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The English king James I was one of the first outspoken skeptics and wrote A Counterblaste to Tobacco , an unforgiving literary assault on what he believed was a menace to society

In 2019/20, 506,100 hospital admissions can be attributed to smoking, which translates into 4% of all hospital admissions 1 Smokers are also a key driver of lost productivity estimated to be at 13.2bn each year due to smokers being more likely to become ill while of working age 2 Due to being more prone to sickness and long-term health implications, there is an estimated cost to the NHS of 1.2bn and an additional 1.2bn to social care each year 2 As a result, reducing smoking is a key priority for health services in England 7,10 Smokers visit their GP 35% more than non-smokers GPs services are already in high demand 9 , with even more strains on it following the Covid-19 pandemic 9