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To evaluate the robustness of the results to the presence of unobserved confounding, sensitivity analysis was carried out 15

There are a couple of ways that cities could go about this: launch an educational campaign about how dangerously deceptive and toxic cigarette butts are and hope that such education helps smokers throw them away more thoughtfully in designated bins install prominently colored and marked bins specifically for cigarette butts levy heavy fines for throwing cigarette butts outside the bins make cigarette companies responsible for cleaning up cigarette butts off city streets Some or many of these ideas may or may not work, but the root cause of cigarette butts littering our streets is just one: the smoker

Sometimes it's for good, sometimes it's seasonal, but it is possible to experience a comeback

Also, its an excellent alternative if an attempt to quit doesnt fall through as planned