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The Cigarette Smoking Tragedy

Smoking damages every part of the body – there is no organ that it does not touch. It causes many diseases. It reduces the quality and enjoyment of life and also reduces how long a smoker can expect to live.

Smoking has a devastating effect on the individual and their family and friends. And yet, almost 6,000 children under the age of 18 start smoking every day; of them, almost 2,000 will become regular smokers. That’s almost 800,000 a year. It is estimated that at least 4.5 million adolescents in the US smoke cigarettes, and approximately 90 percent of smokers start before age 21. Cigarette smoking during childhood and adolescence creates significant health problems. These problems include cough and mucus production, increased number and severity of respiratory illnesses, decreased physical fitness, unfavorable blood lipid profile, and potential slowing of lung growth rate and level of maximal lung function. An estimated 440,000 Americans die each year from diseases caused by smoking.

An estimated 364,000 patients are admitted to hospital each year in England due to smoking-related illnesses. That’s 7,000 hospital admissions per week, or 1,000 days. For every smoking-related death, approximately 20 smokers suffer from a smoking-related illness. In 1997/98 cigarette smoking caused an estimated 480,000 patients to see their doctor for heart disease, 20,000 for stroke, and nearly 600,000 for chronic obstructive pulmonary disease.

Half of all teenagers who currently smoke will die from diseases caused by cigarette smoke – if they continue to smoke. One quarter will die before age 70, losing an average of 21 years of life. Between 1950 and 2000, an estimated six million Britons, 60 million people worldwide, died from tobacco-related diseases. One in two long-term smokers will die prematurely from the effects of smoking – half of them in middle age. Most die from one of three major smoking-related diseases: lung cancer, chronic obstructive pulmonary disease (bronchitis and emphysema), and coronary heart disease.

In the UK, the number of deaths caused by smoking is five times higher than the 22,833 deaths caused by: road accidents (3,439); poisoning and overdose (881); alcoholic liver disease (5.121); other accidental deaths (8,579); murder and manslaughter (513); suicide (4,066); and HIV infection (234). Around the world, almost 5 million die prematurely each year as a result of smoking.

Smokers also face a greater risk than nonsmokers of developing many medical conditions that may not be fatal but can cause years of debilitating illness or other problems. These conditions include the following:

Acute necrotizing ulcerative gingivitis (gum disease)

Angina (20 x risk)

Back pain

Buerger’s disease (severe circulatory disease)

Cataract (2 x risk)

Cataract, posterior subcapsular (3 x risk)

Colon polyps

Crohn’s disease (chronic intestinal inflammation)

Depression

Diabetes (type 2, non-insulin dependent)

Duodenal ulcer

Hearing loss

Impotence (2 x risk)

Flu

Ligament injuries

Macular degeneration (eyes, 2 x risk)

Muscle injuries

Pain in the neck

Nystagmus (abnormal eye movements)

Ocular histoplasmosis (fungal eye infection)

Optic neuropathy (vision loss, 16x risk)

Osteoarthritis

Osteoporosis (both sexes)

Penis (erectile dysfunction)

Peripheral vascular disease

Pneumonia

Psoriasis (2 x risk)

Rheumatoid arthritis (for heavy smokers)

Skin wrinkling (2 x risk)

Stomach ulcer

Tendon injuries

Tobacco amblyopia (vision loss)

Tooth loss

Tuberculosis

This means that the smoker has problems with circulation, hearing, vision, joints, muscles, sexual problems, digestion, lungs, skin and other problems – not a very pleasant picture. This list does not include the various types of cancer that smokers are prone to – cancers such as mouth, esophagus, bladder, kidney, pancreas, stomach and leukemia. The list also does not include the fact that circulation problems can lead to gangrene (death of tissue) requiring amputations. There are also functions that are disturbed in smokers. That includes:

Ejaculation (reduced volume)

Fertility (30% lower in women)

Immune system (damaged)

Menopause (occurs 1.74 years earlier on average)

Decreased sperm count

Sperm are less able to penetrate the ovum

Impaired sperm motility

Increased sperm shape abnormalities

The life of a smoker is not easy. The suffering and disease caused by smoking is severe. The only way to ensure that you do not have this pain and suffering is to not smoke. If you currently smoke, you must stop. Quitting smoking is not easy – but you don’t have to start the process of quitting alone – you can have guidance, support and help.

References

Morbidity Attributable to Cigarette Smoking – United States, 2000. MMWR Weekly Report, September 5, 2003.

Cigarettes: what the warning label doesn’t tell you. American Council on Science and Health, 1997.

Mortality statistics 2002, State Statistical Office, 2002; General Register for Scotland, 2002; Chief Secretary for Northern Ireland, Annual Report, Statistics and Research Agency, 2002.

Nicotine addiction in Britain. Report of the Royal College of Physicians Tobacco Advisory Group. RCP, 2000 (for percentage of deaths related to smoking).

Mortality statistics 2002, State Statistical Office, 2002; General Register for Scotland, 2002; Chief Secretary for Northern Ireland, Annual Report, Statistics and Research Agency, 2002.

Peto R. Smoking-related mortality: 40 years of observation of British doctors. BMJ 1994; 309: 901-911.

World Health Report 2003. World Health Organization, 2003.

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