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2009 (4) CD004977

Overall, the number of drug-related deaths has decreased within the EU, from approximately 7,700 in 2009 to 6,500 in 2011

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According to the authors of the study this probably contributed to the reduction in smoking prevalence among women from less advantaged social backgrounds and encouraged those who did not quit to switch to hand-rolled products as a way to afford to continue to smoke

Therefore, while the data suggest promising signs of progress in protected areas, long-term standardized monitoring is essential to determine whether global cigarette butt contamination levels are genuinely declining or merely shifting spatiotemporally, like unprotected areas