1 Introduction Cigarette smoking and physical inactivity are two of the major risk factors for noncommunicable diseases (NCDs), which are the leading cause of death globally ( Cigarette smoking is associated with a higher risk for coronary heart disease, arteriosclerosis, pulmonary diseases like chronic obstructive pulmonary disease (COPD), several types of cancer, and many other diseases ( Physical inactivity is associated with an increased risk for coronary heart disease, hypertension, type 2 diabetes, and different cancers as well as dementia, stroke, and depression ( The National Center for Health Statistics ( In Germany, the difference between men and women in terms of their smoking behavior is much smaller
Environmental cleanup efforts are a valuable and helpful endeavor, but they are not enough to combat the effect of littered tobacco
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