![Smoking Crack](https://upload.wikimedia.org/wikipedia/commons/d/da/Smoking_Crack.jpg)
Smoking is a practice in which a substance is burned and the resulting
smoke is typically breathed in to be tasted and absorbed into the
bloodstream. Most commonly, the substance used is the dried leaves of the
tobacco
Tobacco is the common name of several plants in the genus '' Nicotiana'' of the family Solanaceae, and the general term for any product prepared from the cured leaves of these plants. More than 70 species of tobacco are known, but the ...
plant, which have been rolled into a small rectangle of rolling paper to create a small, round cylinder called a
cigarette
A cigarette is a narrow cylinder containing a combustible material, typically tobacco, that is rolled into thin paper for smoking. The cigarette is ignited at one end, causing it to smolder; the resulting smoke is orally inhaled via the opp ...
. Smoking is primarily practised as a
route of administration
A route of administration in pharmacology and toxicology is the way by which a medication, drug, fluid, poison, or other substance is taken into the body.
Routes of administration are generally classified by the location at which the substance i ...
for
recreational drug use
Recreational drug use indicates the use of one or more psychoactive drugs to induce an altered state of consciousness either for pleasure or for some other casual purpose or pastime by modifying the perceptions and emotions of the user. When a ...
because the
combustion
Combustion, or burning, is a high-temperature exothermic redox chemical reaction between a fuel (the reductant) and an oxidant, usually atmospheric oxygen, that produces oxidized, often gaseous products, in a mixture termed as smoke. Combusti ...
of the dried plant leaves vaporizes and delivers
active substance
An active ingredient is any ingredient that provides biologically active or other direct effect in the diagnosis, cure, mitigation, treatment, or prevention of disease or to affect the structure or any function of the body of humans or animals. Th ...
s into the lungs where they are rapidly absorbed into the bloodstream and reach bodily tissue. In the case of cigarette smoking, these substances are contained in a mixture of aerosol particles and gases and include the pharmacologically active alkaloid
nicotine
Nicotine is a natural product, naturally produced alkaloid in the nightshade family of plants (most predominantly in tobacco and ''Duboisia hopwoodii'') and is widely used recreational drug use, recreationally as a stimulant and anxiolytic. As ...
; the vaporization creates heated aerosol and gas into a form that allows inhalation and deep penetration into the lungs where absorption into the bloodstream of the active substances occurs. In some cultures, smoking is also carried out as a part of various rituals, where participants use it to help induce
trance
Trance is a state of semi-consciousness in which a person is not self-aware and is either altogether unresponsive to external stimuli (but nevertheless capable of pursuing and realizing an aim) or is selectively responsive in following the dir ...
-like states that, they believe, can lead them to
spiritual enlightenment
Used in a religious sense, enlightenment translates several Glossary of Buddhism, Buddhist terms and concepts, most notably ''bodhi'', ''kensho,'' and ''satori''. Related terms from Asian religions are ''kaivalya'' and ''moksha'' (liberation) in ...
.
Smoking is one of the most common forms of recreational drug use. Tobacco smoking is the most popular form, being practised by over one billion people globally, of whom the majority are in the
developing countries
A developing country is a sovereign state with a lesser developed industrial base and a lower Human Development Index (HDI) relative to other countries. However, this definition is not universally agreed upon. There is also no clear agreem ...
.
Less common drugs for smoking include
cannabis
''Cannabis'' () is a genus of flowering plants in the family Cannabaceae. The number of species within the genus is disputed. Three species may be recognized: ''Cannabis sativa'', '' C. indica'', and '' C. ruderalis''. Alternatively ...
and
opium
Opium (or poppy tears, scientific name: ''Lachryma papaveris'') is dried latex obtained from the seed capsules of the opium poppy ''Papaver somniferum''. Approximately 12 percent of opium is made up of the analgesic alkaloid morphine, which i ...
. Some of the substances are classified as hard
narcotic
The term narcotic (, from ancient Greek ναρκῶ ''narkō'', "to make numb") originally referred medically to any psychoactive compound with numbing or paralyzing properties. In the United States, it has since become associated with opiates ...
s, like
heroin
Heroin, also known as diacetylmorphine and diamorphine among other names, is a potent opioid mainly used as a recreational drug for its euphoric effects. Medical grade diamorphine is used as a pure hydrochloride salt. Various white and brow ...
, but the use of these is very limited as they are usually not commercially available. Cigarettes are primarily industrially manufactured but also can be hand-rolled from loose tobacco and
rolling paper
Rolling paper is a specialty paper used for making cigarettes (commercially manufactured filter cigarettes and individually made roll-your-own cigarettes). Rolling papers are packs of several cigarette-size sheets, often folded inside a cardboard ...
. Other smoking implements include
pipes,
cigar
A cigar is a rolled bundle of dried and fermented tobacco leaves made to be smoked. Cigars are produced in a variety of sizes and shapes. Since the 20th century, almost all cigars are made of three distinct components: the filler, the binder l ...
s,
bidis
A beedi (also spelled bidi or biri) is a thin cigarette or mini-cigar filled with tobacco flake and commonly wrapped in a tendu (''Diospyros melanoxylon'') or ''Piliostigma racemosum'' leaf tied with a string or adhesive at one end. It origi ...
,
hookah
A hookah (Hindustani language, Hindustani: (Nastaleeq), (Devanagari), IPA: ; also see #Names and etymology, other names), shisha, or waterpipe is a single- or multi-stemmed instrument for heating or vaporizing and then smoking either tobacco ...
s, and
bong
A bong (also known as a water pipe) is a filtration device generally used for smoking cannabis, tobacco, or other herbal substances. In the bong shown in the photo, the gas flows from the lower port on the left to the upper port on the right.
...
s.
Smoking has
negative health effects, because smoke inhalation inherently poses challenges to various
physiologic
Physiology (; ) is the scientific study of functions and mechanisms in a living system. As a sub-discipline of biology, physiology focuses on how organisms, organ systems, individual organs, cells, and biomolecules carry out the chemical ...
processes such as
respiration. Smoking tobacco is among the leading causes of many diseases such as
lung cancer
Lung cancer, also known as lung carcinoma (since about 98–99% of all lung cancers are carcinomas), is a malignant lung tumor characterized by uncontrolled cell growth in tissue (biology), tissues of the lung. Lung carcinomas derive from tran ...
,
heart attack
A myocardial infarction (MI), commonly known as a heart attack, occurs when blood flow decreases or stops to the coronary artery of the heart, causing damage to the heart muscle. The most common symptom is chest pain or discomfort which may tr ...
,
COPD,
erectile dysfunction
Erectile dysfunction (ED), also called impotence, is the type of sexual dysfunction in which the penis fails to become or stay erect during sexual activity. It is the most common sexual problem in men.Cunningham GR, Rosen RC. Overview of male ...
, and
birth defects.
Diseases related to
tobacco smoking
Tobacco smoking is the practice of burning tobacco and ingesting the resulting smoke. The smoke may be inhaled, as is done with cigarettes, or simply released from the mouth, as is generally done with pipes and cigars. The practice is believed ...
have been shown to kill approximately half of long-term smokers when compared to average mortality rates faced by non-smokers. Smoking caused over five million deaths a year from 1990 to 2015.
Non-smokers account for 2% of all deaths globally due to
second-hand smoke
Passive smoking is the inhalation of tobacco smoke, called secondhand smoke (SHS), or environmental tobacco smoke (ETS), by persons other than the intended "active" smoker. It occurs when tobacco smoke enters an environment, causing its inhalat ...
.
The health hazards of smoking have caused many countries to institute high taxes on tobacco products, publish advertisements to discourage use, limit advertisements that promote use, and provide help with quitting for those who do smoke.
