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There have been concerns about other potential sources of infection, but personal contact remains the most efficient method of transmission

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This includes linking cigarette butt monitoring to environmental impact assessments, adopting legislation that explicitly categorizes cigarette butts as a waste type and recognizes them as hazardous, banning cigarette filters, and promoting international cooperation to support standardized monitoring and data sharing

Brody AL, Mandelkern MA, London ED, Khan A, Kozman D, Costello MR, et al