The experiment was simple, straightforward, and it showed that the butts we pick up off beaches or sometimes even see floating around in the lineup arent just annoying trash, theyre harmful pollutants that change the makeup of the ocean environment when you consider just how many find their way into our waterways enough of them to become the most common piece of ocean trash

The authors would also like to thank the Substance Related Harms Division at the PHAC for lending their expertise in the development of this review, Alejandra Jaramillo Garcia, MSc from PHAC for her feedback on the GRADE assessment methodology used, Howard Morrison, PhD from PHAC (retired) for his feedback on the interpretation of different physiological systems, Amr Elgamal, MD, FCCP, and director of the intensive care unit at Martinsburg VAMC, USA, Ihab Abdel Fatah, MBBCh, PhD, Faculty of Medicine, Menoufia University, Ahmed Abdel Hamid, DDS, PhD and Nahed Ateya, DDM, PhD, Faculty of Dentistry Alexandria University, and Fathia Awny, MBBCh, MSc, Ministry and Health and Population, Egypt (retired), for their feedback on the initial interpretation and grouping of the respiratory, CV, oral health, and immunological outcomes
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