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"If I`m driving and I don`t want this bottle in my car..throw it out the window.." (Wolfe line 30) - This shows how easy it is to litter and how there are many people who littler like this individual, disregarding the fact that they may be creating a bigger problem in the near future - lots and lots of trash.

"Residents need to do their part in the cleanup effort" ( Wolfe line 40). - This describes a possible solution the problem. If everyone resists littering and cleans up after themselves and do other things like recycle, the problem may persist but the amount of garbage may be less than the current amount.

This article has been referenced in a wide variety of emergency medicine journal articles, ranging from flood protocols, use of cell phones in disaster enviroments, earthquakes and medical complications, to the costs of disaster consequences. Many of the articles referencing this paper appear to go into greater depth for some of the epidemics and diseases that were touched on in the research article. These include hepatitis E, Leptospirosis, cholera, and tetanus.