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Vol. 1 - No. 4 |
April, 1982 |
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A Medical Doctor's Conclusions Concerning Smoking Surveys by Curtis J. Torno, M.D. |
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The recent release
of the Surgeon General's second report on smoking has reemphasized the
health hazard of smoking. Those of us in the medical profession have
recognized these hazards for a long time. Despite a few denials from
those who desire to use tobacco and willfully refuse to face facts, the
truth has long been evident to even a casual observer. A trained observer
knows the hazards of smoking all too well. Smoking one
package or more (20 cigarettes) a day will shorten one's life on the
average by twelve years. A select committee of the American Heart
Association chaired by Dr. William B. Kannel, the director of the
Framington Study, said " 325 premature deaths from heart. disease can be
directly attributed to cigarette smoking." A study from the United States Public Health Service (USPHS)
reported in 1977 that the lung cancer rate among female smokers was 191.4
per 100,000 population and 392.9 per 100,000 among male smokers. Among
nonsmoking females the rate was 9.4 per 100,000 and 12.5 per 100,000 among
non-smoking males. This is very significant! The USPHS estimate is that
nearly 75.000 of the 84,000 who die of lung cancer every year would not
die if they didn't smoke. The cancer rate among female smokers is twelve
times greater than it is among non-smokers and among male smokers it is
thirty-five times higher than male non-smokers. That means that among
smokers the lung cancer rate is 1 in 25 and among non-smokers it is nearly
1 in 10,000. Significant, isn't it? The Framington Study of over five thousand subjects for
sixteen years has demonstrated conclusively that cigarette smoking is
extremely hazardous to health. The over-all death rate from all causes for
smokers is twice that of nonsmokers in the same areas, in the same jobs
and from the same backgrounds. The USPHS call smoking "the foremost cause
of preventable disease and death in this country." The British Royal
College of Physicians compares the effect of cigarette smoking to "the
lethal power of great diseases such as typhoid, cholera and tuberculosis.
" Among adult men, the smoking rate is down 25% but among
women the rate is up about an equal amount. The greatest increase is among
pre-adult girls and boys. Most of the increase in consumption has been
among women and the very young. This is tragic, especially when as much as
15% of those 12 years and under smoke. The smoking rate is highest of any
age group among those between 15 and 21, both girls and boys. It is a
paradox that the older and wiser and best informed segment of our
population is decreasing smoking while the uninformed and least wise are
the ones that are consuming the most and taking up the habit at an
increasingly younger age. The Christian should understand that his smoking can
affect not only his health and cause early death, but it affects his
children and those with whom he associates. Children whose parents don't
smoke only have a 15% smoking rate but among children whose parents do
smoke, 85% also smoke. So not only do smoking Christians endanger their
own bodies and souls, but affect and influence others also. The only bright side to this ugly picture is that it is
possible to stop smoking! More than that, to stop causes a marked
diminution in the health hazard and death risk. According to the American
Cancer Society's study of more than a million subjects-the largest of the
prospective investigations male smokers had up to twice the overall
mortality of nonsmokers; the risk being greater according to the number of
cigarettes smoked and the duration of the smoking habit. Women smokers
also had a higher mortality rate but less than men. Those who had given up
smoking before joining the study had death rates that decreased according
to the length of time since they last smoked cigarettes. Those who used to smoke 1 to 19 cigarettes a day showed
a steady decline in risk, so that after 10 years, they had the same
mortality rate as those who had never smoked. Heavier smokers (more than
20 cigarettes a day) began to reduce their risk five years after stopping,
but even after 10 years, their mortality rate was higher than those who
had never smoked. In the ACS and other studies, mortality rates in the
first year after stopping tend to be higher than those of smokers, because
it is often illness that makes the person quit. The study of British doctors is frequently quoted to
illustrate a beneficial effect of stopping smoking on total mortality.
Male doctors aged 35 to 64 years showed a fall in mortality of 12.4% in
the years 1962-65 compared with 1953-57, whereas in the total male
population the fall was only 2.9%. Half of the doctors who smoked had
given up smoking during these years while those in the general population
were said not to have altered their smoking. A recent report from the Framington study provides
support in that "men who gave up smoking after entry to the study had half
the attack rate for coronary heart disease, excluding angina, compared
with those who continued to smoke." All of this should be encouraging to those who have
smoked and now desire to stop. Basically, if one stops now, in 10 years he
has largely overcome the hazardous effect on his body. Of course, if one
continues to smoke, they continue to run the increased risk of premature
death. Over 55% of all physicians have quit smoking and now
less than 20% of all physicians smoke at all. In a recent survey of over
10,000 physicians, 98% answered yes to the question "Do you consider
cigarette smoking as hazardous to health?" and 2% answered that they
weren't sure yet. None answered the questionnaire that it was their
opinion that there was no hazard to health in smoking. As the American
Cancer Society poster says, "Maybe they know something you don't know."
You could know and should know what a health hazard smoking is. Anyone who thinks cigarette smoking is not harmful and
hazardous to one's health can't read the label on the package and can't
read the volumes of published material that is available. How many
rational normal people would continue to eat cranberry sauce or tuna fish
or candy if the package said: WARNING: consuming this material can be
dangerous to your health! Yet millions go on inhaling cigarette smoke
despite the warning. What would happen to the sale of tuna fish if it
could be proved that one in twenty-five people who eat tuna fish would
develop lung cancer. While there are other people who live in the same
area and work at the same jobs but who do not eat tuna fish and the lung
cancer rate among these people is one in 10,000. How many would continue
to eat tuna fish? This is the advice of a physician and almost
unanimously the advice of any physician-Stop smoking while you still can.
Smoking cigarettes is a lethal habit that shortens your life, harms your
influence, puts you in disregard to common sense and sound advice and puts
you in direct opposition to many New Testament principles. If you don't
stop for conscience sake-please stop for the sake of those of our younger
generation who will be encouraged to smoke or not smoke from your example. |
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