Chalk another one up for the smoking ban.  If it doesn't pass, maybe we
could pass a law for warning signs at the entrance:  "In addition to heart
attacks, strokes and asthma and other respiratory diseases, smoking can
cause cancers of the cervix, kidney, pancreas and stomach, as well as
abdominal aortic aneurysms, acute myeloid leukemia, cataracts, pneumonia and
gum disease."

Elizabeth Dickinson
West Side


U.S. Lengthens the List of Diseases Linked to Smoking

May 28, 2004
 By ELIZABETH OLSON


WASHINGTON, May 27 - Four decades after the surgeon
general's first report on smoking and health linked
cigarette use to lung cancer, larynx cancer and bronchitis,
the latest annual report has further expanded the list of
smoking-related diseases.

The new report, issued Thursday by Surgeon General Richard
H. Carmona, concludes that in addition to the many other
diseases listed in the intervening years, smoking can cause
cancers of the cervix, kidney, pancreas and stomach, as
well as abdominal aortic aneurysms, acute myeloid leukemia,
cataracts, pneumonia and gum disease.

The report, Dr. Carmona said at a news briefing, "documents
that smoking causes disease in nearly every organ in the
body at every stage of life."

Among the other disorders listed since the first report, in
1964, are cancers of the esophagus, throat and bladder;
chronic lung disease; and chronic heart and cardiovascular
diseases. 

Government figures show that 440,000 Americans a year are
now dying of smoking-related illnesses, and Dr. Carmona
said more than 12 million had died since the first report.
Smokers typically die 13 to 14 years earlier than
nonsmokers, he said.

Treating those diseases costs about $75 billion a year,
according to government figures, and an even greater amount
is sacrificed in lost productivity.

For the first time, however, the number of Americans who
have quit smoking edges out the number who still smoke, the
surgeon general said. An estimated 46 million Americans
"have managed to beat the habit and quit,'' he said, "while
45.8 million continue to smoke." Of the entire adult
population, people 18 or older, smokers now account for
only 22 percent. 

Still, Dr. Carmona conceded that at the current rate of
decline, the federal government would not meet its goal of
cutting the number of smokers to 12 percent of adults by
2010. 

The report warned that while the number of high school
seniors who smoke had been reduced to 24.4 percent last
year from 36.5 percent in 1997, trends indicated that the
rate of decline in smoking among youths, like that among
adults, was slowing.

The surgeon general said that "every day, nearly 5,000
people under 18 years of age try their first cigarette."

Just as disturbing as those trends, the report said, is
that the rate of smoking "among some racial and ethnic
minority populations and among less-educated Americans
remains high.'' 

Dr. Carmona said he hoped that the message that "toxins
from cigarette smoke go everywhere the blood flows" would
help "motivate people to quit smoking and convince young
people not to start in the first place."

Quitting can have immediate as well as long-term benefits,
the report found. Quitting at age 65 or older, it said, can
reduce by nearly 50 percent the risk of dying of a
smoking-related disease. On the other hand, former smokers
have the same stroke risk as nonsmokers 5 to 15 years after
quitting. 

Smoking cigarettes with lower yields of tar and nicotine,
the report said, do not substantially reduce the risk of
lung cancer. 

"There is no safe cigarette," Dr. Carmona said, "whether it
is called 'light,' 'ultralight' or any other name."

The 941-page report was prepared by a team of 20 scientists
at the Centers for Disease Control and Prevention, and drew
on research reported in 1,600 articles, which are available
at www.cdc.gov/tobacco.

It found that while some research had pointed to an
association between smoking and diseases including colon,
liver and prostate cancer, as well as erectile dysfunction,
the current evidence was not sufficient to establish a
link. 

http://www.nytimes.com/2004/05/28/politics/28smoke.html?ex=1086845847&ei=1&e
n=6ba9a5ac3c157192


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