Smoking can be dated to as early as 5000 BCE, and has been recorded in many different cultures across the world. Early smoking evolved in association with religious ceremonies; as offerings to deities; in cleansing rituals; or to allow
shaman
Shamanism is a religious practice that involves a practitioner (shaman) interacting with what they believe to be a spirit world through altered states of consciousness, such as trance. The goal of this is usually to direct spirits or spiritu ...
s and priests to alter their minds for purposes of divination or spiritual enlightenment. After the European exploration and conquest of the Americas, the practice of smoking tobacco quickly spread to the rest of the world. In regions like India and Sub-Saharan Africa, it merged with existing practices of smoking (mostly of cannabis). In Europe, it introduced a new type of social activity and a form of drug intake which previously had been unknown.
Perception surrounding smoking has varied over time and from one place to another: holy and sinful, sophisticated and vulgar, a
panacea
In Greek mythology, Panacea (Greek ''Πανάκεια'', Panakeia), a goddess of universal remedy, was the daughter of Asclepius and Epione. Panacea and her four sisters each performed a facet of Apollo's art:
* Panacea (the goddess of universal ...
and deadly health hazard. In the last decade of the 20th century, smoking came to be viewed in a decidedly negative light, especially in Western countries.
History
Early uses
![Aztec feast 1](https://upload.wikimedia.org/wikipedia/commons/c/cf/Aztec_feast_1.jpg)
The history of smoking dates back to as early as 5000 BCE for shamanistic rituals. Many ancient civilizations, such as the Babylonians, Indians and Chinese, burnt incense as a part of religious rituals, as did the
Israelites
The Israelites (; , , ) were a group of Semitic-speaking tribes in the ancient Near East who, during the Iron Age, inhabited a part of Canaan.
The earliest recorded evidence of a people by the name of Israel appears in the Merneptah Stele o ...
and the later Catholic and Orthodox Christian churches. Smoking in the Americas probably had its origins in the incense-burning ceremonies of
shamans
Shamanism is a religious practice that involves a practitioner (shaman) interacting with what they believe to be a spirit world through altered states of consciousness, such as trance. The goal of this is usually to direct spirits or spiritu ...
but was later adopted for pleasure, or as a social tool. The smoking of tobacco, as well as various
hallucinogenic drugs, was used to achieve trances and to come into contact with the spirit world.
Substances such as
cannabis
''Cannabis'' () is a genus of flowering plants in the family Cannabaceae. The number of species within the genus is disputed. Three species may be recognized: ''Cannabis sativa'', '' C. indica'', and '' C. ruderalis''. Alternatively ...
, clarified butter (
ghee
Ghee is a type of clarified butter, originating from India. It is commonly used in India for cooking, as a traditional medicine, and for religious rituals.
Description
Ghee is typically prepared by simmering butter, which is churned from c ...
), fish offal, dried snake skins and various pastes molded around
incense
Incense is aromatic biotic material that releases fragrant smoke when burnt. The term is used for either the material or the aroma. Incense is used for aesthetic reasons, religious worship, aromatherapy, meditation, and ceremony. It may also be ...
sticks dates back at least 2000 years. Fumigation (''dhupa'') and fire offerings (''homa'') are prescribed in the
Ayurveda
Ayurveda () is an alternative medicine system with historical roots in the Indian subcontinent. The theory and practice of Ayurveda is pseudoscientific. Ayurveda is heavily practiced in India and Nepal, where around 80% of the population repo ...
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. Archaeological findings also show the existence of pipes to smoke
opium
Opium (or poppy tears, scientific name: ''Lachryma papaveris'') is dried latex obtained from the seed capsules of the opium poppy ''Papaver somniferum''. Approximately 12 percent of opium is made up of the analgesic alkaloid morphine, which i ...
in
Cyprus
Cyprus ; tr, Kıbrıs (), officially the Republic of Cyprus,, , lit: Republic of Cyprus is an island country located south of the Anatolian Peninsula in the eastern Mediterranean Sea. Its continental position is disputed; while it is geo ...
and
Crete
Crete ( el, Κρήτη, translit=, Modern: , Ancient: ) is the largest and most populous of the Greek islands, the 88th largest island in the world and the fifth largest island in the Mediterranean Sea, after Sicily, Sardinia, Cyprus, and ...
as soon as the
Bronze Age
The Bronze Age is a historic period, lasting approximately from 3300 BC to 1200 BC, characterized by the use of bronze, the presence of writing in some areas, and other early features of urban civilization. The Bronze Age is the second pri ...
.
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
A hookah (Hindustani language, Hindustani: (Nastaleeq), (Devanagari), IPA: ; also see #Names and etymology, other names), shisha, or waterpipe is a single- or multi-stemmed instrument for heating or vaporizing and then smoking either tobacco ...
. 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.
Cannabis smoking was introduced to
Sub-Saharan Africa
Sub-Saharan Africa is, geographically, the area and regions of the continent of Africa that lies south of the Sahara. These include West Africa, East Africa, Central Africa, and Southern Africa. Geopolitically, in addition to the List of sov ...
through
Ethiopia
Ethiopia, , om, Itiyoophiyaa, so, Itoobiya, ti, ኢትዮጵያ, Ítiyop'iya, aa, Itiyoppiya officially the Federal Democratic Republic of Ethiopia, is a landlocked country in the Horn of Africa. It shares borders with Eritrea to the ...
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
terracotta
Terracotta, terra cotta, or terra-cotta (; ; ), in its material sense as an earthenware substrate, is a clay-based ceramic glaze, unglazed or glazed ceramic where the pottery firing, fired body is porous.
In applied art, craft, construction, a ...
smoking bowls, apparently an
Ethiopian
Ethiopians are the native inhabitants of Ethiopia, as well as the global diaspora of Ethiopia. Ethiopians constitute several component ethnic groups, many of which are closely related to ethnic groups in neighboring Eritrea and other parts of ...
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
![Persian girl smoking](https://upload.wikimedia.org/wikipedia/commons/e/e3/Persian_girl_smoking.jpg)
In 1612, six years after the settlement of
Jamestown,
John Rolfe was credited as the first settler to successfully grow tobacco as a
cash crop
A cash crop or profit crop is an Agriculture, agricultural crop which is grown to sell for profit. It is typically purchased by parties separate from a farm. The term is used to differentiate marketed crops from staple crop (or "subsistence crop") ...
. The demand quickly grew as tobacco, referred to as "golden weed", revived the
Virginia Company from its failed expeditions in search for gold in the Americas. 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 servants became the primary labor force up until
Bacon's Rebellion, from which the focus turned to
slavery
Slavery and enslavement are both the state and the condition of being a slave—someone forbidden to quit one's service for an enslaver, and who is treated by the enslaver as property. Slavery typically involves slaves being made to perf ...
. This trend abated following the
American Revolution
The American Revolution was an ideological and political revolution that occurred in British America between 1765 and 1791. The Americans in the Thirteen Colonies formed independent states that defeated the British in the American Revolut ...
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
Jean Nicot de Villemain (; 1530 – May 4, 1604) was a French diplomat and scholar. He is famous for being the first to bring tobacco to France, including snuff tobacco. Nicotine is named after the tobacco plant ''Nicotiana tabacum,'' which in tur ...
