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Once-secret memos released publicly years later confirmed that the industry worried about a smoker being seen as careless, offensive and occasionally harmful with his debris and that would cause a growing social disapproval of smoking. To combat the image, the industry decided to fund anti-litter campaigns in the United States and the United Kingdom

Last year the nonprofit Ocean Conservancy reported that cigarette butts, which contain plastic and toxic chemicals, were the most-littered item at their global beach cleanups

On 24 May 2011, Cancer Council Australia released a review of the evidence supporting the introduction of plain packaging to reduce youth uptake