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In one focus group, smokers said they found flicking their butts to be "a natural extension of the defiant/rebellious smoking ritual." But there is hope for change as advancements have led a San Diego startup called Greenbutts to develop an organic filter which can break down in soil or water

Hoping to devise better smoking-cessation strategies, Britton and her colleagues in ITURP, supported by a March of Dimes grant, conducted a series of nine focus groups

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The responsibility rests with patients to contact CANSA for assistance