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In the judgment of The Allegheny Wesleyan Methodist Connection (Original Allegheny Conference), the use of tobacco is a great evil, unbecoming a Christian, a waste of the Lord's money, and a defilement of the body, which should be the temple of the Holy Ghost. We do, therefore, most earnestly require our members to refrain from its cultivation, manufacture, and sale, and to abstain from its use in all forms, for Jesus' sake. We will not receive as members into our churches nor will we ordain or license to preach or to exhort, persons who use, cultivate, manufacture, or sell tobacco. Using tobacco by a member of a church or of the Conference after being received from this date (June 28, 1927) is a violation of the law of the church, and the offending party should be dealt with according to the judiciary rules. [92] : 44
Members of the Church of Jesus Christ of Latter-day Saints (popularly known as Mormons) adhere to the Word of Wisdom, a religious health code that is interpreted as prohibiting the consumption of tobacco as well as alcohol, coffee, and tea. [93]
Most Islamic scholars have condemned tobacco due to its harmful effects on health. The earliest fatwa (religious opinion) against tobacco use dates from 1602. Most major Islamic sects prohibit its use. While tobacco is not mentioned in the Quran, the Quran does instruct Muslims to live healthy lives.
Sikhism, a Dharmic religion from India, considers tobacco consumption as a taboo and very bad for health and spirituality. Initiated Sikhs are never to consume tobacco in any form. [94]
Research on tobacco use is limited mainly to smoking, which has been studied more extensively than any other form of consumption. An estimated 1.1 billion people, and up to one-third of the adult population, use tobacco in some form. [95] Smoking is more prevalent among men [96] (however, the gender gap declines with age), [97] [98] the poor, and in transitional or developing countries. [99] A study published in Morbidity and Mortality Weekly Report found that in 2019 approximately one in four youths (23.0%) in the U.S. had used a tobacco product during the past 30 days. This represented approximately three in 10 high school students (31.2%) and approximately one in eight middle school students (12.5%). [100]
Rates of smoking continue to rise in developing countries, but have leveled off or declined in developed countries. [101] Smoking rates in the United States have dropped by half from 1965 to 2006, falling from 42% to 20.8% in adults. [102] In the developing world, tobacco consumption is rising by 3.4% per year. [103]
Tobacco smoking harms health because of the toxic chemicals in tobacco smoke, including carbon monoxide, cyanide, and carcinogens, which have been proven to cause heart and lung diseases and cancer. Thousands of different substances in cigarette smoke, including polycyclic aromatic hydrocarbons (such as benzopyrene), formaldehyde, cadmium, nickel, arsenic, tobacco-specific nitrosamines, and phenols contribute to the harmful effects of smoking. [105]
According to the World Health Organization, tobacco is the single greatest cause of preventable death globally. [3] WHO estimates that tobacco caused 5.4 million deaths in 2004 [106] and 100 million deaths over the course of the 20th century. [3] Similarly, the United States Centers for Disease Control and Prevention describe tobacco use as "the single most important preventable risk to human health in developed countries and an important cause of premature death worldwide." [107] Due to these health consequences, it is estimated that a 10 hectare (approximately 24.7 acre) field of tobacco used for cigarettes causes 30 deaths per year – 10 from lung cancer and 20 from cigarette-induced diseases like cardiac arrest, gangrene, bladder cancer, mouth cancer, etc. [108]
The harms caused by inhaling tobacco smoke include diseases of the heart and lungs, with smoking being a major risk factor for heart attacks, strokes, chronic obstructive pulmonary disease (emphysema), and cancer (particularly cancers of the lungs, larynx, mouth, and pancreas). Cancer is caused by inhaling carcinogenic substances in tobacco smoke.
