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Below are highlights from some of the most prolific Keep America Beautiful chapters that are participating in the cigarette recycling program: Keep Pennsylvania Beautiful As part of implementing a statewide litter plan to address micro-litter, Keep Pennsylvania Beautiful partnered with the Pennsylvania Department of Transportation to install cigarette recycling receptacles at the entrances of 14 welcome centers across the state

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An opioid overdose is characterized by Decreased consciousness, somnolence Small pupils Fatigue Slow speech Calmness Cold sensation Anesthesia Coma Urinary retention Respiratory depression, respiratory failure Hypoxia, cyanosis, grayish pale skin Bradycardia Hypotension Circulatory collapse Life-threatening overdose can occur after injection as well as smoking but is much more common after injections

Paul Butler of San Francisco State University