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'If you put someone addicted to heroin in a room and do not give them heroin you would know about it, put someone in a room without cigarettes and they low level moan, that is it.' Smoking remains the single biggest cause of preventable illness and death in England, but people are five times more likely to quit for good if they can make it to at least 28 days smoke free Ms Ross advises people get support from friends and family and change their routine