(from whose name the word nicotine is derived) introduced tobacco to
France
France (), officially the French Republic ( ), is a country primarily located in Western Europe. It also comprises of Overseas France, overseas regions and territories in the Americas and the Atlantic Ocean, Atlantic, Pacific Ocean, Pac ...
in 1560. From France tobacco spread to England. The first report documents an English 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 today is modern-day
The Gambia
The Gambia,, ff, Gammbi, ar, غامبيا officially the Republic of The Gambia, is a country in West Africa. It is the smallest country within mainland AfricaHoare, Ben. (2002) ''The Kingfisher A-Z Encyclopedia'', Kingfisher Publicatio ...
and
Senegal
Senegal,; Wolof: ''Senegaal''; Pulaar: 𞤅𞤫𞤲𞤫𞤺𞤢𞥄𞤤𞤭 (Senegaali); Arabic: السنغال ''As-Sinighal'') officially the Republic of Senegal,; Wolof: ''Réewum Senegaal''; Pulaar : 𞤈𞤫𞤲𞤣𞤢𞥄𞤲𞤣𞤭 ...
. At the same time caravans from
Morocco
Morocco (),, ) officially the Kingdom of Morocco, is the westernmost country in the Maghreb region of North Africa. It overlooks the Mediterranean Sea to the north and the Atlantic Ocean to the west, and has land borders with Algeria to ...
brought tobacco to the areas around
Timbuktu
Timbuktu ( ; french: Tombouctou;
Koyra Chiini: ); tmh, label=Tuareg, script=Tfng, ⵜⵏⴱⴾⵜ, Tin Buqt a city in Mali, situated north of the Niger River. The town is the capital of the Tombouctou Region, one of the eight administrativ ...
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
The "Old World" is a term for Afro-Eurasia that originated in Europe , after Europeans became aware of the existence of the Americas. It is used to contrast the continents of Africa, Europe, and Asia, which were previously thought of by the ...
, tobacco came under frequent criticism from state and religious leaders.
Murad IV
Murad IV ( ota, مراد رابع, ''Murād-ı Rābiʿ''; tr, IV. Murad, was the Sultan of the Ottoman Empire from 1623 to 1640, known both for restoring the authority of the state and for the brutality of his methods. Murad IV was born in Cons ...
, sultan of the
Ottoman Empire
The Ottoman Empire, * ; is an archaic version. The definite article forms and were synonymous * and el, Оθωμανική Αυτοκρατορία, Othōmanikē Avtokratoria, label=none * info page on book at Martin Luther University) ...
1623–40 was among the first to attempt a smoking ban by claiming it was a threat to public morality and health. The
Chongzhen Emperor
The Chongzhen Emperor (; 6 February 1611 – 25 April 1644), personal name Zhu Youjian (), courtesy name Deyue (),Wang Yuan (王源),''Ju ye tang wen ji'' (《居業堂文集》), vol. 19. "聞之張景蔚親見烈皇帝神主題御諱字德 ...
of China issued an edict banning smoking two years before his death and the overthrow of the
Ming dynasty
The Ming dynasty (), officially the Great Ming, was an Dynasties in Chinese history, imperial dynasty of China, ruling from 1368 to 1644 following the collapse of the Mongol Empire, Mongol-led Yuan dynasty. The Ming dynasty was the last ort ...
. Later, the
Manchu
The Manchus (; ) are a Tungusic East Asian ethnic group native to Manchuria in Northeast Asia. They are an officially recognized ethnic minority in China and the people from whom Manchuria derives its name. The Later Jin (1616–1636) and ...
rulers of the
Qing dynasty
The Qing dynasty ( ), officially the Great Qing,, was a Manchu-led imperial dynasty of China and the last orthodox dynasty in Chinese history. It emerged from the Later Jin dynasty founded by the Jianzhou Jurchens, a Tungusic-speak ...
, would proclaim smoking "a more heinous crime than that even of neglecting archery". In
Edo period
The or is the period between 1603 and 1867 in the history of Japan, when Japan was under the rule of the Tokugawa shogunate and the country's 300 regional '' daimyo''. Emerging from the chaos of the Sengoku period, the Edo period was characteriz ...
Japan, some of the earliest tobacco plantations were scorned by the ''
shōgun
, officially , was the title of the military dictators of Japan during most of the period spanning from 1185 to 1868. Nominally appointed by the Emperor, shoguns were usually the de facto rulers of the country, though during part of the Kamakur ...
'' 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.
[Timon Screech, "Tobacco in Edo Period Japan" in ''Smoke'', pp. 92–99]
![Bonsack machine](https://upload.wikimedia.org/wikipedia/commons/c/ce/Bonsack_machine.png)
Religious leaders have often been prominent among those who considered smoking immoral or outright blasphemous. In 1634, the
Patriarch of Moscow and all Rus'
The Patriarch of Moscow and all Rus' (russian: Патриарх Московский и всея Руси, translit=Patriarkh Moskovskij i vseja Rusi), also known as the Patriarch of Moscow and all Russia, is the official title of the Metropolitan ...
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
Pope Urban VII
Pope Urban VII ( la, Urbanus VII; it, Urbano VII; 4 August 1521 – 27 September 1590), born Giovanni Battista Castagna, was head of the Catholic Church, and ruler of the Papal States from 15 to 27 September 1590. His thirteen-day papacy was th ...
likewise condemned smoking in a papal bull of 1590. Despite many concerted efforts, restrictions and bans were almost universally ignored. When
James VI and I
James VI and I (James Charles Stuart; 19 June 1566 – 27 March 1625) was King of Scotland as James VI from 24 July 1567 and King of England and Ireland as James I from the union of the Scottish and English crowns on 24 March 1603 until ...
, 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 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 its 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''.
[Lloyd & Mitchinson]
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
Congo or The Congo may refer to either of two countries that border the Congo River in central Africa:
* Democratic Republic of the Congo, the larger country to the southeast, capital Kinshasa, formerly known as Zaire, sometimes referred to a ...
, 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
The American Civil War (April 12, 1861 – May 26, 1865; also known by other names) was a civil war in the United States. It was fought between the Union ("the North") and the Confederacy ("the South"), the latter formed by states th ...
in the 1860s, from which the primary labor force transition from slavery to
sharecropping
Sharecropping is a legal arrangement with regard to agricultural land in which a landowner allows a tenant to use the land in return for a share of the crops produced on that land.
Sharecropping has a long history and there are a wide range ...
. This compounded with a change in demand, lead to the industrialization of tobacco production with the cigarette.
James Albert Bonsack
__NOTOC__
James Albert Bonsack (October 9, 1859,
. URL last accessed 2006-10-11. , a craftsman, in 1881 produced a machine to speed the production of cigarettes.
[Burns, pp. 134–35.]
Opium
![French opium den](https://upload.wikimedia.org/wikipedia/commons/8/84/French_opium_den.jpg)
In the 19th century, the practise of smoking opium became widespread in
China
China, officially the People's Republic of China (PRC), is a country in East Asia. It is the world's most populous country, with a population exceeding 1.4 billion, slightly ahead of India. China spans the equivalent of five time zones and ...
. Previously, opium had only been ingested via consumption, and then only for its medicinal properties (opium was an
anaesthetic). The narcotic was also outlawed in China sometime in the early 18th century due the societal issues it caused. Due to a massive trade imbalance, however, foreign merchants started to smuggle opium into China via
Canton
Canton may refer to:
Administrative division terminology
* Canton (administrative division), territorial/administrative division in some countries, notably Switzerland
* Township (Canada), known as ''canton'' in Canadian French
Arts and ent ...
, to the chagrin of the Chinese authorities. Attempts by Chinese official
Lin Zexu to eliminate the trade led to the outbreak of the
First Opium War
The First Opium War (), also known as the Opium War or the Anglo-Sino War was a series of military engagements fought between Britain and the Qing dynasty of China between 1839 and 1842. The immediate issue was the Chinese enforcement of the ...
. The Chinese defeat in the First and
Second Opium War
The Second Opium War (), also known as the Second Anglo-Sino War, the Second China War, the Arrow War, or the Anglo-French expedition to China, was a colonial war lasting from 1856 to 1860, which pitted the British Empire and the French Emp ...
s resulted in the legalization of the importation of opium into China.
