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Pack-Years of Smoking To calculate smoking pack-years: Divide the number of cigarettes smoked per day by 20 (the number of cigarettes in a pack) Then multiply by the number of years smoked (70 cigarettes/day 20 cigarettes/pack) X 10 years = 35 pack-years (35 cigarettes/day 20 cigarettes/pack) X 20 years = 35 pack-years (20 cigarettes/day 20 cigarettes/pack) X 35 years = 35 pack-years Examples Jill smoked 1 pack of cigarettes daily for 20 years