According to a 2009 report from the Health Economics Consulting Group, the city of San Francisco spent over 6 million dollars in 2008 removing cigarettes from gutters, drainpipes and sidewalks
For example, when WMAZ reported that a local market had been selling candy cigarettes in 2020, they interviewed a man who remembered the cigarettes from his childhood but still worried that they could serve as "validation" to children that smoking was okay
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Advancements in tobacco cultivation and processing also led to improvements in cigarette formulation, which makes them easier to inhale
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PMC 7058175