sâmbătă, 27 aprilie 2013

History of smoking


Early uses

The history of smoking dates back to as early as 5000 BC in shamanistic rituals. Many ancient civilizations, such as the Babylonians, Indians and Chinese, burnt incense as a part of religious rituals, as did the Israelites and the later Catholic and Orthodox Christian churches. Smoking in the Americas probably had its origins in the incense-burning ceremonies of shamans but was later adopted for pleasure, or as a social tool.[3] The smoking of tobacco, as well as various hallucinogenic drugs was used to achieve trances and to come into contact with the spirit world.
Aztec women are handed
flowers and smoking tubes
 before eating at a banquet,
 Florentine Codex, 16th century.


Substances such as Cannabis, clarified butter (ghee), fish offal, dried snake skins and various pastes molded around incense sticks dates back at least 2000 years. Fumigation (dhupa) and fire offerings (homa) are prescribed in the Ayurveda for medical purposes, and have been practiced for at least 3,000 years while smoking, dhumrapana (literally "drinking smoke"), has been practiced for at least 2,000 years. Before modern times these substances have been consumed through pipes, with stems of various lengths or chillums.
Cannabis smoking was common in the Middle East before the arrival of tobacco, and was early on a common social activity that centered around the type of water pipe called a hookah. Smoking, especially after the introduction of tobacco, was an essential component of Muslim society and culture and became integrated with important traditions such as weddings, funerals and was expressed in architecture, clothing, literature and poetry.
A carving from the temple
at Palenque, Mexico,
 depicting a Mayan priest
 using a smoking tube.
Cannabis smoking was introduced to Sub-Saharan Africa through Ethiopia and the east African coast by either Indian or Arab traders in the 13th century or earlier and spread on the same trade routes as those that carried coffee, which originated in the highlands of Ethiopia. It was smoked in calabash water pipes with terra cotta smoking bowls, apparently an Ethiopian invention which was later conveyed to eastern, southern and central Africa.
Reports from the first European explorers and conquistadors to reach the Americas tell of rituals where native priests smoked themselves into such high degrees of intoxication that it is unlikely that the rituals were limited to just tobacco.

Popularization

In 1612, six years after the settlement of Jamestown, John Rolfe was credited as the first settler to successfully raise tobacco as a cash crop. The demand quickly grew as tobacco, referred to as "golden weed", revived the Virginia join stock company from its failed gold expeditions. In order to meet demands from the old world, tobacco was grown in succession, quickly depleting the land. This became a motivator to settle west into the unknown continent, and likewise an expansion of tobacco production. Indentured servitude became the primary labor force up until Bacon's Rebellion, from which the focus turned to slavery. This trend abated following the American revolution as slavery became regarded as unprofitable. However the practice was revived in 1794 with the invention of the cotton gin.
A Frenchman named Jean Nicot (from whose name the word nicotine is derived) introduced tobacco to France in 1560. From France tobacco spread to England. The first report of a smoking Englishman is of a sailor in Bristol in 1556, seen "emitting smoke from his nostrils". Like tea, coffee and opium, tobacco was just one of many intoxicants that was originally used as a form of medicine. Tobacco was introduced around 1600 by French merchants in what
Gentlemen Smoking and
 Playing Backgammon in
 an Interior by Dirck Hals, 1627
 today is modern-day Gambia and Senegal. At the same time caravans from Morocco brought tobacco to the areas around Timbuktu and the Portuguese brought the commodity (and the plant) to southern Africa, establishing the popularity of tobacco throughout all of Africa by the 1650s.

Soon after its introduction to the Old World, tobacco came under frequent criticism from state and religious leaders. Murad IV, sultan of the Ottoman Empire 1623-40 was among the first to attempt a smoking ban by claiming it was a threat to public morality and health. The Chinese emperor Chongzhen issued an edict banning smoking two years before his death and the overthrow of the Ming dynasty. Later, the Manchu of the Qing dynasty, who were originally a tribe of nomadic horse warriors, would proclaim smoking "a more heinous crime than that even of neglecting archery". In Edo period Japan, some of the earliest tobacco plantations were scorned by the shogunate as being a threat to the military economy by letting valuable farmland go to waste for the use of a recreational drug instead of being used to plant food crops.
 
