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A Department of Health and Social Care spokesperson said: Smoking rates are at their lowest since records began and robust government action, including plain packaging and awareness campaigns, are driving us towards our ambition to be a smoke-free society by 2030

Although smoking has declined in the last decade, sales remain steady, and a new generation has embraced more niche areas like cigars along with e-cigarettes and other smokeless tobacco products

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More research is required, especially in the form of empirical studies, to truly characterize this relationship with implications for formulation of health policy, Onaku said.