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45 The findings that dual users of cigarettes and e-cigarettes have worse HRQoL than 5-year cessation may reflect the fact that these persons tend to be heavier, more dependent smokers 46 compared to 5-year cessation, many of whom may not have been heavy cigarette smokers to begin with

By taking action to reduce smoking rates and pursuing our ambition to be smoke-free by 2030, we will reduce the pressure on the NHS and help people to live healthier lives. The DHSC said one in every five cancer deaths in England was connected to smoking, while smoking also directly contributed to cardiovascular diseases, musculoskeletal disorders, mental ill health, dementia, and chronic respiratory conditions

Each pack contains 20 carefully crafted cigarettes, perfect for those who appreciate a refined smoking experience

Decision 5 , 143164 (2018)

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