THE HEALTH CONSEQUENCES OF

SMOKING — 5­ 0YEARS OF
PROGRESS

Surgeon General’s Report

reporter _ Nino Nikolashvili

 Overview
Premature deaths caused by smoking
For the United States, the epidemic of
and exposure to secondhand smoke,
smoking-caused disease in the twentieth
1965–2014
century ranks among the greatest
Cause of death Total
public health catastrophes of the
Smoking-related cancers 6,587,000 century
Cardiovascular and metabolic diseases 7,787,000
Pulmonary diseases 3,804,000  while the decline of smoking
Conditions related to pregnancy and
birth 108,000 consequent to tobacco control is surely
Residential fires 86,000 one of public health’s greatest successes,
Lung cancers caused by exposure to 263,000
secondhand smoke
but this control is not fast enough ,and
Coronary heart disease caused by mach more needs to be done to end this
exposure to 2,194,000 tobacco epidemic
secondhand smoke
Total 20,830,000
More than 20 million Americans have
died as a result of smoking since the
first Surgeon General’s report on
Source: Centers for Disease Control and smoking and health was released in
Prevention, National Center for Chronic Disease 1964
Prevention and Health Promotion, Office on
Smoking and Health, unpublished data.
 The health consequences causally linked to smoking

Source: USDHHS 2004, 2006, 2012.

Note: The condition in red is a new disease that has been causally linked to smoking in this report.
 The health consequences causally linked to exposure to
secondhand smoke

Source: USDHHS 2004, 2006.

Note: The condition in red is a new disease that has been causally linked to smoking in this
report.
 “NICOTINE”
 high-enough doses nicotine has acute
toxicity

 smoking increases risk for disease

 has lasting adverse consequences for

brain development

 nicotine adversely affects maternal and

fetal health during pregnancy,
contributing to multiple adverse
outcomes such as preterm delivery and
stillbirth

 Exists relationship between exposure to

nicotine and risk for cancer
NICOTINE AND RISK FOR CANCER

Lung cancer

Breast
Breast cancer
cancer

Liver cancer
 Respiratory
Diseases

Asthma
Asthma

Tuberculosis
Tuberculosis

CCOOPPDD
Other Specific Outcomes

 Neurobehavioral
Disorders of Childhood
 Age-Related Macular
Degeneration
 Dental Disease
 Ectopic Pregnancy
 Diabetes
 Immune Function and
Autoimmune Disease
Cigarette initiation during the past year among persons
12 years of age and older, by age at first use, 2002– 2012
 
 In the last 50 years, the smoking rate in the united states has been
cut by more than one – half (from 42,7% in 1965 to 18% in 2012)

o n,
pt i
u m
c ons 2012
r e tte 900–
l ciga tes, 1
a a
Tot ted St
i
Un

Source: Miller 1981Note: Data shown are annual total consumption of cigarettes. This differs from Figure 2.1,
which reports the annual adult (18 years of age and older) per capita consumption.
; U.S. Department of Agriculture 1987, 1996, 2005, 2007a,b; Centers for Disease Control and Prevention 2012.
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