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In England, the average smoking prevalence estimate in 2021 was 14.7%, falling to 14.2% in 2024

Final Thought Smoking continues to be a major public health issue, contributing to countless cancer deaths, especially from lung cancer, and leading to heart disease and respiratory diseases

Campaign for Tobacco-Free Kids, Broken Promises to Our Children: a State-by-State Look at the 1998 State Tobacco Settlement 24 Years Later FY2023, 2023

However, there are circumstances in which a strong recommendation may be considered based on low- or very low-certainty evidence or when there is absence of evidence or low-certainty evidence of benefit

Let's look at the evidence