Health effects of tobacco in the context of "Tobacco packaging warning messages"

Nicotine dependence is a state of substance dependence on nicotine. It is a chronic, relapsing disease characterized by a compulsive craving to use the drug despite social consequences, loss of control over drug intake, and the emergence of withdrawal symptoms. Tolerance is another component of drug dependence. Nicotine dependence develops over time as an individual continues to use nicotine. While cigarettes are the most commonly used tobacco product, all forms of tobacco use—including smokeless tobacco and e-cigarette use—can cause dependence. Nicotine dependence is a serious public health problem because it leads to continued tobacco use and the associated negative health effects. Tobacco use is one of the leading preventable causes of death worldwide, causing more than 8 million deaths per year and killing half of its users who do not quit. Current smokers are estimated to die an average of 10 years earlier than non-smokers.

According to the World Health Organization, "Greater nicotine dependence has been shown to be associated with lower motivation to quit, difficulty in trying to quit, and failure to quit, as well as with smoking the first cigarette earlier in the day and smoking more cigarettes per day." The WHO estimates that there were 1.24 billion tobacco users globally in 2022, with the number projected to decline to 1.20 billion in 2025. Of the 34 million smokers in the United States in 2018, 74.6% smoked every day, indicating the potential for some level of nicotine dependence. There is an increased incidence of nicotine dependence in individuals with psychiatric disorders, such as anxiety disorders and substance use disorders.

A cigarette is a thin cylinder of tobacco rolled in thin paper for smoking. The cigarette is ignited at one end, causing it to smolder, and the resulting smoke is orally inhaled via the opposite end. Cigarette smoking is the most common method of tobacco consumption. The term cigarette refers to a tobacco cigarette, but the word is sometimes used to refer to other substances, such as a cannabis cigarette or a herbal cigarette. A cigarette is distinguished from a cigar by its usually smaller size, use of processed leaf, different smoking method, and paper wrapping, which is typically white.

Deaths from smoking cigarettes are caused by diseases such as cancer, chronic obstructive pulmonary disease (COPD), heart disease, birth defects, and other health problems relating to nearly every organ of the body. Most modern cigarettes are filtered, but this does not make the smoke inhaled from them contain fewer carcinogens or harmful chemicals. Nicotine, the psychoactive drug in tobacco, makes cigarettes highly addictive. About half of cigarette smokers die of tobacco-related disease and lose on average 14 years of life. Every year, cigarette smoking causes more than 8 million deaths worldwide; more than 1.3 million of these are non-smokers dying as a result of exposure to secondhand smoke. These harmful effects have led to legislation that has prohibited smoking in many workplaces and public areas, regulated marketing and purchasing age of tobacco, and levied taxes to discourage cigarette use.

Passive smoking is the inhalation of tobacco smoke, called passive smoke, secondhand smoke (SHS) or environmental tobacco smoke (ETS), by individuals other than the active smoker. It occurs when tobacco smoke diffuses into the surrounding atmosphere as an aerosol pollutant, which leads to its inhalation by nearby bystanders within the same environment. Exposure to secondhand tobacco smoke causes many of the same health effects caused by active smoking, although at a lower prevalence due to the reduced concentration of smoke that enters the airway.

According to a World Health Organization (WHO) report published in 2023, more than 1.3 million deaths are attributed to passive smoking worldwide every year. The health risks of secondhand smoke are a matter of scientific consensus, and have been a major motivation for smoking bans in workplaces and indoor venues, including restaurants, bars and night clubs, as well as some open public spaces.

Oropharyngeal cancer, also known as oropharyngeal squamous cell carcinoma and tonsil cancer, is a disease in which abnormal cells with the potential to both grow locally and spread to other parts of the body are found in the oral cavity, in the tissue of the part of the throat (oropharynx) that includes the base of the tongue, the tonsils, the soft palate, and the walls of the pharynx.

The two types of oropharyngeal cancers are HPV-positive oropharyngeal cancer, which is caused by an oral human papillomavirus infection; and HPV-negative oropharyngeal cancer, which is linked to use of alcohol, tobacco, or both.

Tobacco smoking during pregnancy causes many detrimental effects on health and reproduction, in addition to the general health effects of tobacco. A number of studies have shown that tobacco use is a significant factor in miscarriages among pregnant smokers, and that it contributes to a number of other threats to the health of the foetus.

Because of the associated risks, people are advised not to smoke before, during or after pregnancy. If this is not possible, however, reducing the daily number of cigarettes smoked can minimize the risks for both the mother and child. This is especially true for people in developing countries, where breastfeeding is essential for the child's overall nutritional status.

From the 1980s to the mid 2000s, the American multinational oil and gas corporation ExxonMobil was a leader in climate change denial, opposing regulations to curtail global warming. For example, ExxonMobil was a significant influence in preventing ratification of the Kyoto Protocol by the United States. ExxonMobil funded organizations critical of the Kyoto Protocol and seeking to undermine public opinion about the scientific consensus that global warming is caused by the burning of fossil fuels. Of the major oil corporations, ExxonMobil has been the most active in the debate surrounding climate change. According to a 2007 analysis by the Union of Concerned Scientists, the company used many of the same strategies, tactics, organizations, and personnel the tobacco industry used in its denials of the link between lung cancer and smoking.

ExxonMobil has funded, among other groups, the Competitive Enterprise Institute, George C. Marshall Institute, Heartland Institute, the American Legislative Exchange Council and the International Policy Network. Between 1998 and 2004, ExxonMobil granted $16 million to advocacy organizations which disputed the impact of global warming. From 1989 until April 2010, ExxonMobil and its predecessor Mobil purchased regular Thursday advertorials in The New York Times, The Washington Post, and The Wall Street Journal claiming that the science of climate change was unsettled.

Within the sociology of knowledge, agnotology (formerly agnatology) is the study of deliberate, culturally induced ignorance or doubt, typically to sell a product, influence opinion, or win favour, particularly through the publication of inaccurate or misleading scientific data (disinformation). More generally, the term includes the condition where more knowledge of a subject creates greater uncertainty.

Stanford University professor Robert N. Proctor cites the tobacco industry's public relations campaign to manufacture doubt about the adverse health effects of tobacco use as a prime example. David Dunning of Cornell University warns that powerful interests exploit the internet to "propagate ignorance".