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The city of San Francisco spends an estimated $11 million annually cleaning up cigarette butt litter and those millions come from taxpayer dollars

"We have the tools, we have the knowledge, we have the science and the social science backing to understand that this is what we need to do." She added that smoking is the most common way men and "younger and more vulnerable users" aged 15 to 29 consume drugs

Discover the 4 key stages to go from smoking to nicotine-free, and take control of your journey to better health

The final impact of e-cigarettes, vaping and illicit tobacco, and a raft of legislation and social reform will take some time to untangle