In the UK a hard-hitting video has been released by public health officials to highlight the risks of using roll-up cigarettes. The advert is so graphic, it will not be shown during commercial breaks.

The proportion of men smoking roll-ups has more than doubled in England since 1990 to 40%.

The campaign starts as a new expert review commissioned by Public Health England highlights the multiple impacts toxic ingredients in cigarettes can have on your body.
While many smokers know that smoking causes cancer and harms the lungs and heart, the new report highlights how it also damages bones and muscles, the brain, teeth and eyes.

Just one of the images used in the campaign | Image: Public Health England

It finds that smoking has a negative impact on bone mineral density, and causes progressive harm to the musculoskeletal system, including a 25% increased risk of any fracture, and a 40% increase in the risk of hip fractures among men.

There is also an increased risk of back and neck pain, leading to a 79% increase in chronic back pain, and a 114% increase in disabling lower back pain.

It also says that current smokers are 53% more likely to develop cognitive impairment than non-smokers, and 59% more likely to develop Alzheimer's disease.

And it finds that smoking damages sight by increasing the risk of age-related macular degeneration by 78% to 358%, and increasing the risk of cataracts.

Professor Kevin Fenton from Public Health England says people often think roll-up they are safer than manufactured cigarettes.

This is one of the videos to be shown: **WARNING: Video contains very graphic content**