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Merriman called the citys 30 percent avoidance rate estimate optimistic. In a 2013 report focused on New York City, Merriman found that about 50 percent of littered packs didnt bear the city tax stamp

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When to See an ENT Specialist for Fluid in the Ear While some cases of ear fluid resolve independently, professional evaluation is important if: Symptoms persist for more than two to three weeks You experience significant hearing loss or difficulty understanding speech You have recurrent episodes of fluid buildup You develop ear pain, fever, or discharge (signs of possible infection) Balance problems or dizziness occur A child shows signs of delayed speech or language development Symptoms worsen despite home treatment Early intervention can prevent complications such as chronic hearing loss, speech delays in children, damage to the eardrum, or recurrent ear infections