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However, no previous review has proposed a standardized framework to classify contamination levels based on abundance, determined the proportion of cigarette butts among global litter, or examined how protection status or management restrictions influence cigarette butt contamination across protected areas, despite their relevance to conservation policy [12, 31, 32]

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Sharon Lawn, Associate Professor at Flinders Universitys Department of Psychiatry said the study was extremely important because it provided clear evidence to challenge entrenched cultural beliefs about smoking and mental illness