[Jos Ten Berge, "The ''Belle Epoque'' of Opium in ''Smoke'', p. 114]
Opium smoking later spread with
Chinese immigrants
Overseas Chinese () refers to people of Chinese birth or ethnicity who reside outside Mainland China, Hong Kong, Macau, and Taiwan. As of 2011, there were over 40.3 million overseas Chinese.
Terminology
() or ''Hoan-kheh'' () in Hokkien, refe ...
and spawned many infamous
opium dens in
Chinatown
A Chinatown () is an ethnic enclave of Chinese people located outside Greater China, most often in an urban setting. Areas known as "Chinatown" exist throughout the world, including Europe, North America, South America, Asia, Africa and Austra ...
s around South and Southeast Asia, Europe and the Americas. In the latter half of the 19th century, opium smoking became popular in the artistic community in Europe, especially Paris; artists' neighborhoods such as
Montparnasse and
Montmartre
Montmartre ( , ) is a large hill in Paris's northern 18th arrondissement. It is high and gives its name to the surrounding district, part of the Right Bank. The historic district established by the City of Paris in 1995 is bordered by Rue Ca ...
became virtual "opium capitals". While opium dens that catered primarily to emigrant Chinese continued to exist in Chinatowns around the world, the trend among the European artists largely abated after the outbreak of World War I.
The consumption of Opium abated in China during the
Cultural Revolution
The Cultural Revolution, formally known as the Great Proletarian Cultural Revolution, was a sociopolitical movement in the People's Republic of China (PRC) launched by Mao Zedong in 1966, and lasting until his death in 1976. Its stated goal ...
in the 1960s and 1970s.
Anti-tobacco movement
Many people have been critical about tobacco use since it gained popularity. In 1798, Dr.
Benjamin Rush (early American physician, signer of the
Declaration of Independence,
Surgeon General under
George Washington
George Washington (February 22, 1732, 1799) was an American military officer, statesman, and Founding Father who served as the first president of the United States from 1789 to 1797. Appointed by the Continental Congress as commander of th ...
, and anti-tobacco activist) was "against the habitual use of tobacco" because he believed it (a) "led to a desire for strong drink," (b) "was injurious both to health and morals," (c) "is generally offensive to" nonsmokers, (d) "produces a want of respect for" nonsmokers, and (e) "always disposes to unkind and unjust behavior towards them."
With the modernization of cigarette production compounded with the increased life expectancies during the 1920s, adverse health effects began to become more prevalent.
In Germany, anti-smoking groups, often associated with anti-liquor groups,
first published advocacy against the consumption of tobacco in the journal ''Der Tabakgegner'' (The Tobacco Opponent) in 1912 and 1932. In 1929,
Fritz Lickint Fritz Balduin Lickint (1 October 1898 – 7 July 1960) was a German internist and social democrat, who investigated scientifically health problems and social problems related to alcohol and tobacco, described in the 1920s cancer of the lung from smo ...
of Dresden, Germany, published a paper containing formal statistical evidence of a lung cancer–tobacco link. During the
Great Depression
The Great Depression (19291939) was an economic shock that impacted most countries across the world. It was a period of economic depression that became evident after a major fall in stock prices in the United States. The economic contagio ...
,
Adolf Hitler
Adolf Hitler (; 20 April 188930 April 1945) was an Austrian-born German politician who was dictator of Nazi Germany, Germany from 1933 until Death of Adolf Hitler, his death in 1945. Adolf Hitler's rise to power, He rose to power as the le ...
condemned his earlier smoking habit as a waste of money,
and later with stronger assertions. This movement was further strengthened with Nazi reproductive policy as women who smoked were viewed as unsuitable to be wives and mothers in a German family.
The movement in Nazi Germany did reach across enemy lines during the Second World War, as anti-smoking groups quickly lost popular support. By the end of the Second World War, American cigarette manufacturers quickly reentered the German black market. Illegal smuggling of tobacco became prevalent,
and leaders of the Nazi anti-smoking campaign were assassinated.
As part of the
Marshall Plan
The Marshall Plan (officially the European Recovery Program, ERP) was an American initiative enacted in 1948 to provide foreign aid to Western Europe. The United States transferred over $13 billion (equivalent of about $ in ) in economic re ...
, the United States shipped free tobacco to Germany; with 24,000 tons in 1948 and 69,000 tons in 1949.
Per capita yearly cigarette consumption in
post-war Germany
In Western usage, the phrase post-war era (or postwar era) usually refers to the time since the end of World War II. More broadly, a post-war period (or postwar period) is the interval immediately following the end of a war. A post-war period c ...
steadily rose from 460 in 1950 to 1,523 in 1963.
By the end of the 20th century, anti-smoking campaigns in Germany were unable to exceed the effectiveness of the Nazi-era climax in the years 1939–41 and German tobacco health research was described by
Robert N. Proctor
Robert Neel Proctor (born 1954) is an American historian of science and Professor of the History of Science at Stanford University, where he is also Professor by courtesy of Pulmonary Medicine. While a professor of the history of science at Penns ...
as "muted".
![Lung Cancer Incidece vers Cigarette Consumption](https://upload.wikimedia.org/wikipedia/commons/1/14/Lung_Cancer_Incidece_vers_Cigarette_Consumption.svg)
In the UK and the US, an increase in lung cancer rates, formerly "among the rarest forms of disease", was noted by the 1930s, but its cause remained unknown and even the credibility of this increase was sometimes disputed as late as 1950. For example, in Connecticut, reported age-adjusted incidence rates of lung cancer among males increased 220% between 1935–39 and 1950–54. In the UK, the share of lung cancer among all cancer deaths in men increased from 1.5% in 1920 to 19.7% in 1947. Nevertheless, these increases were questioned as potentially caused by increased reporting and improved methods of diagnosis. Although several carcinogens were already known at the time (for example,
benzo yrene">yrene was isolated from coal tar and demonstrated to be a potent carcinogen in 1933), none were known to be contained in adequate quantities in
tobacco smoke.
Richard Doll in 1950 published research in the
British Medical Journal
''The BMJ'' is a weekly peer-reviewed medical trade journal, published by the trade union the British Medical Association (BMA). ''The BMJ'' has editorial freedom from the BMA. It is one of the world's oldest general medical journals. Origi ...
showing a close link between smoking and lung cancer. Four years later, in 1954 the
British Doctors Study, a study of some 40 thousand doctors over 20 years, confirmed the link, based on which the government issued advice that smoking and lung cancer rates were related.
In 1964 the United States
Surgeon General's Report on Smoking and Health demonstrated the relationship between smoking and cancer. Further reports confirmed this link in the 1980s and concluded in 1986 that
passive smoking
Passive smoking is the inhalation of tobacco smoke, called secondhand smoke (SHS), or environmental tobacco smoke (ETS), by persons other than the intended "active" smoker. It occurs when tobacco smoke enters an environment, causing its inhalat ...
was also harmful.
As scientific evidence mounted in the 1980s, tobacco companies claimed
contributory negligence
In some common law jurisdictions, contributory negligence is a defense to a tort claim based on negligence. If it is available, the defense completely bars plaintiffs from any recovery if they contribute to their own injury through their own negl ...
as the adverse health effects were previously unknown or lacked substantial credibility. Health authorities sided with these claims up until 1998, from which they reversed their position. The
Tobacco Master Settlement Agreement, originally between the four largest US tobacco companies and the Attorneys General of 46 states, restricted certain types of tobacco advertisement and required payments for health compensation; which later amounted to the largest civil settlement in United States history.
From 1965 to 2006, rates of smoking in the United States have declined from 42% to 20.8%.
