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New Surgeon General's Report: Exposure to Tobacco Smoke Causes Immediate Damage.

doi: 10.1097/01.COT.0000393684.84176.99
Surgeon General's Report

Surgeon General's Report

Exposure to tobacco smoke—even occasional smoking or secondhand smoke—causes immediate damage that can lead to serious illness or death, according to the latest report from the US Surgeon General, which is the first by Regina M. Benjamin, MD, MBA, and the 30th tobacco-related Surgeon General's report issued since 1964.

US Surgeon General REGINA M

US Surgeon General REGINA M

The report, “How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease,” describes specific pathways by which tobacco smoke damages the human body and leads to disease and death. Cellular damage and tissue inflammation from tobacco smoke are immediate, and repeated exposure weakens the body's ability to heal the damage, the report says.

“The chemicals in tobacco smoke reach your lungs quickly every time you inhale, causing damage immediately,” Dr. Benjamin said in a statement releasing the report. “Inhaling even the smallest amount of tobacco smoke can also damage your DNA, which can lead to cancer.”

Secretary of Health and Human Services Kathleen Sebelius also commented, “Over the last two years we have stepped up efforts to reduce tobacco use, including implementing legislation to regulate tobacco products, investing in local tobacco control efforts and expanding access to insurance coverage for tobacco cessation. This will remain a key priority of this Administration.”

The report also explains why it is so difficult to quit smoking. According to the research, cigarettes are designed for addiction. The design and contents of current tobacco products make them more attractive and addictive than ever before. Today's cigarettes deliver nicotine more quickly and efficiently than cigarettes of many years ago.

Tobacco smoke contains a mixture of some 7,000 chemicals and compounds, of which hundreds are toxic and at least 70 cause cancer, the report notes. Every exposure to these cancer-causing chemicals could damage DNA in a way that leads to cancer. Exposure to smoke also decreases the benefits of chemotherapy and other cancer treatments. Smoking causes at least 85% of lung cancers and can cause cancer almost anywhere in the body. One in three cancer deaths in the U.S. is tobacco-related.

The report describes how the delicate lining of the lungs becomes inflamed as soon as it is exposed to the chemical mixture in cigarette smoke. Over time, the smoke can cause chronic obstructive pulmonary disease including emphysema and chronic bronchitis.

Even brief exposure to secondhand smoke can cause cardiovascular disease and could trigger acute cardiac events, such as heart attack. The report describes how chemicals from tobacco smoke quickly damage blood vessels and make blood more likely to clot. The evidence in this report shows how smoking causes cardiovascular disease and increases risks for heart attack, stroke, and aortic aneurysm.

Smoking causes many other harmful effects throughout the body, including making it harder for diabetics to control their blood sugar. Smoking makes it harder for women to get pregnant and can cause a miscarriage, preterm delivery, low birth weight, as well as damage to fetal lungs and brain tissue. Babies who are exposed to secondhand smoke are more likely to die from sudden infant death syndrome, the report finds.

“This report makes it clear—quitting at any time gives your body a chance to heal the damage caused by smoking,” the Surgeon General said. “It's never too late to quit, but the sooner you do it, the better.”

To help communicate the report findings as widely as possible, the Surgeon General unveiled an easy-to-read guide with practical information about how tobacco smoke causes disease, “A Report of the Surgeon General: How Tobacco Smoke Causes Disease: What It Means to You.”

Copies of the full report, an executive summary, and the guide can be downloaded at and printed copies can also be ordered from (click on the Publications Catalog link under Tools & Resources).

© 2011 Lippincott Williams & Wilkins, Inc.
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