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Kamarck is a senior fellow in the Governance Studies program at the Brookings Institution and the director of the Management and Leadership Initiative at Brookings.

Tobacco lovers need to try, others can safely miss

Even though weve been very successful in getting smoking rates down below 20 per cent, were still losing a hundred thousand human lives every year across the whole of the UK

Introduction Tobacco dependence is now considered to be a chronic addictive disease capable of causing premature death in over half of the people who suffer from it.1,2 The most recent data for Spain indicates that tobacco kills 56 000 people every year in our country.3 The same study identifies smoking dependence as one of the principal causes of respiratory disease in Spain, responsible for 87% of lung cancer cases and 93% of chronic obstructive pulmonary disease cases.3 All doctors should be very conscious of two important characteristics of tobacco dependence