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However, restraints include limited recycling infrastructure, lack of consumer awareness, high processing costs, and insufficient government support for cigarette butt waste management initiatives

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Electronic cigarettes have also entered some markets

The analysis estimates two-way fixed effects regressions with county and time fixed effects, relating health outcomes to within-county variation in pollution while controlling for demographic characteristics

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Vape shop owners who helped in a previous study 22 were instructed to ask their regular clients a few questions about smoking history and EC use patterns