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Thirty years ago, New Zealand dreamed a big dream – to prevent the harm and death caused by tobacco smoking. At the time, one in three adult New Zealanders – adults and youth – smoked regularly. In comparison to other health risks we face, smoking is uniquely harmful to the health of individuals, whānau, the health services and society as a whole. When used as directed by the manufacturers, up to two-thirds of people who smoke die early from smoking tobacco, and one-third of those deaths are in middle-aged people who lose, on average, more than twenty years of life.