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Perspective
Volume 356:1493-1496 April 12, 2007 Number 15
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Tobacco Tightrope — Balancing Disease Prevention and Economic Development in China
Alexi A. Wright, M.D., and Ingrid T. Katz, M.D., M.H.S.

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During the past 20 years, as smoking rates have fallen in high-income countries, the tobacco industry has found new and bigger markets in the developing world. One third of current smokers live in China — more than in the United States and all European countries combined. The World Health Organization (WHO) predicts that 70% of the deaths from smoking-related illnesses will occur in low- and middle-income countries by 2020. Smoking is likely to have a particularly devastating effect on China, where the annual death toll from smoking-related diseases already exceeds 1 million — 2.5 times that in the United States . . . [Full Text of this Article]


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Dr. Wright is a fellow in hematology–oncology at the Dana–Farber Cancer Institute, Boston, and Dr. Katz is a fellow in infectious disease at the Beth Israel Deaconess Medical Center, Boston.

An interview with Dr. Steven Schroeder, director of the Smoking Cessation Leadership Center at the University of California, San Francisco, can be heard at www.nejm.org.


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