Religious leaders have often been prominent among those who considered smoking immoral or outright blasphemous. In 1634 the Patriarch of Moscow forbade the sale of tobacco and sentenced men and women who flouted the ban to have their nostrils slit and their backs whipped until skin came off their backs. The Western church leader Urban VII likewise condemned smoking in a papal bull of 1590. Despite many concerted efforts, restrictions and bans were almost universally ignored. When James I of England, a staunch anti-smoker and the author of A Counterblaste to Tobacco, tried to curb the new trend by enforcing a whopping 4000% tax increase on tobacco in 1604, it proved a failure, as London had some 7,000 tobacco sellers by the early 17th century. Later, scrupulous rulers would realise the 
Smokers in an Inn by
Mattheus van Hellemont (1650s)
futility of smoking bans and instead turned tobacco trade and cultivation into lucrative government monopolies.
By the mid-17th century every major civilization had been introduced to tobacco smoking and in many cases had already assimilated it into the native culture, despite the attempts of many rulers to stamp the practice out with harsh penalties or fines. Tobacco, both product and plant, followed the major trade routes to major ports and markets, and then on into the hinterlands. The English language term smoking was coined in the late 18th century, before then the practice was referred to as drinking smoke.
Tobacco and cannabis were used in Sub-Saharan Africa, much like elsewhere in the world, to confirm social relations, but also created entirely new ones. In what is today Congo, a society called Bena Diemba ("People of Cannabis") was organized in the late 19th century in Lubuko ("The Land of Friendship"). The Bena Diemba were collectivist pacifists that rejected alcohol and herbal medicines in favor of cannabis.
The growth remained stable until the American Civil War in 1860s, from which the primary labor force transition from slavery to share cropping. This compounded with a change in demand, lead to the industrialization of tobacco production with the cigarette. James Bonsack, a craftsman, in 1881 produced a machine to speed the production in cigarettes.

http://en.wikipedia.org/wiki/Smoking

How to Help a Friend Quit Smoking


Can I really help someone who is trying to quit smoking?

Yes. Once a smoker has decided to quit, they are most likely to make it when friends and family give their help and support. If your friend hasn’t decided to quit yet, you can help them think of  reasons for quitting, set a target quit date and offer to help in any way you can.

How do I begin?

First of all, quitting is different for each smoker. So, ask your friend how you can be most helpful. This will show that you care and that you really want to help.
Maybe you've already tried to help someone and they weren't successful. That's okay. Remember you can be a big help, but it's not your fault if they aren’t successful this time.

What kinds of things can I do to help the smoker trying to quit?

  • Tell your friend that you think she can make it this time - even if she has tried to quit before and failed. In fact, most smokers have to "practice" quitting a few times before they quit for good.
  • For the first few days after the smoker quits, be ready to help. He may want to talk all the time or he may just want extra help when a tough situation comes up, like a coffee break, a party or after a meal.
  • Offer to call or visit to check on how she is doing. Ask how she's feeling, not just whether or not she's still not smoking.
  • No nagging, scolding or preaching - this just does not work. Instead, let him know how much you admire him for trying to quit.

What other things can I do to help?

  • Give lots of praise and offer rewards for getting through a day, a week, or a month without smoking. Rewards can be simple - flowers, something to eat, a card.
  • Give rewards right away. Giving rewards right away works better than rewards promised for the future.
  • Offer to do things together like eating at a restaurant, going to a movie or for a walk.
  • Try to see it from your friend's side. He's not really sure he wants to quit. Cigarettes have been a steady friend for a long time. These feelings are normal even in smokers who succeed. Let him know you understand his doubts.

My friend is really worried about gaining weight. What can I say?

Some smokers do gain weight when they stop smoking but the average weight gain is 5 to 10 pounds and they are still much better off without smoking. Sometimes when people stop smoking, they really want sweet foods. You can help your friend stay away from sweets. Offer them low-fat snacks like carrots, fresh fruit, plain popcorn or sugarless gum.
Exercise really helps to keep weight down. Offer to do things together where smoking doesn't fit in - swimming, jogging, or brisk walking.

Can I help my friend plan how to handle urges to smoke?

Yes. In fact, those who succeed in quitting plan ahead about how to cope with urges to smoke. Offer to help your friend think up some simple things that they will do when they get an urge to smoke. Here are a few ideas:
  • Call you when she feels the urge to smoke. Remind her that the urge to smoke will pass in just a few minutes - whether she smokes a cigarette or not!
  • Leave the place that makes him want to smoke. For example, a party where alcohol is served may make him want a cigarette. Go for a walk around the block, or better yet, stay away from parties and alcohol for the first few weeks.
  • Do some deep breathing if she is feeling tense. Breathe in and breathe out slowly to bring more air into the lungs, which will help trigger the relaxation response.

