Smoking Is Even Deadlier Than Previously Thought

Who still smokes?" as Denise Grady reports at the NYT that however bad you thought smoking was, it's even worse. A new study has found that in addition to the well-known hazards of lung cancer, artery disease, heart attacks, chronic lung disease and stroke, researchers found that smoking was linked to significantly increased risks of infection, kidney disease, intestinal disease caused by inadequate blood flow, and heart and lung ailments not previously attributed to tobacco. "The smoking epidemic is still ongoing, and there is a need to evaluate how smoking is hurting us as a society, to support clinicians and policy making in public health," says Brian D. Carter, an author of the study. "It's not a done story." Carter says he was inspired to dig deeper into the causes of death in smokers after taking an initial look at data from five large health surveys being conducted by other researchers. As expected, death rates were higher among the smokers but diseases known to be caused by tobacco accounted for only 83 percent of the excess deaths in people who smoked. "I thought, 'Wow, that's really low,' " Mr. Carter said. "We have this huge cohort. Let's get into the weeds, cast a wide net and see what is killing smokers that we don't already know." The researchers found that, compared with people who had never smoked, smokers were about twice as likely to die from infections, kidney disease, respiratory ailments not previously linked to tobacco, and hypertensive heart disease, in which high blood pressure leads to heart failure. "The Surgeon General's report claims 480,000 deaths directly caused by smoking, but we think that is really quite a bit off," concludes Carter adding that the figure may be closer to 540,000.// b Slashdot