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Compared with benchmark Smoking prevalence in adults (aged 18 and over) admitted to treatment for substance misuse (NDTMS) - all opiates (Persons 18+ yrs) Source: Office for Health Improvement and Disparities, National Drug Treatment Monitoring System Smoking prevalence in adults (aged 18 and over) admitted to treatment for substance misuse (NDTMS) - non-opiates (Persons 18+ yrs) Source: Office for Health Improvement and Disparities, National Drug Treatment Monitoring System Heavy Smokers 20+ Cigarettes Per Day From Hulls Health and Wellbeing Survey 2019, 4.5% of Hulls total adult population smoked the equivalent of 20 or more cigarettes per day (or equivalent), and this was highest among people aged 45-64 years, people living in the most deprived areas of Hull and people who were unemployed or not working due to long-term illness and disability

The federal health agency found that, in 2021, 80.2% of high schoolers and 74.6% of middle schoolers who reported use of tobacco products in the past 30 days said they had used a flavored tobacco product in that period

We have all the major cigarette brands, including many harder-to-find older brands

Pros Valuable dining and food-related credits Flexible rewards with airline and hotel transfer partners Multiple travel and purchase protections No foreign transaction fees Access to Amex Offers for additional savings (enrollment required) Cons Not as useful for those living outside the U.S

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This is especially advantageous for regular smokers looking to manage their spending without sacrificing the quality of their smoking experience