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Some countries and cities, including France, Spain, and San Francisco (USA), have implemented extended producer responsibility legislation based on the Polluter Pays Principle, which requires the tobacco industry to bear the cost of cleaning up the pollution it creates

The World Health Organization estimates that approximately one-third of the world's male population smokes tobacco, and cigarette smoking was responsible for an estimated 100 million deaths worldwide in the twentieth century [1]

Regions with a high density of cigarette smoking may be most vulnerable because of this polytobacco use. The result may not only increase the risk of tobacco-related health problems but also make it harder for people to quit using tobacco

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