What if I get annoyed when my friend is tempted to smoke?

Try to stay with it. You're doing a great job! Your friend is trying to break an addiction to cigarettes that may have started several years ago.
Be prepared for some unfriendly and even nasty behavior from your friend. He is going though a tough time. Remind yourself that you are doing a great thing by helping your friend and that the bad moods will not last long.

Do smokers really have withdrawal symptoms when they quit?

Many smokers do have symptoms during the first few weeks after they quit. Some common ones are:
  • Trouble sleeping
  • Lack of concentration
  • Feeling anxious or restless
These will go away as the body gets rid of the nicotine. Other symptoms may be harder for you to handle. Your friend may be grouchy, irritable, nervous or depressed.
Tell your friend you know that these symptoms are real and that they will not last long. A week or two may seem like a long time, but it will get better.

I quit smoking a long time ago. Should I tell my friend it was pretty easy for me?

Quitting smoking is different for every one. You can be of particular help to your friend since you already went through it. Let your friend know how glad you are that she is trying to quit and praise how well she is doing. Ask how she is feeling and what you can do to help.
Mention all the good things you have felt since quitting. Short-term things are easier to understand -- like fresher breath, more energy and no more smelly clothes, stained teeth or fingers. Many ex-smokers talk about getting control of their lives when they quit.
Forget any talk about how easy it was for you to quit. Most smokers are addicted and it's hard for them to quit. Instead, tell your friend that 45 million Americans have quit smoking and that she can do it too.

I've never smoked. Can I really help a friend stop smoking?

Yes, you just need to listen to him and encourage him to express feelings and then, give him lots of sympathy. Did you know that it's not willpower that helps smokers quit? Most are addicted to cigarettes and have a really hard time quitting on the first few tries.
You can also encourage your friend to get help from the resources and web sites listed below.

I'm a smoker myself. Can I do anything?

You don't have to quit to be of help. You could really help your friend by not smoking around him. You could also think up new nonsmoking activities to replace those where you smoked together.
Your friend is more likely to stay off cigarettes if you are not smoking, so this could be a good time for you to take a break. Married ex-smokers are more likely to go back to smoking if their spouse smokes. If you decide to quit, be sure you and your friend ask others to help you as well.

What do I do if my friend starts smoking again?

Forget about blame or guilt. He is really learning how to quit -- he is not failing. Remind him about how well he did do. Each time he tries to quit is a step forward. Help him figure out what led to his relapse and plan what he will do next time in that situation. You may feel badly if he doesn't quit. The best thing to say to your friend is, "Good try! I still care about you and will help you next time."
Try to feel good yourself about all your efforts to help. You can prepare together for the next time your friend tries to quit smoking.

How long do I need to help my friend?

The first 7 to 10 days are the toughest and your friend may need extra help then. Most smokers who go back to smoking do so within the first three months. So, you need to keep in close touch for that time.
"Slips" (having a puff or smoking one or two cigarettes) are pretty common. If your friend has slipped, you can remind him of all the good reasons to stay quit. Praise all his nonsmoking efforts and don't mention the "slips."
Ex-smokers may have an urge to smoke for months, even years, after they stop. This is normal. Remind your friend that these urges happen less and less often. You can also help celebrate nonsmoking anniversaries.
You deserve a lot of credit for helping someone stop this addictive habit. Your help can make the difference. Those who are able to stop smoking are the ones who get help and encouragement from friends and family.

Resources

www.QuitNowRI.com, 1-800-QUIT-NOW (1-800-784-8669)  
The Smokers' Helpline provides referrals to local programs, phone counseling and will mail out self-help materials and quit smoking information packets. It is free and confidential.
University Health Services 401.863-3953  
Confidential medical care, including prescriptions for Zyban. Pamphlets on quitting smoking available throughout the building. Located at 13 Brown Street on the corner of Brown and Charlesfield Streets.
Brown University Smoking Cessation Research Study 401.863-6684Brown University investigators are currently conducting a research study examining a medication to help alcohol drinkers who want to quit cigarette smoking. If eligible, participants receive, at no cost, a 6-week supply of a nicotine patch, 6 individual sessions with a smoking cessation counselor, and study medication. In addition, participants may earn up to $150 for completing questionnaires and interviews. To learn more about the study, you can call 401.863-6684.

