to eat cigarette butts and/or feed them to their young, mistaking them for food