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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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"Maybe people smelling pleasant smells are less likely to look for help. Smell disorders can be diagnosed and treated by an otolaryngologist, or ENT, who specializes in ear, nose, throat, head and neck diseases

This includes things like smoking cessation, supplemental oxygen therapy, a refined diet, and pulmonary rehabilitation