Aboulia or Abulia, in neurology, refers to a lack of will or initiative. It is usually result of physical damage to the brain, result of diseases like encephalitis lethargica or extensive lobotomy. The patient is unable to act or make decisions independently.
In 1914, that was a fact already then known for over three centuries!!
Smoker brain damage includes abulia (impaired will power, ethical controls, and impulse control) and acalculia (impaired arithmetical ability).
Educated people back then could still understand that off-the-job conduct such as smoking both set a bad moral example and led to adverse on-job impacts, including lower efficiency and productivity, more sickness, higher accident rate, increased dangerousness to self and co-workers, higher costs.