A significant majority of those who quit were professional, affluent men. Despite this decrease in the prevalence of consumption, the average number of cigarettes consumed per person per day increased from 22 in 1954 to 30 in 1978. This paradoxical event suggests that those who quit smoked less, while those who continued to smoke moved to smoke more light cigarettes. This trend has been paralleled by many industrialized nations as rates have either leveled-off or declined. In the
developing countries
A developing country is a sovereign state with a lesser developed industrial base and a lower Human Development Index (HDI) relative to other countries. However, this definition is not universally agreed upon. There is also no clear agreem ...
, however, tobacco consumption continues to rise at 3.4% in 2002.
In Africa, smoking is in most areas considered to be modern, and many of the strong adverse opinions that prevail in the West receive much less attention. Today
Russia
Russia (, , ), or the Russian Federation, is a List of transcontinental countries, transcontinental country spanning Eastern Europe and North Asia, Northern Asia. It is the List of countries and dependencies by area, largest country in the ...
leads as the top consumer of tobacco followed by
Indonesia
Indonesia, officially the Republic of Indonesia, is a country in Southeast Asia and Oceania between the Indian and Pacific oceans. It consists of over 17,000 islands, including Sumatra, Java, Sulawesi, and parts of Borneo and New Guine ...
,
Laos
Laos (, ''Lāo'' )), officially the Lao People's Democratic Republic ( Lao: ສາທາລະນະລັດ ປະຊາທິປະໄຕ ປະຊາຊົນລາວ, French: République démocratique populaire lao), is a socialist ...
,
Ukraine
Ukraine ( uk, Україна, Ukraïna, ) is a country in Eastern Europe. It is the second-largest European country after Russia, which it borders to the east and northeast. Ukraine covers approximately . Prior to the ongoing Russian inv ...
,
Belarus
Belarus,, , ; alternatively and formerly known as Byelorussia (from Russian ). officially the Republic of Belarus,; rus, Республика Беларусь, Respublika Belarus. is a landlocked country in Eastern Europe. It is bordered by R ...
,
Greece
Greece,, or , romanized: ', officially the Hellenic Republic, is a country in Southeast Europe. It is situated on the southern tip of the Balkans, and is located at the crossroads of Europe, Asia, and Africa. Greece shares land borders with ...
,
Jordan
Jordan ( ar, الأردن; tr. ' ), officially the Hashemite Kingdom of Jordan,; tr. ' is a country in Western Asia. It is situated at the crossroads of Asia, Africa, and Europe, within the Levant region, on the East Bank of the Jordan Rive ...
, and
China
China, officially the People's Republic of China (PRC), is a country in East Asia. It is the world's most populous country, with a population exceeding 1.4 billion, slightly ahead of India. China spans the equivalent of five time zones and ...
.
At the global scale, initial ideas of an international convention towards the prevention of tobacco had been initiated in the World Health Assembly (WHA) in 1996. In 1998, along with the successful election of
Dr. Gro Harlem Brundtland as the Director-General, the
World Health Organization
The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of h ...
set tobacco control as its leading health concern and has begun a program known as the
Tobacco Free Initiative
Tobacco is the common name of several plants in the genus '' Nicotiana'' of the family Solanaceae, and the general term for any product prepared from the cured leaves of these plants. More than 70 species of tobacco are known, but the c ...
(TFI) in order to reduce rates of consumption in the developing world. However, it was not until 2003 that the Framework Convention on Tobacco Control (FCTC) was accepted in WHA and entered into force in 2005. FCTC marked a milestone as the first international treaty concerning a global health issue that aims to combat tobacco in multiple aspects including tobacco taxes, advertisement, trading, environmental affects, health influences, etc. The birth of this evidence-based and systematic approach has resulted in the reinforcement of tobacco taxes and the implementation of smoke-free laws in 128 countries that led to the decrease of smoking prevalence in developing nations.
Other substances
In the early 1980s, organized international trafficking of
cocaine
Cocaine (from , from , ultimately from Quechuan languages, Quechua: ''kúka'') is a central nervous system (CNS) stimulant mainly recreational drug use, used recreationally for its euphoria, euphoric effects. It is primarily obtained from t ...
grew. However, overproduction and tighter legal enforcement for the illegal product caused drug dealers to convert the powder to "crack" – a solid, smokable form of cocaine that could be sold in smaller quantities to more people. This trend abated in the 1990s as increased police action coupled with a robust economy caused many potential consumers to give up or fail to take up the habit.
Recent years shows an increase in the consumption of vaporized heroin,
methamphetamine
Methamphetamine (contracted from ) is a potent central nervous system (CNS) stimulant that is mainly used as a recreational drug and less commonly as a second-line treatment for attention deficit hyperactivity disorder and obesity. Methamph ...
and
Phencyclidine (PCP). Along with a smaller number of
psychedelic drug
Psychedelics are a subclass of hallucinogenic drugs whose primary effect is to trigger non-ordinary states of consciousness (known as psychedelic experiences or "trips").Pollan, Michael (2018). ''How to Change Your Mind: What the New Science o ...
s such as
Changa,
DMT
''N'',''N''-Dimethyltryptamine (DMT or ''N'',''N''-DMT, SPL026) is a substituted tryptamine that occurs in many plants and animals, including human beings, and which is both a derivative and a structural analog of tryptamine. It is used as a ...
,
5-Meo-DMT
5-MeO-DMT (5-methoxy-''N'',''N''-dimethyltryptamine) or O-methyl-bufotenin is a psychedelic of the tryptamine class. It is found in a wide variety of plant species, and also is secreted by the glands of at least one toad species, the Colorado Ri ...
, and
Salvia divinorum
''Salvia divinorum'' (Latin: "sage of the diviners"; also called ska maría pastora, seer's sage, yerba de la pastora, magic mint or simply salvia) is a plant species with transient psychoactive properties when its leaves are consumed by che ...
.
Substances and equipment
The most popular type of substance that is smoked is
tobacco
Tobacco is the common name of several plants in the genus '' Nicotiana'' of the family Solanaceae, and the general term for any product prepared from the cured leaves of these plants. More than 70 species of tobacco are known, but the ...
. There are many different tobacco cultivars which are made into a wide variety of mixtures and brands. Tobacco is often sold flavored, often with various fruit aromas, something which is especially popular for use with water pipes, such as
hookah
A hookah (Hindustani language, Hindustani: (Nastaleeq), (Devanagari), IPA: ; also see #Names and etymology, other names), shisha, or waterpipe is a single- or multi-stemmed instrument for heating or vaporizing and then smoking either tobacco ...
s. The second most common substance that is smoked is
cannabis
''Cannabis'' () is a genus of flowering plants in the family Cannabaceae. The number of species within the genus is disputed. Three species may be recognized: ''Cannabis sativa'', '' C. indica'', and '' C. ruderalis''. Alternatively ...
, made from the flowers or leaves of ''
Cannabis sativa'' or ''
Cannabis indica''. The substance is considered illegal in most countries in the world and in the countries that tolerate public consumption, it is sometimes only pseudo-legal. Despite this, a considerable percentage of the adult population in many countries have tried it with smaller minorities doing it on a regular basis. Since cannabis is illegal or only tolerated in many jurisdictions, there is no industrial mass-production of cigarettes, meaning that the most common form of smoking is with hand-rolled cigarettes (often called
joints) or with pipes. Water pipes are also fairly common; water pipes used for cannabis include designs known as bongs and bubblers, among others.
