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Cigarette Smoking - Health Effects & Challenges for Tobacco Control (Hardcover)
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Cigarette Smoking - Health Effects & Challenges for Tobacco Control (Hardcover)
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Tobacco smoking is a major public health issue worldwide. Smoking
causes more than a quarter of all cancer deaths, with nearly 80% of
deaths from lung cancer, 80% of deaths from bronchitis and
emphysema and almost one fifth of deaths from cardiovascular
disease. The role of tobacco smoke in the development of cancer,
cardiovascular and respiratory diseases is widely discussed in the
chapters of this book. It is responsible for many preventable
diseases, contributes to a large number of premature deaths and
accounts for enormous economic costs. The chapters in this book
review a variety of topics related to the sociodemographic
characteristics of people consuming tobacco, tobacco product
promotion and merchandising consequences of smoking on health, the
studied mechanism of damage and the different interventions
promoted for tobacco control. The mechanisms by which cigarette
smoke affects health are diverse. Thousands of chemical components
-- mainly toxins and carcinogens -- are part of tobacco smoke.
These components could act through specific or nonspecific
mechanisms in the development of cancer, cardiovascular and
respiratory disease. Common pathways include DNA damage, gene
mutations, vasomotor dysfunction and oxidative stress, among
others. The effects on health of first-hand and second-hand smoke
exposure have been widely studied, and there is growing evidence
regarding consequences of third-hand smoke exposure. The
constituents, dynamic transformation and distribution of third-hand
smoke are a fruitful area of study, as much as the quantification
of its exposure. In this book, many useful indicators of exposure
to environmental tobacco smoke, ranging from surrogate indicators
to direct measurements of the components that reflect dose are
analysed. Advances in this field can provide useful information on
the extent and effects of smoking, implementing and assessing
tobacco control policies. Furthermore, the World Health
Organization developed a framework for an international treaty that
provides evidence-based recommendations for health promotion and
tobacco control. After more than ten years of its implementation,
the effectiveness of different strategies adopted worldwide is
analysed and reflections on the new challenges of its
implementation are presented. In this book, smoking is reviewed
pertaining to the effects and implications for health, as well as
the current challenges on implementation and evaluation of tobacco
control interventions.
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