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HE REPORT ON SMOKING RAISES NEW WORRIES
The most disturbing news in the 679-page report is the assertion that smoking has exacted a heavier toll in death and disease than had previously been thought.

Among the findings:

Tobacco claims 390,000 lives a year, 90,000 more than earlier estimates. Two-thirds of those deaths result from cardiovascular disease, lung cancer and chronic respiratory ailments like emphysema. The average male smoker is 22 times as likely to die from lung cancer as is a nonsmoker, double the previous risk estimate.

On the bright side, the US has made substantial strides in curtailing cigarette use. Only 29% of adults now light up, down from 40% in 1965.

But the progress has not been spread equally over various groups in the population. Smoking among blacks is higher than average. Level of education is the best predictor of tobacco use: the more years of schooling people have, the less likely they are to smoke.

Cigarette use was declining among teenagers, but has now leveled off. Children, especially girls, are taking up tobacco at a younger age. Among high school seniors who have ever smoked, a quarter took their first puff by the sixth grade and half by the eighth. Restrictions on children’s access to cigarettes have weakened; many stores routinely ignore minimum-age-of-purchaser laws.