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Until now, there has been scant longitudinal data in large high-quality datasets linking exclusive e-cigarettes use to new-onset cardiometabolic health conditions, says Michael Blaha, M.D., M.P.H., senior author of the study and professor of cardiology and epidemiology at the Johns Hopkins University School of Medicine

This study fills these gaps by providing the most extensive global synthesis of cigarette butts contamination to date, while comparing levels across unprotected and protected areas, offering both conceptual and methodological advances, informing policies linking tobacco control, waste management, and biodiversity conservation

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