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Prevalence of previous or current loose tobacco use was investigated by a two day cross sectional survey of hospital in-patients > 16 years old. Age, sex, in-patient speciality, smoking history, and lifetime loose tobacco use of participants were recorded. The relation between ready made cigarettes and loose tobacco was estimated by weight. The ability of physicians of different grades (table 1Go) to calculate pack years was assessed by questionnaire. Scenarios for ready made cigarettes (n = 5) and loose tobacco (n = 5) were given for conversion into total number of pack years Cheap Online Cigarettes.