![Fangspipe ubt](https://upload.wikimedia.org/wikipedia/commons/7/7a/Fangspipe_ubt.jpeg)
A few other recreational drugs are smoked by smaller minorities. Most of these substances are
controlled, and some are considerably more intoxicating than either tobacco or cannabis. These include
crack cocaine
Crack cocaine, commonly known simply as crack, and also known as rock, is a free base form of the stimulant cocaine that can be smoked. Crack offers a short, intense high to smokers. The ''Manual of Adolescent Substance Abuse Treatment'' calls ...
, heroin,
methamphetamine
Methamphetamine (contracted from ) is a potent central nervous system (CNS) stimulant that is mainly used as a recreational drug and less commonly as a second-line treatment for attention deficit hyperactivity disorder and obesity. Methamph ...
and
PCP. A small number of
psychedelic drug
Psychedelics are a subclass of hallucinogenic drugs whose primary effect is to trigger non-ordinary states of consciousness (known as psychedelic experiences or "trips").Pollan, Michael (2018). ''How to Change Your Mind: What the New Science o ...
s are also smoked, including
DMT
''N'',''N''-Dimethyltryptamine (DMT or ''N'',''N''-DMT, SPL026) is a substituted tryptamine that occurs in many plants and animals, including human beings, and which is both a derivative and a structural analog of tryptamine. It is used as a ...
,
5-Meo-DMT
5-MeO-DMT (5-methoxy-''N'',''N''-dimethyltryptamine) or O-methyl-bufotenin is a psychedelic of the tryptamine class. It is found in a wide variety of plant species, and also is secreted by the glands of at least one toad species, the Colorado Ri ...
, and
Salvia divinorum
''Salvia divinorum'' (Latin: "sage of the diviners"; also called ska maría pastora, seer's sage, yerba de la pastora, magic mint or simply salvia) is a plant species with transient psychoactive properties when its leaves are consumed by che ...
.
Even the most primitive form of smoking requires tools of some sort to perform. This has resulted in a staggering variety of smoking tools and paraphernalia from all over the world. Whether tobacco, cannabis, opium or herbs, some form of receptacle is required along with a source of fire to light the mixture. The most common today is by far the cigarette, consisting of a mild inhalant strain of tobacco in a tightly rolled tube of paper, usually manufactured industrially and including a
filter, or hand-rolled with loose tobacco. Other popular smoking tools are various
pipes and cigars.
A less common but increasingly popular alternative to smoking is vaporizers, which use hot air convection to deliver the substance without combustion, which may reduce health risks. A portable vaporization alternative appeared in 2003 with the introduction of
electronic cigarette
An electronic cigarette is an electronic device that simulates tobacco smoking. It consists of an atomizer, a power source such as a battery, and a container such as a cartridge or tank. Instead of smoke, the user inhales vapor. As such ...
s, battery-operated, cigarette-shaped devices which produce an aerosol intended to mimic the smoke from burning tobacco, delivering nicotine to the user without some of the harmful substances released in tobacco smoke.
Other than actual smoking equipment, many other items are associated with smoking;
cigarette cases,
cigar boxes,
lighters,
match
A match is a tool for starting a fire. Typically, matches are made of small wooden sticks or stiff paper. One end is coated with a material that can be ignited by friction generated by striking the match against a suitable surface. Wooden matc ...
boxes,
cigarette holders, cigar holders,
ashtrays,
silent butler
A silent butler, sometimes called an ash butler, is a small container, often of base metal, sometimes silver or silverplate, with a handle and hinged cover, used for collecting ashes or crumbs. They were more common prior to the modern period, and ...
s,
pipe cleaner
A pipe cleaner or chenille stem is a type of brush originally intended for removing moisture and residue from smoking pipes. They can also be used for any application that calls for cleaning out small bores or tight places. Special pipe cleaner ...
s, tobacco cutters, match stands, pipe tampers, cigarette companions and so on. Some examples of these have become valuable
collector item
A collectable (collectible or collector's item) is any object regarded as being of value or interest to a collector. Collectable items are not necessarily monetarily valuable or uncommon. There are numerous types of collectables and terms t ...
s and particularly ornate and antique items can fetch high prices.
Health effects
![Risks form smoking-smoking can damage every part of the body](https://upload.wikimedia.org/wikipedia/commons/9/92/Risks_form_smoking-smoking_can_damage_every_part_of_the_body.png)
Smoking is one of the leading
preventable causes of death
Preventable causes of death are causes of death related to risk factors which could have been avoided. The World Health Organization has traditionally classified death according to the primary type of disease or injury. However, causes of death ...
s globally and is the cause of 15% of all deaths, 2% of which are non-smokers who die due to
second-hand smoke
Passive smoking is the inhalation of tobacco smoke, called secondhand smoke (SHS), or environmental tobacco smoke (ETS), by persons other than the intended "active" smoker. It occurs when tobacco smoke enters an environment, causing its inhalat ...
.
In the United States, about 500,000 deaths per year are attributed to smoking-related diseases and a recent study estimated that as much as 1/3 of China's male population will have significantly shortened life-spans due to smoking. Male and female smokers lose an average of 13.2 and 14.5 years of life, respectively.
At least half of all lifelong smokers die earlier as a result of smoking.
The risk of dying from lung cancer before age 85 is 22.1% for a male smoker and 11.9% for a female current smoker, in the absence of competing causes of death. The corresponding estimates for lifelong nonsmokers are a 1.1% probability of dying from lung cancer before age 85 for a man of European descent, and a 0.8% probability for a woman. Smoking just one cigarette a day results in a risk of
coronary heart disease that is halfway between that of a heavy smoker and a non-smoker. The
non-linear
In mathematics and science, a nonlinear system is a system in which the change of the output is not proportional to the change of the input. Nonlinear problems are of interest to engineers, biologists, physicists, mathematicians, and many other ...
dose–response relationship may be explained by smoking's effect on
platelet aggregation.
Among the diseases that can be caused by smoking are vascular
stenosis
A stenosis (from Ancient Greek στενός, "narrow") is an abnormal narrowing in a blood vessel or other tubular organ or structure such as foramina and canals. It is also sometimes called a stricture (as in urethral stricture).
''Stricture'' ...
, lung cancer,
heart attacks
A myocardial infarction (MI), commonly known as a heart attack, occurs when blood flow decreases or stops to the coronary artery of the heart, causing damage to the heart muscle. The most common symptom is chest pain or discomfort which may tra ...
and
chronic obstructive pulmonary disease
Chronic obstructive pulmonary disease (COPD) is a type of progressive lung disease characterized by long-term respiratory symptoms and airflow limitation. The main symptoms include shortness of breath and a cough, which may or may not produce ...
(COPD).
Smoking during pregnancy may cause ADHD to a fetus.
Smoking is a risk factor strongly associated with
periodontitis
Periodontal disease, also known as gum disease, is a set of inflammatory conditions affecting the tissues surrounding the teeth. In its early stage, called gingivitis, the gums become swollen and red and may bleed. It is considered the main caus ...
and
tooth loss. The effects of smoking on
periodontal tissues depend on the number of cigarettes smoked daily and the duration of the habit. A study showed that smokers had 2.7 times and former smokers 2.3 times greater probabilities to have established periodontal disease than non‐smokers, independent of age, sex and plaque index,
however, the effect of tobacco on periodontal tissues seems to be more pronounced in men than in women.
Studies have found that smokers had greater odds for more severe dental bone loss compared to non‐smoker
also, people who smoke and drink
Alcoholic drink, alcohol heavily have much higher
risk of developing
oral cancer (mouth and lip) compared with people who do neither. Smoking can also cause
milanosis in the mouth.
Smoking has been also associated with oral conditions including Tooth decay, dental caries, Dental implant, dental implant failures, premalignant lesions, and Oral cancer, cancer. Smoking can affect the immune-inflammatory processes which may increase the susceptibility to infections; it can alter the oral mycobiota and facilitate colonization of the oral cavity with fungi and pathogenic molds.
