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Add in packaging, plastic lighters, vapes, and nicotine pouches, and smoking waste made up a full 25% of the more than 800,000 items that 34,000 Surfrider volunteers cataloged across 1,058 cleanups in 2025 while removing 338,383 pounds of trash from America's coastlines

Most e-cigarettes still contain nicotine, which is the primary culprit behind many of smokings harmful effects

When the test strip is immersed in a urine sample, capillary action draws the liquid through the test membrane, where specific antibodies react to the presence of Cotinine

However, this study found a relatively high rate of self-reported cigarette use despite the risk of under-reporting