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"I knew it wasnt a fish but didnt realize it was a cigarette butt until I blew it up on my home computer." Mason volunteers with the Audubon Society and especially loves the black skimmers who nest on that beach

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On a larger scale, holding larger tobacco companies accountable for the effects (financially and otherwise) of their products and putting restrictions on marketing of products targeting youth and mounting large tobacco free campaigns like The Real Cost could likely have the largest widespread effect (11)

ESCALATING YOUTH E-CIGARETTE USE In just one year, from 2017-2018, e-cigarette use among high schoolers increased an incredible 78%, the largest single year increase in the use of any substance by youth in the more than 40- year history of the National Institutes of Health-sponsored survey that collected these data