Many governments are trying to deter people from smoking with anti-smoking campaigns in mass media stressing the harmful long-term effects of smoking. Passive smoking, or secondhand smoking, which affects people in the immediate vicinity of smokers, is a major reason for the enforcement of smoking bans. These are laws enforced to stop individuals from smoking in indoor public places, such as bars, pubs and restaurants, thus reducing nonsmokers' exposure to secondhand smoke. A common concern among legislators is to discourage smoking among minors and many states have passed laws against selling tobacco products to underage customers (establishing a smoking age). Many developing countries have not adopted anti-smoking policies, leading some to call for anti-smoking campaigns and further education to explain the negative effects of ETS (Environmental Tobacco Smoke) in developing countries. Tobacco advertising is also sometimes regulated to make smoking less appealing.
Despite the many bans, European countries still hold 18 of the top 20 spots, and according to the ERC, a market research company, the heaviest smokers are from Greece, averaging 3,000 cigarettes per person in 2007. Rates of smoking have leveled off or declined in the developed world but continue to rise in developing countries. Smoking rates in the United States have dropped by half from 1965 to 2006, falling from 42% to 20.8% in adults.
The effects of addiction on society vary considerably between different substances that can be smoked and the indirect social problems that they cause, in great part because of the differences in legislation and the enforcement of narcotics legislation around the world. Though nicotine is a highly addictive drug, its effects on cognition are not as intense or noticeable as other drugs such as cocaine, amphetamines or any of the opiates (including heroin and morphine).
Smoking is a risk factor in Alzheimer's disease. While smoking more than 15 cigarettes per day has been shown to worsen the symptoms of Crohn's disease, smoking has been shown to actually lower the prevalence of ulcerative colitis.
Smokers are 30-40% more likely to develop type 2 diabetes than non-smokers, and the risk increases with the number of cigarettes smoked.
File:Share-deaths-smoking.png, Share of deaths from smoking, 2017
File:Death-rate-smoking.png, The number of deaths attributed to smoking per 100,000 people in 2017
Physiology
![Blood nicotine graph](https://upload.wikimedia.org/wikipedia/commons/7/75/Blood_nicotine_graph.jpg)
Inhaling the vaporized gas form of substances into the lungs is a quick and very effective way of delivering drugs into the bloodstream (as the gas diffuses directly into the pulmonary vein, then into the heart and from there to the brain) and affects the user within less than a second of the first inhalation. The lungs consist of several million tiny bulbs called Pulmonary alveolus, alveoli that altogether have an area of over 70 m
2 (about the area of a tennis court). This can be used to administer useful medical as well as recreational drugs such as aerosols, consisting of tiny droplets of a medication, or as gas produced by burning plant material with a psychoactive substance or pure forms of the substance itself. Not all drugs can be smoked, for example the sulphate derivative that is most commonly inhaled through the nose, though purer free base forms of substances can, but often require considerable skill in administering the drug properly. The method is also somewhat inefficient since not all of the smoke will be inhaled. The inhaled substances trigger chemical reactions in nerve endings in the brain due to being similar to naturally occurring substances such as endorphins and dopamine, which are associated with sensations of pleasure. The result is what is usually referred to as a "high" that ranges between the mild stimulus caused by
nicotine
Nicotine is a natural product, naturally produced alkaloid in the nightshade family of plants (most predominantly in tobacco and ''Duboisia hopwoodii'') and is widely used recreational drug use, recreationally as a stimulant and anxiolytic. As ...
to the intense euphoria caused by heroin,
cocaine
Cocaine (from , from , ultimately from Quechuan languages, Quechua: ''kúka'') is a central nervous system (CNS) stimulant mainly recreational drug use, used recreationally for its euphoria, euphoric effects. It is primarily obtained from t ...
and
methamphetamine
Methamphetamine (contracted from ) is a potent central nervous system (CNS) stimulant that is mainly used as a recreational drug and less commonly as a second-line treatment for attention deficit hyperactivity disorder and obesity. Methamph ...
s.
Inhaling smoke into the lungs, no matter the substance, has adverse effects on one's health. The incomplete combustion produced by burning plant material, like tobacco or cannabis, produces carbon monoxide, which impairs the ability of blood to carry oxygen when inhaled into the lungs. There are several other toxic compounds in tobacco that constitute serious health hazards to long-term smokers from a whole range of causes; vascular abnormalities such as
stenosis
A stenosis (from Ancient Greek στενός, "narrow") is an abnormal narrowing in a blood vessel or other tubular organ or structure such as foramina and canals. It is also sometimes called a stricture (as in urethral stricture).
''Stricture'' ...
, lung cancer, heart attacks, strokes, impotence, low birth weight of infants born by Smoking and pregnancy, smoking mothers. 8% of long-term smokers develop the characteristic set of facial changes known to doctors as smoker's face.
Tobacco smoke is a complex mixture of over 5,000 identified chemicals, of which 98 are known to have specific Toxicology, toxicological properties.
The most important chemicals carcinogenesis, causing cancer are those that produce DNA damage since such damage appears to be the primary underlying cause of cancer.
Cunningham et al.
combined the microgram weight of the compound in the smoke of one cigarette with the known Genotoxicity, genotoxic effect per microgram to identify the most Carcinogenesis, carcinogenic compounds in cigarette smoke. The seven most important carcinogens in tobacco smoke are shown in the table, along with DNA alterations they cause.
Psychology
![Sigmund Freud, by Max Halberstadt (cropped)](https://upload.wikimedia.org/wikipedia/commons/3/36/Sigmund_Freud%2C_by_Max_Halberstadt_%28cropped%29.jpg)
Most tobacco smokers begin during adolescence or early adulthood. Smoking has elements of risk-taking and rebellion, which often appeal to young people. The presence of high-status models and peers may also encourage smoking. Because teenagers are influenced more by their peers than by adults, attempts by parents, schools, and health professionals at preventing people from trying cigarettes are not always successful.
Smokers often report that cigarettes help relieve feelings of stress. However, the stress levels of adult smokers are slightly higher than those of nonsmokers. Adolescent smokers report increasing levels of stress as they develop regular patterns of smoking, and smoking cessation leads to reduced stress. Far from acting as an aid for mood control, nicotine dependency seems to exacerbate stress. This is confirmed in the daily mood patterns described by smokers, with normal moods during smoking and worsening moods between cigarettes. Thus, the apparent relaxant effect of smoking only reflects the reversal of the tension and irritability that develop during nicotine depletion. Dependent smokers need nicotine to remain feeling normal.
In the mid-20th century psychologists such as Hans Eysenck developed a personality profile for the typical smoker of that period; extraversion was associated with smoking, and smokers tended to be sociable, impulsive, risk taking, and excitement-seeking individuals. Although personality and social factors may make people likely to smoke, the actual habit is a function of operant conditioning. During the early stages, smoking provides pleasurable sensations (because of its action on the dopamine system) and thus serves as a source of positive reinforcement. After an individual has smoked for many years, the avoidance of withdrawal symptoms and negative reinforcement become the key motivations. Like all addictive substances, the amount of exposure required to become dependent on nicotine can vary from person to person.
In terms of the Big Five personality traits, research has found smoking to be correlated with lower levels of agreeableness and conscientiousness, as well as higher levels of Extraversion and introversion, extraversion and neuroticism.
Prevention
Education and counselling by physicians of children and adolescents has been found to be effective in decreasing the risk of tobacco use.
Systematic reviews show that psychosocial interventions can help women stop smoking in late pregnancy, reducing low birthweight and preterm births. A 2016 Cochrane review showed that the combination of medication and behavioural support was more effective than minimal interventions or usual care. Another Cochrane review "suggests that neither reducing smoking to quit nor quitting abruptly results in superior quit rates; people could therefore be given a choice of how to quit, and support provided to people who would specifically like to reduce their smoking before quitting."
