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Letter to the Editor
Cigarette Butts: The Collateral Effects of Cigarettes on Humans, Animals and the Environment
Las colillas: efectos colaterales de los cigarrillos sobre los humanos, los animales y el medioambiente
José Ignacio de Granda-Orive
Corresponding author
igo01m@gmail.com

Corresponding author.
, Walther Girón-Matute, Luis López-Yepes
Servicio de Neumología, Hospital Universitario 12 de Octubre, Madrid, Spain
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Not only cigarettes&#44; but also the remains of cigarettes&#44; the butts&#44; should be a target for anti-smoking campaigns&#44; due to their collateral effects on both smokers and non-smokers&#46; Cigarette butts &#40;CB&#41; are a widespread source of pollution in cities&#44; parks&#44; country areas&#44; rivers&#44; beaches&#44; and seas&#44; and cause severe environmental damage&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> They contain toxins which can filter into soil and water and are slow to break down&#46; In a recent study&#44; Bonanomi et al&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> demonstrated the slow degradation process of CBs in a 2-year experiment in a standard decomposing organic substrate&#44; showing the resistance of the materials to attack by microorganisms&#46; Novotny et al&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> published an excellent comprehensive review of the toxic effects of CBs in humans&#44; animals&#44; and the environment&#46; They concluded that this ubiquitous litter has such a potentially toxic effect on health that further research and clear-cut legislation should be implemented to protect the environment and mankind&#46; Numerous substances have been isolated from CBs&#44; including pesticides &#40;present in filters at potentially toxic environmental levels with capacity for bioaccumulation in the human food chain&#41;&#44; ethylphenol &#40;a potentially lethal flavor enhancer that accumulates in the filter&#41;&#44; nicotine &#40;toxic in humans and animals&#41;&#44; menthol &#40;an additive&#41;&#44; diethylene glycol &#40;a moistening agent&#41;&#44; various metals &#40;Al&#44; Ba&#44; Cd&#44; Cr&#44; Cu&#44; Fe&#44; Mn&#44; Ni&#44; Pb&#44; Sr&#44; Ti&#44; and Zn&#41;&#44; tar&#44; and carcinogenics&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a> Rath et al&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> published an interesting study in which they asked smokers about their attitude and beliefs regarding CBs&#46; They found that most smokers &#40;74&#46;1&#37;&#41; admitted to sometimes carelessly discarding CBs and that those who did not think of CBs as litter were 3&#46;5 times more likely to throw them on the ground&#46; This mindset was more common among men&#44; and not seeing CBs as litter was the only attitude which predicted throwing CBs on the ground&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">This is a significant problem&#46; CBs are globally the most common item of litter&#44; and it is thought that 4&#46;5 trillion CBs from the 6 trillion cigarettes smoked every year worldwide end up in the environment&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a> Given the media bombardment of news and reports on protecting the environment&#44; it is surprising to note the scant mention made by policy makers&#44; health authorities and the media to the pollution caused by CBs&#46; New environmental interventions and alliances between anti-smoking and environmental groups are needed to reduce the effects of CBs&#46; These interventions will help to further denormalize smoking&#44; reduce consumption&#44; and will also raise awareness of the noxious effects of CBs on the environment&#44; by promoting and supporting continued tobacco control and recycling activities&#46;</p></span>"
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Archivos de Bronconeumología

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