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One of the more widely used shortcuts is to tap the side of your cheek instead of exhaling with force

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Around two-thirds of them are littered every year, according to Thomas Novotny , a professor of public health at San Diego University and the founder of the Cigarette Butt Pollution Project

Removing responses that were likely bots using best practices 20-22 and through analysis of open-ended responses led to an analytic sample of 463 (72.0% of those who completed the survey

The findings indicate that conventional health education and regulatory approaches alone may be insufficient to address this growing public health concern