Untuk yang masih merokok..Dan di Indonesia penyakit TBC itu masih banyak 

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        Web address:
     http://www.sciencedaily.com/releases/2011/10/
     111004221116.htm   
Smoking Could Lead to 40 Million Excess Tuberculosis Deaths by 2050

ScienceDaily (Oct. 7, 2011) — Between 2010 and 2050, smoking could be 
responsible for 40 million excess deaths from tuberculosis (TB), according to 
research published on the British Medical Journal website.

The study, led Dr Sanjay Basu from the University of California, used a 
mathematical model to determine the effect of smoking on future tuberculosis 
rates. The research finds that because smoking increases the risk of 
contracting TB, there will be 18 million more cases worldwide between 2010 and 
2050.

Once smokers develop the disease, they are more likely to die from it, meaning 
that smoking can single-handedly undermine the Millennium Development Goal to 
reduce TB mortality by half between 1990 and 2015, say the authors. They add, 
however, that "aggressive tobacco control could avert millions of deaths from 
tuberculosis.

It is established, say the authors, that smoking tobacco is a TB risk factor. 
They add that nearly one fifth of the world's population smokes and that most 
cigarettes are smoked in countries with high TB prevalence and where the 
tobacco industry has expanded its market. Given this, the authors wanted to 
predict how much impact smoking will have on future TB rates.

The research team developed a mathematical model to investigate the issue. 
Similar models have previously been used for HIV, TB detection systems and drug 
resistance, but not smoking.

In their analysis, the authors found that smoking may have a substantial impact 
on future TB rates because a moderate increase in individual risk translates 
into a large population-level risk because so many people smoke.

The results show that from 2010 to 2050 worldwide smoking could lead to 40 
million excess TB deaths (from 61 to 101 million). They also conclude that if 
current smoking trends continue, the number of excess TB cases could rise from 
256 to 274 million -- 18 million new cases in total.

Furthermore, the authors found that the number of people with current TB 
infections may be falsely reduced by smoking. This is because smoking can kill 
so many people with TB that the number of people living with TB is reduced by 
smoking, even though smoking also causes a rise in new cases.

According to Basu's model the African, Eastern Mediterranean and Southeast 
Asian regions would experience the greatest increase in new TB cases 
attributable to smoking.

The authors argue that "aggressively lowering the prevalence of tobacco smoking 
could reduce smoking attributable deaths from tuberculosis by 27 million by 
2050."

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Story Source:

    The above story is reprinted (with editorial adaptations by ScienceDaily 
staff) from materials provided by BMJ-British Medical Journal, via EurekAlert!, 
a service of AAAS. 

Journal Reference:

    S. Basu, D. Stuckler, A. Bitton, S. A. Glantz. Projected effects of tobacco 
smoking on worldwide tuberculosis control: mathematical modelling analysis. 
BMJ, 2011; 343 (oct04 1): d5506 DOI: 10.1136/bmj.d5506

Need to cite this story in your essay, paper, or report? Use one of the 
following formats:
APA

MLA
BMJ-British Medical Journal (2011, October 7). Smoking could lead to 40 million 
excess tuberculosis deaths by 2050. ScienceDaily. Retrieved October 9, 2011, 
from http://www.sciencedaily.com­ /releases/2011/10/111004221116.htm

Note: If no author is given, the source is cited instead.

Disclaimer: This article is not intended to provide medical advice, diagnosis 
or treatment. Views expressed here do not necessarily reflect those of 
ScienceDaily or its staff.




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