Links you can use

Trytostop.org
An online, interactive quit site developed by the Massachusetts Department of Public Health. The Quit Wizard will help you assess your risk factors, set a quit date and keep you smoke free. Other features include success stories, expert advice and a bulletin board. There are many language options including Spanish, Korean, Chinese, Hatian-Creole, Russian and Portuguese.
Web MD’s Smoking Cessation Center 
This site allows you to set goals, design your own personalized quit plan, find out about nicotine replacement therapy and read up on quitting options. There is a smoking cessation support group and articles on the latest news, like facts about nicotine water.
Quitnet 
Run by Boston University, Quitnet offers quitting guides, personalized quit plans and forums with expert counselors.

Source: The American Lung Association  

25 Ways to Stop Smoking Cigarettes



Make the decision to quit smoking today!

For all the intense efforts to reduce smoking in America over the past two decades, the progress has not been stellar. Today one in four men and one in five women still smoke.
For those who never smoked, this is a befuddling fact. Don’t smokers understand that cigarettes are the number one killer in America, that they dramatically increase risk for heart disease, stroke, cancer, high blood pressure, and almost every other health concern, small or large? How could any habit be worth this?

Truth is, most smokers do understand. They also understand the huge financial toll of smoking, with a pack of 20 cigarettes costing $10 in some areas (imagine: $3,650 spent a year on cigarettes by pack-a-day smokers — often people of only modest resources). Then why do millions still smoke? In good part, because the nicotine in cigarettes is highly addictive. In good part, because smoking provides psychological comfort to some people. Perhaps most of all, because quitting smoking is so hard.
Researchers and businesses have responded strongly to the last point. Never have there been so many
tools, systems, and programs available for quitting smoking. And with every month that passes, there is more research showing the benefits of quitting, and the drawbacks of not quitting.
So if you smoke, consider again whether it is time, finally, to quit. If yes, you’ll need to think through the best approach, perhaps working with your doctor or an expert. But the following 25 tips will help you succeed.
1. Make an honest list of all the things you like about smoking. Draw a line down the center of a piece of paper and write them on one side; on the other side make a list of all the things you dislike, such as how it can interfere with your health, work, family, etc., suggests Daniel Z. Lieberman, M.D., director of the Clinical Psychiatric Research Center at George Washington University Medical Center in Washington, D.C. Think about the list over time, and make changes. If you are brave enough, get feedback from family and friends about things they don’t like about your use of cigarettes. When the negative side outweighs the positive side, you are ready to quit.
2. Then make another list of why quitting won’t be easy. Be thorough, even if the list gets long and discouraging. Here’s the important part: Next to each entry, list one or more options for overcoming that challenge. For instance, one item might be: “Nicotine is an addictive drug.” Your option might be: “Try a nicotine replacement alternative.” Another reason might be: “Smoking helps me deal with stress.” Your option might be: “Take five-minute walks instead.” The more you anticipate the challenges to quitting, and their solutions, the better your chance of success.
3. Set a quit date and write a “quit date contract” that includes your signature and that of a supportive witness.
4. Write all your reasons for quitting on an index card and keep it near you at all times. Here are some to get you started: “My daughter, my granddaughter, my husband, my wife…”
You get the idea.
5. As you’re getting ready to quit, stop buying cartons of cigarettes. Instead, only buy a pack at a time, and only carry two or three with you at a time (try putting them in an Altoids tin). Eventually you’ll find that when you want a smoke, you won’t have any immediately available. That will slowly wean you down to fewer cigarettes.
6. Keep a list of when you smoke, what you’re doing at the time, and how bad the craving is for a week before quitting to see if specific times of the day or activities increase your cravings, suggests Gaylene Mooney, chair of the American Association for Respiratory Care’s Subcommittee on Smoking and Tobacco-Related Issues. Then arrange fun, unique things to do during those times, like some of the ones we recommend here.
7. Prepare a list of things to do when a craving hits. Suggestions include: take a walk, drink a glass of water, kiss your partner or child, throw the ball for the dog, wash the car, clean out a cupboard or closet, have sex, chew a piece of gum, wash your face, brush your teeth, take a nap, get a cup of coffee or tea, practice your deep breathing, light a candle. Make copies of the list and keep one with you at all times so when the craving hits, you can whip out the list and quickly do something from it.
8. When your quit date arrives, throw out anything that reminds you of smoking. That includes all smoking paraphernalia — leftover cigarettes, matches, lighters, ashtrays, cigarette holders, even the lighter in your car.
