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Smoke in Lancaster, PA, is equivalent to 25 cigarettes in a day while NYC and Washington are choking on smog TWICE as bad as Beijing Pennsylvania residents are in some of the worst air quality in recent US history, with some breathing air equivalent to smoking 25 cigarettes a day Millions in New York City and Washington DC are choking on smog twice as bad as the notoriously polluted city of Beijing READ MORE: Keep up to date with the wildfire's effects and the latest updates with the DailyMail.com live blog See more Daily Mail on Google - save us as a Preferred Source Health experts are warning millions of people to remain indoors and avoid exposure to the hazardous smog engulfing the East Coast

But more research is needed to fully understand the impact of metals from cigarette butts to the marine environment.

Inflammation begins to occur as toxins build up in the body, causing the persistent cough