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Centrilobular Emphysema (CLE) It primarily affects the upper lobes of the lungs and is commonly observed in individuals who smoke

Zhang Y, Sumner W, Chen DR

Substance abuse: Persons who abuse other substances such as drugs or alcohol are also more likely to become dependent on tobacco

On the whole, one would expect these differences to cancel out

The vote follows years of advocacy by the Surfrider Santa Cruz Chapter, Save Our Shores, The Cigarette Surfboard, and countless other organizations and community members who have rallied to protect our coast and reduce the number one most littered item on our beaches: cigarette butts