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Butts : Refers to cigarette ends
Despite the obvious biologic plausibility, the lack of consistent epidemiological evidence might be due to methodological issues including lack of cohort follow-up time into older adulthood (when lung cancer usually becomes clinically manifest), small sample sizes, selection and recall biases, and lack of adjustment for tobacco use in the statistical modeling
What we need is: Awareness of the dramatic impacts Practical solutions in everyday life Collective action by all stakeholders Innovation in recycling and alternatives The solution lies in our hands