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For example, at 13 she might not be as troubled by the serious long-term health problems, though she might be upset at some of the unattractive aspects of smoking such as stained fingernails, bad breath or lack of fitness if she is motivated to play sports

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Lower rates of smoking will improve overall levels of good mental health as well as physical health. Alongside the report a joint publication by Action on Smoking and Health (ASH) and the Royal College of Psychiatrists Public Mental Health Implementation Centre sets out how a public mental health approach to smoking can be taken to address smoking and reduce poor mental health

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(Australia reached its peak also 45 per cent in 1960)