Abstract

Recent experience in the United States has shown that it is possible to reduce cigarette smoking substantially. Figure 1 shows the per capita consumption of cigarettes from 1947 to 1969. The rise after the Second World War in the years 1947–52 resulted largely from an increase in smoking by women. The drop in 1953 was probably due to the first widespread appearance in the press of reports based on the retrospective studies published in 1950 linking smoking with lung cancer. The drop in 1954 reflected the effect of the report by Hammond and Horn on the first large-scale prospective study to present results showing the effect of cigarette smoking on total death rates and including data on the relationship of smoking with ischemic heart disease and respiratory diseases other than lung cancer.

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