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Articles that met the established inclusion criteria were selected for the qualitative synthesis

Tobacco Control and Research Reports Funding Opportunities Tobacco Use and HIV in Low and Middle Income Countries PAR-17-087 (R01) and PAR-17-086 (R21) Tobacco Prevention and Cessation Support Smokefree.gov tools and tips Speak to an expert Explore quit methods Medications for quitting Smokefree apps About cancer - tobacco use risks Follow us on Twitter: @NCITedTrimble (Ted Trimble, CGH Director) @NCIGlobalHealth @TheNCI @NCIBehaviors @ParaFoto(Mark Parascandola, Epidemiologist, Tobacco Control Research Branch, DCCPS)

A cigarette pack is a small box designed for daily use containing a limited number of cigarettes (often 20)

Studies have also found that once in the water, a littered cigarette butt can contain enough toxins to kill aquatic life within two gallons of surrounding water