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- W2006310527 abstract "The health risks associated with cigarette smoking have been highly publicized, and public awareness of such risks has greatly reduced the use of cigarettes. However, the false belief that cigar smoking is a safe alternative, in addition to its glamorization by the tobacco industry, has led to a significant increase in the use of cigars in the past decade. Since 1997, cigar smoking has increased by over 46%. What is even more disconcerting is the fact that this increase has been primarily among younger, more educated adults, and that cigar smoking among adolescents of both sexes has surpassed the use of smokeless tobacco. It is estimated that almost 6% of youths between the ages of 12 and 17 years are currently cigar users. It is clear that we are currently facing another potential public health hazard.There appears to be a misconception that smoking cigars does not have the same risks as smoking cigarettes. Unlike the promotions used to market cigarettes, those for cigars are not required to mention potential health risks, and this gives the impression that they are a safe product. Nothing could be further from the truth. Cigar smoke is richer in nitrogen oxides, ammonia, and nitrosamines, and it has a higher pH than cigarette smoke, which increases the amount of free nicotine. Thus, nicotine dependence can occur from cigars as well as cigarettes. In fact, depending on the size of the cigar, the amount of nicotine in the smoke can vary from that produced by a single cigarette to that generated by smoking a pack or more. Cigar smoke also contains at least 11 known human carcinogens, and in an experiment when equal amounts of tar from cigars and cigarettes were applied to laboratory animals, it was found that the tar produced by cigars exerted a significantly greater tumorigenic effect.One frequently hears that cigar smoking is safer than cigarette smoking because cigar smokers do not inhale. This is another falacy. Not only do many cigar smokers inhale, but this is especially true of persons who previously used cigarettes. Studies have shown that more than 40% of those who smoke both cigars and cigarettes inhale cigar smoke, and even about 15% who never used cigarettes also inhale.Passive smoking is also a risk when cigars are used. Smoke emitted from a burning cigar between puffs, and that which is exhaled, contributes greater amounts of carbon monoxide, nitrogen oxides, nicotine, and polycyclic aromatic hydrocarbons than cigarettes when equal amounts of tobacco are burned. Compared to a single cigarette, a large cigar emits 20 times the carbon monoxide, 5 times the respirable particles, and twice the amount of harmful hydrocarbons. One study of environmental pollution from cigar smoke found that the levels of carbon monoxide at cigar banquets and in cigar smoker's homes was equal to the concentrations on crowded California freeways. Thus, cigar smoke endangers the health of more than the smoker.Epidemologic studies verify the dangers associated with cigar smoking, showing a significantly increased risk of oral, esophageal, laryngeal, and lung cancer. The death rate from oral cancer among male cigar smokers is nearly 8 times higher than in lifelong nonsmokers and that from cancer of the larynx is about 10 times greater. Moreover, men who smoke 3 or more cigars a day, and inhale moderately, have a risk of death from lung cancer two thirds that of men who smoke a pack of cigarettes daily. In addition to the danger of cancer, studies also suggest cigar smoking increases the risk of coronary heart disease, chronic obstructive pulmonary disease, and aortic aneurysm.As health professionals, we can play an important role in helping to educate the public about the dangers of smoking cigars, just as we have with the use of cigarettes and smokeless tobacco. We need to ask all patients if they smoke cigars and advise them about the associated health risks. They also have to be informed that cigar smoke contains carcinogenic and noxious substances that are a danger to them as well as to others who are exposed to the smoke, and that smoking cigars is not a safe alternative to cigarette smoking. We also need to support the establishment of federal and state regulations involving appropriate health warnings on labels, prohibition of sale to minors, and restriction of advertising. Finally, we must not neglect our own health. To paraphrase G.D. Prentice, “Some things are better eschewed than chewed (or smoked); tobacco is one of them.” The health risks associated with cigarette smoking have been highly publicized, and public awareness of such risks has greatly reduced the