are cigarettes considered litter Cigarette Butts: Toxic Plastic Pollution Cigarettes are the most littered

The effect of smoking on chronic inflammation, immune function and blood cell composition

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Page 72 Wright SL, Rowe D, Reid MJ et al (2015) Bioaccumulation and biological effects of cigarette litter in marine worms

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Indeed, switching from cigarettes to IQOS marginally increased the clearance of NTHI bacteria from the lungs of mice