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For individuals using only pipes, investigators found a significant increase in risk for myocardial infarction, CHD, and heart failure, with only a positive association for myocardial infarction compared with those who never smoked pipes or cigarettes
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The American Legacy Foundation surveyed a national sample of 1000 smokers and found that most (74.1 %) admitted disposing of butts on the ground or out of a car window at least once in their lives [9]
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