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A number of Lancasters former tobacco warehouses were repurposed for hotels, apartments, and restaurants, and many qualified for the National Register of Historic Places

The smoke doesn't just sit on the surface

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

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Consequently, SHS exposure reported during the survey period may have occurred after ADHD diagnosis, thereby preventing interpretation of the observed association as evidence of causality and precluding exclusion of reverse causation