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Sarah Woolnough, the chief executive of Asthma + Lung UK, said the review could be a blueprint for lasting change but added: If these recommendations are ignored, the governments levelling up ambition and its own smoke-free 2030 target will fail, making it harder for the UK to shake off the title as the worst in western Europe for lung health. Jim McManus, the president of the Association of Directors of Public Health, said the proposals offered a generational opportunity to go beyond the target for a smoke-free 2030 and make a huge difference to the nations health