Cover essay
Poverty and tobacco
Joy de Beyer, Chris Lovelace, Ayda YürekliWorld Bank,
Washington DC, USA
Correspondence to: Dr Joy de Beyer, World Bank, 1818 H Street NW, Washington DC 20433, USA jdebeyer@worldbank.org
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Introduction |
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Concern
about the harm that tobacco use causes usually focuses on the risks of
serious illness and premature death that smokers and their families
face. The statistics are probably well known to readers of this
journal
an estimated 4 million deaths are caused by tobacco each year,
with the figure expected to reach 10 million per year by 2030 given
current trends in tobacco use.1 The proportion of that
burden borne by people living in low and middle income countries is
rapidly increasing from 50% to 70%. Countries still grappling with
infectious diseases traditionally associated with low incomes,
increasingly also face a rising epidemic of cancers, and respiratory
and circulatory diseases caused by tobacco.
Many (but not all) of the risks to health and life caused by tobacco
consumption develop over a long period, and take decades to become
fully evident. But tobacco use can also inflict immediate harm on users
and their
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