The man-made object responsible for the most deaths worldwide is the tobacco cigarette. It isn't even close.
Tobacco kills 443,000 Americans a year and 5 million people a year worldwide. This is more than the total number of people killed by cars and firearms combined. Cars kill about 32,000 Americans each year and 1.3 million people worldwide, while firearms kill about 32,000 Americans each year and "several hundred thousand" people worldwide.
100 million people were killed by tobacco in the 20th century. This is more than the death toll from World War 1 (17 million) and World War 2 (50 to 70 million) combined.
From a strictly utilitarian perspective, would there be anything to be gained by, say, starting a campaign of assassination against executives of tobacco companies?
Should the fact that a fair number of people actually enjoy smoking be figured into this?
Second thought: some might say that people only enjoy smoking because they're addicted. On the other hand, people enjoy eating when they're hungry because they need food. Would a serious hedonist want to increase the number and intensity of their desires so as to get more pleasure from fulfilling them?