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'It's a cost to individuals in terms of their health and wealth and a cost to us all because it undermines the productivity of our economy and places additional burdens on our NHS and care services.' An independent review by Dr Javed Khan, ordered by former health secretary Sajid Javid, was published last year and recommended a series of actions to help eradicate smoking in England

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So far, the resistance is working, said Bob Collett, director of Barnstable Countys Tobacco Control Program, where birth date ban initiatives have increasingly become a difficult sell. A strong tobacco lobby is