Tobacco—the growing epidemic (original) (raw)

Nature Medicine volume 5, pages 15–17 (1999) Cite this article

Abstract

The largest study ever undertaken to examine the health effects of tobacco finds that there are already a million deaths a year from smoking in China, and it predicts large increases in mortality over the next few decades. This pattern is likely to be repeated in other developing countries.

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References

  1. Liu, B.Q. et al. Emerging tobacco hazards in China: 1. Retrospective proportional mortality study of one million deaths. Br.Med. J. 317 , 1411–1422 (1998).
    Article CAS Google Scholar
  2. Niu, S.R. et al. Emerging tobacco hazards in China: 2. Early mortality results from a prospective study. Br.Med. J. 317, 1423–1424 (1998).
    Article CAS Google Scholar
  3. Ad Hoc Committee on Health Research. Investing in health research and development. The World Health Organization, Geneva, Switzerland (1996).
  4. Peto, R., Lopez, A.D., Boreham, J., Thun, M. & Heath, C. Jr. Mortality from smoking in developed countries 1950–2000: Indirect estimates from national vital statistics. Oxford University Press (1994).
    Google Scholar
  5. Murray, C.J.L. & Lopez, A.D. (eds). In The global burden of disease . (Harvard School of Public Health, Boston, Massachusetts, 1996).
    Google Scholar
  6. Doll, R., Peto, R., Wheatley, K., Gray, R. & Sutherland, I. Mortality in relation to smoking: 40 years' observations on male British doctors. Br.Med. J. 309, 901–911 (1994).
    Article CAS Google Scholar
  7. Thun, M.J. et al. Alcohol consumption and mortality among middle–aged and elderly U.S. adults. N. Engl. J. Med. 337, 1705–1714 (1997).
    Article CAS Google Scholar
  8. U.S. Department of Health & Human Services. Reducing the health consequences of smoking: 25 years of progress. A Report of the Surgeon General. U.S. Department of Health & Human Services, Public Health Service, Centers for Disease Control, Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. DHHS Publication No. (CDC) 89–8411 (1989).

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Acknowledgements

We thank the Chinese principal investigators1,2 and our funding organizations.

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Authors and Affiliations

  1. ICRF/MRC Clinical Trial Service Unit & Epidemiological Studies Unit (CTSU) University of Oxford Radcliffe Infirmary, Oxford , OX2 6HE, U.K.
    Richard Peto, Zheng–Ming Chen & Jillian Boreham

Authors

  1. Richard Peto
  2. Zheng–Ming Chen
  3. Jillian Boreham

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Peto, R., Chen, Z. & Boreham, J. Tobacco—the growing epidemic.Nat Med 5, 15–17 (1999). https://doi.org/10.1038/4691

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