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While smoking rates have dropped in the past several years as policymakers have enacted tougher restrictions on tobacco, the death rate from smoking is still very high: By the latest estimates, tobacco still kills 480,000 to 540,000 people in the US every year far more than all other drug-related deaths, murders, and car crashes combined

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Last updated 28/07/2025

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The government said it employed 100,000 inspectors to enforce smoking ban but the $1.40 fine offers little deterrence

We also thank authors of the included studies for sharing additional information about their studies with us