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Hospitalization was required for pneumonia, congestive heart failure, disorientation, seizures and hypotension in these voluntary reports

Responses of very likely and likely were combined and compared with the combined responses of neither likely nor unlikely, unlikely, very unlikely, not sure, and prefer not to say

Beaches exhibited High contamination levels (0.26 1.57 [0.0038.32] cigarette butts per square meter), surpassing Moderate lagoons (0.12 0.36 [0.001.77]), Extremely low rivers (0.02 0.07 [0.000.52]), and Absent mangroves (0.00) (Fig

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