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We falter before ill patients in pyjamas dragging their IV fluid stands out into the winter street in front of a hospital to have a fag, we pass with no comment past colleagues clustered around the emergency department exit having a communal smoke some staff even smoke with patients at the exits of mental health units or in the last few remaining smoking shelters

Department of Health and Human Services, Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System, 2024 Suggested Citation: America's Health Rankings analysis of U.S