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An estimated 766,571 metric tons of cigarette butts make their way into the environment every year , and according to the Bureau of Investigative Journalism, at least five disposable e-cigarettes are being thrown away every second in the United States, amounting to 150 million devices per year which together contain enough lithium for about 6,000 Teslas

So although a person who starts to smoke in the teen years may not show any evidence of the disease until much later in life, the teen still has a high risk of accumulating mutations in his/her cellular DNA with each cigarette puff or use of a tobacco product

But I dont think she had the full picture

Quick MW, Lester RA (2002)

Those adults who do not quit and who wish to continue using nicotine products should switch to a scientifically substantiated smoke-free product instead