Inhaling secondhand tobacco smoke (which has been exhaled by a smoker) can cause lung cancer in nonsmoking adults. In the United States, about 3,000 adults die each year due to lung cancer from secondhand smoke exposure. Heart disease caused by secondhand smoke kills around 46,000 nonsmokers every year. [109]
In children, exposure to secondhand tobacco smoke is associated with a higher incidence and severity of respiratory illnesses, middle ear disease, and asthma attacks. Each year in the United States, secondhand smoke exposure causes 24,500 infants to be born with low birthweight, 71,900 preterm births, 202,300 episodes of asthma, and 790,000 health care visits for ear infections. [110]
The addictive alkaloid nicotine is a stimulant, and popularly known as the most characteristic constituent of tobacco. In drug effect preference questionnaires, a rough indicator of addictive potential, nicotine scores almost as highly as opioids. [111] Users typically develop tolerance and dependence. [112] [113] Nicotine is known to produce conditioned place preference, a sign of psychological enforcement value. [114] In one medical study, tobacco's overall harm to user and self was determined at three percent below cocaine, and 13 percent above amphetamines, ranking sixth most harmful of the 20 drugs assessed. [115]
Tobacco also contains 2,3,6-Trimethyl-1,4-naphthoquinone (sometimes called 2,3,6-TQ and TMN) which is a reversible monoamine oxidase inhibitor of type A and B with a binding affinity somewhat similar to that of clorgyline and deprenyl. It is a stronger dopamine releasing agent than nicotine and inhibits dopamine metabolism from its MAOI activity. [116] [117] Tobacco also contains Harmine and Norharmine which is a reversible MAO-A inhibitor. [118] [119] [120] [121] The MAO-A activity of tobacco alkaloids have been thought to play a role in the addictive qualities of tobacco. [122]
Polonium-210 is a radioactive trace contaminant of tobacco, providing additional explanation for the link between smoking and bronchial cancer. [123] The radioactive particles build up over time in the lungs and a UCLA study has estimated that the radiation from 25 years of smoking would cause over 120 deaths per thousand smokers. [124]
Tobacco makes a significant economic contribution. The global tobacco market in 2010 was estimated at US$760 billion, excluding China. [125] The global revenues from tobacco taxes in 2013–2014 was approximately $269 billion.
In China, cigarette manufacturing is one of the few profitable state-owned industries. For example, in 1998 the 1 429 state-owned enterprises in Yunnan province had revenue of Renminbi (RMB) 69.1 billion (US$8.3 billion) while 8 cigarette manufacturing plants alone accounted for about 53 percent (or RMB 36.2 billion) of total provincial industry sales. [46] The Chinese government also collects tax on tobacco products. Tax revenues from cigarettes increased from 740 to 842 billion Chinese yuan between 2014 and 2016. This generated an additional 101 billion Chinese yuan in tax revenues for the government. [126]
In India, tobacco generates approximately 20 billion Indian rupees (US$0.45 billion) of income per annum as a result of employment, income and government revenue. [127]
Statistica estimates that in the U.S. alone, the tobacco industry has a market of US$121 billion, [128] despite the fact the CDC reports that US smoking rates are declining steadily. [129] In terms of health expenditures, cigarette smoking contributed to more than $225 billion (or 11.7%) of annual healthcare spending in the U.S. in 2014. [130] Smoking-attributable healthcare spending increased more than 30% for Medicaid between 2010 and 2014. [130]
In the US, the decline in the number of smokers, the end of the Tobacco Transition Payment Program in 2014, and competition from growers in other countries, made tobacco farming economics more challenging. [131]
Of the 1.22 billion smokers worldwide, 1 billion of them live in developing or transitional economies, and much of the disease burden and premature mortality attributable to tobacco use disproportionately affect the poor. [99] While smoking prevalence has declined in many developed countries, it remains high in others, and is increasing among women and in developing countries. Between one-fifth and two-thirds of men in most populations smoke. Women's smoking rates vary more widely but rarely equal male rates. [132]
Tobacco users must also spend a significant amount of money on cigarettes to maintain regular use, as tobacco products are often heavily taxed by governments. For example, a pack a day smoker in the state of New York would have to spend around $4,690.25 a year on cigarettes alone. [133]
In Indonesia, the lowest income group spends 15% of its total expenditures on tobacco. In Egypt, more than 10% of low-income household expenditure is on tobacco. The poorest 20% of households in Mexico spend 11% of their income on tobacco. [3]
The tobacco industry advertises its products through a variety of media, including sponsorship, particularly of sporting events. Because of the health risks of these products, this is now one of the most highly regulated forms of marketing. Some or all forms of tobacco advertising are banned in many countries. [134]
Tobacco is the single most preventable cause of death in the world today.
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