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Since most of the health concerns about e-cigarettes have focused on nicotine, there is still much we do not know about e-cigarettes

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Cleanup efforts come too late to combat their ecological harm, and while raising awareness to curb littering or banning plastic cigarette filters are two important steps to protect the ocean from further harm, they can take long to make a difference (due to long legal processes or difficulty monitoring effects)

AUTHORS' CONTRIBUTIONS AK contributed to the quality assessment of data, data analysis and interpretation, and drafted the manuscript

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