And probably since Jamestown.

WASHINGTON, Nov 13 (Reuters) – The number of U.S. adults who smoke has dropped below 20 percent for the first time on record but cigarettes still kill almost half a million people a year, health officials said on Thursday.

About 19.8 percent of U.S. adults — 43.4 million people — were smokers in 2007.

Anecdotally, my patients in the ED run 60% plus.  And I’ll never understand the indignation in the sentence, ‘yes, I smoke, but I don’t drink’, to which I’ll tell them if they quit smoking and have a drink a day they’ll live a lot longer.

If you’re a smoker, it’s time to quit.  That’s all the nagging I do.  On that.