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In the three year period 2017-19, it is estimated that there were 1,501 deaths to Hull residents attributable to smoking, and Hull had the highest mortality rate (420 deaths per 100,000 population aged 35+ years) among English upper-tier local authorities and the rate was more than twice as high as England (202 deaths per 100,000 population aged 35+ years)

according to an independent review of internal tobacco industry documents, they were "to increase African American tobacco use, to use African Americans as a frontline force to defend industry policy positions, and to defuse tobacco control efforts"