National smoke-free legislation is being adopted by an increasing number of countries. In terms of scale and the potential impact on many diseases, including cardiovascular disease, cancers and respiratory disease, this is undoubtedly an important public health intervention. It is appropriate, at this point in time, to review what is known about the impact of legislation on levels of exposure, and the resultant effects on the incidence and prognosis of cardiovascular disease and cardiovascular health inequalities, and to reflect on what still remains to be done.
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