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Law enforcement, she says,is never going to take up cigarette litter as a priority. She also points out that cigarette butts dont only get into the marine environment through storm drains, so that doesnt solve the problem. My organization is called Upstream because we believe in solving marine debris and pollution problems at the source, Gordon says

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[245] Other factors that contribute to a poor outcome include older age, comorbidities such as lung cancer and cardiovascular disease, and the number and severity of exacerbations needing hospital admission