9. Instead of a cigarette break at work, play a game of solitaire on your computer. It takes about the same time and is much more fun (although, like cigarettes, it can get addictive). If your company prohibits games like that, find another five-minute diversion: a phone call, a stroll, or eating a piece of fruit outdoors (but not where smokers congregate).
10. Switch to a cup of herbal tea whenever you usually have a cigarette. That might be at breakfast,
midmorning, or after meals. The act of brewing the tea and slowly sipping it as it cools will provide the same stress relief as a hit of nicotine.
11. Switch your cigarette habit for a nut habitfour nuts in their shell for every cigarette you want to smoke. This way, you’re using your hands and your mouth, getting the same physical and oral sensations you get from smoking.
12. Carry some cinnamon-flavored toothpicks with you. Suck on one whenever a cig craving hits.
13. Make an appointment with an acupuncturist. There’s some evidence that auricular acupuncture (i.e., needles in the ears) curbs cigarette cravings quite successfully, says Ather Ali, N.D., a naturopathic physician completing a National Institutes of Health-sponsored postdoctoral research fellowship at the Yale-Griffin Prevention Research Center in Derby, Connecticut. You can even do it yourself by taping “seeds” (small beads) onto the acupuncture points and squeezing them whenever cravings arise.
14. Swing by the health food store for some Avena sativa (oat) extract. One study found that, taken at 1 milliliters four times daily, it helped habitual tobacco smokers significantly decrease the number of cigarettes they smoked.
15. Think of difficult things you have done in the past. Ask people who know you well to remind you of challenges you have successfully overcome, says Dr. Lieberman. This will give you the necessary self-confidence to stick with your pledge not to smoke.
16. To minimize cravings, change your routine. Sit in a different chair at breakfast or take a different route to work. If you usually have a drink and cigarette after work, change that to a walk. If you’re used to a smoke with your morning coffee, switch to tea, or stop at Starbucks for a cup of java — the chain is smoke-free.
17. Tell your friends, coworkers, boss, partner, kids, etc., how you feel about situations instead of bottling up your emotions. If something makes you angry, express it instead of smothering it with cigarette smoke. If you’re bored, admit to yourself that you’re bored and find something energetic to do instead of lighting up.
18. If you relapse, just start again. You haven’t failed. Some people have to quit as many as eight times before they are successful.
19. Put all the money you’re saving on cigarettes in a large glass jar. You want to physically see how much you’ve been spending. Earmark that money for something you’ve always dreamed of doing, but never thought you could afford, be it a cruise to Alaska or a first-class ticket to visit an old college friend.
20. Switch to decaf until you’ve been cigarette-free for two months. Too much caffeine while quitting can cause the jitters.
21. Create a smoke-free zone. Don’t allow anyone to use tobacco in your home, car, or even while sitting next to you in a restaurant. Make actual “No Smoking” signs and hang them around your house and in your car.
22. Find a healthy snack food you can keep with you and use in place of cigarettes to quench that urge for oral gratification. For instance, try pistachio nuts, sunflower seeds, sugarless lollipops or gum, carrot or celery sticks. The last ones are best if you are concerned about weight gain.
23. Picture yourself playing tennis. Or go play tennis. British researchers found volunteers trying to quit smoking were better able to ignore their urges to smoke when they were told to visualize a tennis match.
24. Quit when you’re in a good mood. Studies find that you’re less likely to be a successful quitter if you quit when you’re depressed or under a great deal of stress.
25. Post this list in a visible location in your house. Whenever you’re tempted to light up, take a look at all the ways smoking can damage your health:
  • Increases risk of lung, bladder, pancreatic, mouth, esophageal, and other cancers, including leukemia
  • Reduces fertility
  • Contributes to thin bones
  • Affects mental capacity and memory
  • Reduces levels of folate, low levels of which can increase the risk of heart disease, depression, and Alzheimer’s disease
  • Increases likelihood of impotence
  • Affects ability to smell and taste
  • Results in low-birth-weight, premature babies
  • Increases risk of depression in adolescents
  • Increases risk of heart disease, stroke, high blood pressure
  • Increases risk of diabetes
  • Increases your child’s risk of obesity and diabetes later in life if you smoked while pregnant

Why is Smoking Bad for You


Smoking is responsible for several diseases, such as cancer, long-term (chronic) respiratory diseases, and heart disease, as well as premature death. Over 440,000 people in the USA and 100,000 in the UK die because of smoking each year. According the US CDC (Centers for Disease Control and Prevention), $92 billion are lost each year from lost productivity resulting from smoking-related deaths.

