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These include the chemicals used in tobacco leaf preparation, metals to help manufacture and ship the cigarette-making machines, and energy from coal or gas to manufacture and distribute products

doi:10.1136/tobaccocontrol-2015-052593

This means that it could be readily applied in other jurisdictions with wastewater surveillance programs, either for SARS-CoV-2 or other pathogens such as influenza viruses 38,40

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Reviews of Human Factors and Ergonomics

Cigarette packaging requires billions of units annually, making paperboard the most scalable and economically viable material