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Quick Facts Cigarette butts are the most predominantly littered item on U.S

These include stimulants like methamphetamine and cathinones, and cannabis-based drugs, such as THC or CBD

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Int J Environ Res Public Health 6 (5), 16911705 (2009)

This points to the need for multi-level approaches in future interventions, those that combine individual behavior change strategies with supportive structural changes, including employer-endorsed cessation programs and occupational health policies that discourage smoking