"The airlines need to be making bigger seats, " said Peggy Howell, a spokeswoman for the National Association to Advance Fat Acceptance, a group based in San Francisco, California.

CNN: Airline policies juggle larger passengers

The failure of smoking prevention and treatment in this group is largely down to an acceptance of smoking as a "normal behaviour" and is an indictment on public health and clinical services, it said.

BBC: NHS 'ignoring smoking in mental health patients'

Here in front of him was acceptance, and not just acceptance, but acceptance from a culturally hip group of young people.

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