This annual release by Public Health Scotland (PHS) covers smoking attributable hospital admissions and deaths in Scotland from 2003 to 2024 (calendar year). Smoking increases the risk of developing certain cancers, respiratory diseases, circulatory diseases, mental health and other conditions and remains a leading cause of preventable disease and premature death. While it is not possible to class any hospital admission or death as wholly attributable to smoking, it is possible to estimate what fraction of admissions or deaths can be attributed to smoking using estimated prevalence rates of smoking and associated risk of disease. As smoking attributable conditions can take many years to develop the likelihood of younger individuals being admitted to hospital or dying from smoking is generally low and so only admissions and death estimates for Scottish residents aged 35 years and older are included.