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The study adds to ITC Project evidence from other countries with similar laws such as Australia and emerging evidence from New Zealand showing the benefits of plain packaging as part of an overall strategy to reduce tobacco use

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Furthermore, as stated in Marmots 10 years on report, it is more difficult for individuals to change unhealthy behaviours such as smoking when they are under stress caused by factors such as debt or poor housing

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The smoking-attributable mortality rate in Hull is second highest after Manchester (out of 147 upper-tier local authorities) for heart disease, highest for stroke (out of 145) with a rate substantially higher than Blackpool which had the second highest rate (22.2 versus 16.2 per 100,000 population), and highest for cancer (out of 147)