If I use a tissue I am seldom near a bin. If I am near a bin . I think if people used paper hankies and dropped them on the street or grass in the park there would be an outcry.
Actually nose blow items are problematic. When people have specific severe infections such as TB it's better to contain the snot or sputum in a hankie in a pocket . For this purpose a cloth hankie is easier than a tissue to fold and put away in the pocket and won't disintegrate in the pocket. May be there are portable cups now for sputum. Snot is not as potentially infective as sputum for spreading bacteria.
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