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The key environmental advantages of TEREA over cigarettes include no combustion smoke or ash, significantly less litter impact per stick compared to cigarette butts, and the absence of the cellulose acetate plastic filter that makes cigarette butts the most littered plastic item on Earth

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Availability of data and materials Dataset analyzed during the current study is publicly available at the Surveillance, Epidemiology and End Results Program (SEER) repository, Abbreviations PCP: U.S