use of cigarettes. However, the false belief that cigar smoking is a safe alternative, in addition to its glamorization by the tobacco industry, has led to a significant increase in the use of cigars in the past decade. Since 1997, cigar smoking has increased by over 46%. What is even more disconcerting is the fact that this increase has been primarily among younger, more educated adults, and that cigar smoking among adolescents of both sexes has surpassed the use of smokeless tobacco. It is estimated that almost 6% of youths between the ages of 12 and 17 years are currently cigar users. It is clear that we are currently facing another potential public health hazard. There appears to be a misconception that smoking cigars does not have the same risks as smoking cigarettes. Unlike the promotions used to market cigarettes, those for cigars are not required to mention potential health risks, and this gives the impression that they are a safe product. Nothing could be further from the truth. Cigar smoke is richer in nitrogen oxides, ammonia, and nitrosamines, and it has a higher pH than cigarette smoke, which increases the amount of free nicotine. Thus, nicotine dependence can occur from cigars as well as cigarettes. In fact, depending on the size of the cigar, the amount of nicotine in the smoke can vary from that produced by a single cigarette to that generated by smoking a pack or more. Cigar smoke also contains at least 11 known human carcinogens, and in an experiment when equal amounts of tar from cigars and cigarettes were applied to laboratory animals, it was found that the tar produced by cigars exerted a significantly greater tumorigenic effect. One frequently hears that cigar smoking is safer than cigarette smoking because cigar smokers do not inhale. This is another falacy. Not only do many cigar smokers inhale, but this is especially true of persons who previously used cigarettes. Studies have shown that more than 40% of those who smoke both cigars and cigarettes inhale cigar smoke, and even about 15% who never used cigarettes also inhale. Passive smoking is also a risk when cigars are used. Smoke emitted from a burning cigar between puffs, and that which is exhaled, contributes greater amounts of carbon monoxide, nitrogen oxides, nicotine, and polycyclic aromatic hydrocarbons than cigarettes when equal amounts of tobacco are burned. Compared to a single cigarette, a large cigar emits 20 times the carbon monoxide, 5 times the respirable particles, and twice the amount of harmful hydrocarbons. One study of environmental pollution from cigar smoke found that the levels of carbon monoxide at cigar banquets and in cigar smoker's homes was equal to the concentrations on crowded California freeways. Thus, cigar smoke endangers the health of more than the smoker. Epidemologic studies verify the dangers associated with cigar smoking, showing a significantly increased risk of oral, esophageal, laryngeal, and lung cancer. The death rate from oral cancer among male cigar smokers is nearly 8 times higher than in lifelong nonsmokers and that from cancer of the larynx is about 10 times greater. Moreover, men who smoke 3 or more cigars a day, and inhale moderately, have a risk of death from lung cancer two thirds that of men who smoke a pack of cigarettes daily. In addition to the danger of cancer, studies also suggest cigar smoking increases the risk of coronary heart disease, chronic obstructive pulmonary disease, and aortic aneurysm. As health professionals, we can play an important role in helping to educate the public about the dangers of smoking cigars, just as we have with the use of cigarettes and smokeless tobacco. We need to ask all patients if they smoke cigars and advise them about the associated health risks. They also have to be informed that cigar smoke contains carcinogenic and noxious substances that are a danger to them as well as to others who are exposed to the smoke, and that smoking cigars is not a safe alternative to cigarette smoking. We also need to support the establishment of federal and state regulations involving appropriate health warnings on labels, prohibition of sale to minors, and restriction of advertising. Finally, we must not neglect our own health. To paraphrase G.D. Prentice, “Some things are better eschewed than chewed (or smoked); tobacco is one of them.”" @default.
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- W2006310527 date "2000-12-01" @default.
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- W2006310527 title "Watching your health go up in smoke" @default.
- W2006310527 doi "https://doi.org/10.1053/joms.2000.19384" @default.
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