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This report considers the biological and behavioral mechanisms that may underlie the pathogenicity of tobacco smoke. Many Surgeon General's reports have considered research findings on mechanisms in assessing the biological plausibility of associations observed in epidemiologic studies. Mechanisms of disease are important because they may provide plausibility, which is one of the guideline criteria for assessing evidence on causation. This report specifically reviews the evidence on the potential mechanisms by which smoking causes diseases and considers whether a mechanism is likely to be operative in the production of human disease by tobacco smoke. This evidence is relevant to understanding how smoking causes disease, to identifying those who may be particularly susceptible, and to assessing the potential risks of tobacco products.
States have banned smoking in workplaces, restaurants, and bars. They have increased tobacco tax rates, extended "clean air" laws, and mounted dramatic antismoking campaigns. Yet tobacco use remains high among Americans, prompting many health professionals to seek bolder measures to reduce smoking rates, which has raised concerns about the social and economic consequences of these measures. Retail and hospitality businesses worry smoking bans and excise taxes will reduce profit, and with tobacco farming and cigarette manufacturing concentrated in southeastern states, policymakers fear the decline of regional economies. Such concerns are not necessarily unfounded, though until now, no compreh...
This volume utilizes the work initiated and executed under a recent major public health initiative, the African Tobacco Situational Analyses (ATSA), which was sponsored by the Canadian government's International Development Research Centre (IDRC) with funds from the Bill and Melinda Gates Foundation. The program was conceived to illuminate the factors that will facilitate the reform of major public health policies, particularly, but not limited to, tobacco. The results, presented in this volume, are an important contribution to the literature on global public health and international development, and comprise the most comprehensive evidence-based analysis of tobacco policy in the African region.
This Surgeon General's report details the causes and the consequences of tobacco use among youth and young adults by focusing on the social, environmental, advertising, and marketing influences that encourage youth and young adults to initiate and sustain tobacco use. This is the first time tobacco data on young adults as a discrete population have been explored in detail. The report also highlights successful strategies to prevent young people from using tobacco
"Science tends to generalize, and generaliza tions mean simplifications . . . . And generaliza tions are also more satisfying to the mind than details. Of course, details and generalizations must be in proper balance: Generalizations can be reached only from details, while it is the generalization which gives value and interest to the detail:' . . . (A. Szent-Gyorgy, Science 1964) The first edition of this book, published in German as Tabak abhiingigkeit in 2001, was prompted by the fact that no single volume was available in Germany or elsewhere summarising the adverse repercussions of cigarette smoking on human health. As far as my own research was able to ascertain, the last comprehensive...
The bulk of the world’s tobacco is produced in low- and middle-income countries. In order to dissuade these countries from implementing policies aimed at curbing tobacco consumption (such as increased taxes, health warnings, advertising bans and smoke-free environments), the tobacco industry claims that tobacco farmers will be negatively affected and that no viable, sustainable alternatives exist. This book, based on original research from three continents, exposes the myths behind these claims.
Why do people smoke? Taking a unique approach to this question, Jason Hughes moves beyond the usual focus on biological addiction that dominates news coverage and public health studies and invites us to reconsider how social and personal understandings of smoking crucially affect the way people experience it. Learning to Smoke examines the diverse sociological and cultural processes that have compelled people to smoke since the practice was first introduced to the West during the sixteenth century. Hughes traces the transformations of tobacco and its use over time, from its role as a hallucinogen in Native American shamanistic ritual to its use as a prophylactic against the plague and a cure...
On October 12, 1492, after an arduous voyage, his crew near mutinous, his provisions exhausted, Christopher Columbus landed on a small island he believed to be part of China. He was met by representatives of the local tribe who offered him gifts of beads, fruit and dried leaves. He threw the latter in the sea. But Columbus and his crew did not remain ignorant of these leaves' powers or purpose for long. LA DIVA NICOTINA traces the history of our relationship with a plant whose only function is to stimulate, from its beginnings amongst the ancient civilisations of South America to the present day. From Mayan gods to Marlboro Man, from Casanova to President Clinton, LA DIVA NICOTINA examines t...
Every day, at least 1,191 Americans die before their time. They die painful, lingering deaths that could have been prevented. Every three days, as many citizens die from their own smoking habit, or from exposure to second-hand smoke, as died in the Sept 11 tragedy. Each and every pack of cigarettes costs American taxpayers $40 in higher medical premiums, unavailability of health services, and other hidden financial drains. And every year, 925 out of every 1,000 smokers who try to quit on their own fail to stay smoke-free for a year-while hundreds of thousands of children become addicted to nicotine. Dr. Michael Rabinoff, a respected psychiatrist who holds two patents and has published repeatedly in the New England Journal of Medicine and other top-flight journals, shows the health and financial suicide we commit by allowing tobacco companies to continue doing business as usual-and, like any good doctor, provides a detailed prescription for what to do about it: simple actions you can take to save the lives of millions around the world.
The IARC Monographs series publishes authoritative independent assessments by international experts of the carcinogenic risks posed to humans by a variety of agents, mixtures and exposures. They are a resource of information for both researchers and national and international authorities. This volume is particularly significant because tobacco smoke not only causes more deaths from cancer than any other known agent; it also causes more deaths from vascular and respiratory diseases. This volume contains all the relevant information on both direct and passive smoking. It is organised by first looking at the nature of agent before collecting the evidence of cancer in humans. This is followed by carcinogenicity studies on animals and then any other data relevant to an evaluation.