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Neighborhoods with the highest social and environmental risks, such as high poverty and pollution, had 5.6 times more cigarette butts per square meter than low-risk neighborhoods

Availability of data and materials The datasets analyzed here are available upon request to the National Addiction & HIV Data Archive Program (NAHDAP) at doi: and the following link: Abbreviations FDA: United States Food and Drug Administration GED: General Educational Development GM: Geometric mean PATH: Population Assessment of Tobacco and Health SE: Standard Error US: United States References Substance Abuse and Mental Health Services Administration (SAMHSA)

If youd like to watch a 2-minute version of this essay, heres a snippet of an insanely powerful speech one of our fellows, Jeltsje Boersma, gave at our last Fellowship Summit in March 2026: And that was it for this week

Do NOT soak in water