Of the more than 2.4 million deaths in the USA annually, over 440,000 are caused by smoking.

Smoking is the largest cause of preventable death in the world. Recent studies have found that smokers can undermine the health of non-smokers in some environments.

Smoking causes cancer

90% of lung cancer patients developed their disease because of smoking. Lung cancer is one of the most common causes of cancer deaths in the world. Smokers also have a significantly higher risk of developing:
  • Bladder cancer
  • Kidney cancer
  • Cancers of the pharynx and larynx (throat cancer)
  • Mouth cancer
  • Esophagus cancer
  • Cancer of the pancreas
  • Stomach cancer
  • Some types of leukemia
  • Cancer of the nose and sinuses
  • Cervical cancer
  • Bowel cancer
  • Ovarian cancer
  • In some cases, also breast cancer
According to Cancer Research UK, one person dies every 15 minutes in Great Britain from lung cancer.

Smoking also raises the risk of cancer recurrences (the cancer coming back).

Why does smoking raise cancer risk?

Scientists say there are over 4,000 compounds in cigarette smoke. A sizeable number of them are toxic - they are bad for us and damage our cells. Some of them cause cancer - they are carcinogenic.

Tobacco smoke consists mainly of:
  • Nicotine - this is not carcinogenic. However, it is highly addictive. Smokers find it very hard to quit because they are hooked on the nicotine. Nicotine is an extremely fast-acting drug. It reaches the brain within 15 seconds of being inhaled. If cigarettes and other tobacco products had no nicotine, the number of people who smoke every day would drop drastically. Without nicotine, the tobacco industry would collapse. Nicotine is used as a highly controlled insecticide. Exposure to sufficient amounts can lead to vomiting, seizures, depression of the CNS (central nervous system), and growth retardation. It can also undermine a fetus' proper development.
  •  Carbon Monoxide - this is a poisonous gas. It has no smell or taste. The body finds it hard to differentiate carbon monoxide from oxygen and absorbs it into the bloodstream. Faulty boilers emit dangerous carbon monoxide, as do car exhausts.

    If there is enough carbon monoxide around you and you inhale it, you can go into a coma and die. Carbon monoxide decreases muscle and heart function, it causes fatigue, weakness, and dizziness. It is especially toxic for babies still in the womb, infants and indifividuals with heart or lung disease.
  • Tar - consists of several cancer-causing chemicals. When a smoker inhales cigarette smoke, 70% of the tar remains in the lungs. Try the handkerchief test. Fill the mouth with smoke, don't inhale, and blow the smoke through the handkerchief. There will be a sticky, brown stain on the cloth. Do this again, but this time inhale and the blow the smoke through the cloth, there will only be a very faint light brown stain.
  • Click here to see a longer list of harmful chemicals found in cigarette smoke and how they can harm you.

    Smoking and heart/cardiovascular disease

    Smoking causes an accumulation of fatty substances in the arteries, known as atherosclerosis, the main contributor to smoking-related deaths. Smoking is also a significant contributory factor in coronary heart disease risk. People with coronary heart disease are much more likely to have a heart attack.

    Tobacco smoke raises the risk of coronary heart disease by itself. When combined with other risk
    factors, such as hypertension (high blood pressure), obesity, physical inactivity, or diabetes, the risk of serious, chronic illness and death is huge.

    Smoking also worsens heart disease risk factors. It raises blood pressure, makes it harder to do exercise, makes the blood clot more easily than it should. People who have undergone bypass surgery and smoke have a higher risk of recurrent coronary heart disease.

    According to the American Heart Association:

    "Cigarette smoking is the most important risk factor for young men and women. It produces a greater relative risk in persons under age 50 than in those over 50."

    A female smoker who is also on the contraceptive pill has a considerably higher risk of developing coronary heart disease and stroke compared to women using oral contraceptives who don't smoke.

    If you smoke your levels of HDL, also known as good cholesterol will drop.

    If you have a history of heart disease and smoke, your risk of having such a disease yourself is extremely high.

    A much higher percentage of regular smokers have strokes compared to other non-smokers of the same age. The cerebrovascular system is damaged when we inhale smoke regularly.

    Those who smoke run a higher risk of developing aortic aneurysm and arterial disease.