File:Average-price-of-a-pack-of-cigarettes.png, alt=Average price of a pack of 20 cigarettes, measured in international dollars in 2014., Average price of a pack of 20 cigarettes, measured in international dollars in 2014
File:Taxes-as-share-of-cigarette-price.png, Taxes as a share of cigarette price, 2014
File:Enforcement-of-bans-on-tobacco-advertising.png, Types of bans on tobacco advertising, 2014
File:Support-to-help-to-quit-tobacco-use.png, Support to help quit tobacco use, 2014
Prevalence
![Share-of-adults-who-smoke](https://upload.wikimedia.org/wikipedia/commons/c/cb/Share-of-adults-who-smoke.png)
Smoking, primarily of tobacco, is an activity that is practiced by some 1.1 billion people, and up to 1/3 of the adult population. The image of the smoker can vary considerably, but is very often associated, especially in fiction, with individuality and aloofness. Even so, smoking of both tobacco and cannabis can be a social activity which serves as a reinforcement of social structures and is part of the cultural rituals of many and diverse social and ethnic groups. Many smokers begin smoking in social settings and the offering and sharing of a cigarette is often an important rite of initiation or simply a good excuse to start a conversation with strangers in many settings; in bars, night clubs, at work or on the street. Lighting a cigarette is often seen as an effective way of avoiding the appearance of idleness or mere loitering. For adolescents, it can function as a first step out of childhood or as an act of rebellion against the adult world. Also, smoking can be seen as a sort of camaraderie. It has been shown that even opening a packet of cigarettes, or offering a cigarette to other people, can increase the level of dopamine (the "happy feeling") in the brain, and it is doubtless that people who smoke form relationships with fellow smokers, in a way that only proliferates the habit, particularly in countries where smoking inside public places has been made illegal. Other than recreational drug use, it can be used to construct identity and a development of self-image by associating it with personal experiences connected with smoking. The rise of the modern anti-smoking movement in the late 19th century did more than create awareness of the hazards of smoking; it provoked reactions of smokers against what was, and often still is, perceived as an assault on personal freedom and has created an identity among smokers as rebels or outcasts, apart from non-smokers:
The importance of tobacco to soldiers was early on recognized as something that could not be ignored by commanders. By the 17th century allowances of tobacco were a standard part of the naval rations of many nations and by World War I cigarette manufacturers and governments collaborated in securing tobacco and cigarette allowances to soldiers in the field. It was asserted that regular use of tobacco while under duress would not only calm the soldiers but allow them to withstand greater hardship. Until the mid-20th century, the majority of the adult population in many Western nations were smokers and the claims of anti-smoking activists were met with much skepticism, if not outright contempt. Today the movement has considerably more weight and evidence of its claims, but a considerable proportion of the population remains steadfast smokers.
Society and culture
Smoking has been accepted into culture, in various art forms, and has developed many distinct, and often conflicting or mutually exclusive, meanings depending on time, place and the practitioners of smoking. Pipe smoking, until recently one of the most common forms of smoking, is today often associated with solemn contemplation, old age and is often considered quaint and archaic. Cigarette smoking, which did not begin to become widespread until the late 19th century, has more associations of modernity and the faster pace of the industrialized world. Cigars have been, and still are, associated with masculinity, power and is an iconic image associated with the stereotypical capitalist. In fact, some evidence suggests that men with higher than average testosterone levels are more likely to smoke. Smoking in public has for a long time been something reserved for men and when done by women has been associated with promiscuity. In Japan during the
Edo period
The or is the period between 1603 and 1867 in the history of Japan, when Japan was under the rule of the Tokugawa shogunate and the country's 300 regional '' daimyo''. Emerging from the chaos of the Sengoku period, the Edo period was characteriz ...
, prostitutes and their clients would often approach one another under the guise of offering a smoke; the same was true for 19th-century Europe.
Art
![Apothecary smoking pipe](https://upload.wikimedia.org/wikipedia/commons/5/54/Apothecary_smoking_pipe.jpg)
The earliest depictions of smoking can be found on Classical Mayan pottery from around the 9th century. The art was primarily religious in nature and depicted deities or rulers smoking early forms of cigarettes. Soon after smoking was introduced outside of the Americas it began appearing in painting in Europe and Asia. The painters of the Dutch Golden Age were among the first to paint portraits of people smoking and still lifes of pipes and tobacco. For southern European painters of the 17th century, a pipe was much too modern to include in the preferred motifs inspired by mythology from Greek and Roman antiquity. At first smoking was considered lowly and was associated with peasants.
[''Ashes to Ashes'' pp. 78–81] Many early paintings were of scenes set in taverns or brothels. Later, as the Dutch Republic rose to considerable power and wealth, smoking became more common amongst the affluent and portraits of elegant gentlemen tastefully raising a pipe appeared. Smoking represented pleasure, transience and the briefness of earthly life as it, quite literally, went up in smoke. Smoking was also associated with representations of both the sense of smell and that of taste.
In the 18th century smoking became far more sparse in painting as the elegant practice of taking Snuff (tobacco), snuff became popular. Smoking a pipe was again relegated to portraits of lowly commoners and country folk and the refined sniffing of shredded tobacco followed by sneezing was rare in art. When smoking appeared it was often in the exotic portraits influenced by Orientalism. Many proponents of postcolonialism controversially believe this portrayal was a means of projecting an image of European superiority over its colonies and a perception of the male dominance of a feminized Orient. Proponents believe the theme of the exotic and alien "Other" escalated in the 19th century, fueled by the rise in the popularity of ethnology during the Age of Enlightenment, Enlightenment.
![Van Gogh - Skull with a burning cigarette](https://upload.wikimedia.org/wikipedia/commons/f/fc/Van_Gogh_-_Skull_with_a_burning_cigarette.jpg)
In the 19th century smoking was common as a symbol of simple pleasures; the pipe smoking "noble savage", solemn contemplation by Classical Roman ruins, scenes of an artists becoming one with nature while slowly toking a pipe. The newly empowered middle class also found a new dimension of smoking as a harmless pleasure enjoyed in smoking saloons and libraries. Smoking a cigarette or a cigar would also become associated with the bohemianism, Bohemian, someone who shunned the conservative middle class values and displayed his contempt for conservatism. But this was a pleasure that was to be confined to a male world; women smokers were associated with prostitution and smoking was not considered an activity fit for proper ladies. It was not until the start of the 20th century that smoking women would appear in paintings and photos, giving a chic and charming impression. Impressionism, Impressionists like Vincent van Gogh, who was a pipe smoker himself, would also begin to associate smoking with gloom and ''fin-du-siècle'' fatalism.
While the symbolism of the cigarette, pipe and cigar respectively were consolidated in the late 19th century, it was not until the 20th century that artists began to use it fully; a pipe would stand for thoughtfulness and calm; the cigarette symbolized modernity, strength and youth, but also nervous anxiety; the cigar was a sign of authority, wealth and power. The decades following World War II, during the apex of smoking when the practice had still not come under fire by the growing anti-smoking movement, a cigarette casually tucked between the lips represented the young rebel, epitomized in actors like Marlon Brando and James Dean or mainstays of advertising like the Marlboro Man. It was not until the 1970s when the negative aspects of smoking began to appear, yielding the image of the unhealthy lower-class individual, reeking of cigarette smoke and lack of motivation and drive, which was especially prominent in art inspired or commissioned by anti-smoking campaigns. In his painting "Holy Smokes", artist Brian Whelan pokes fun at the smoking debate and its newly found focus on morality and guilt.
Film and TV
![Paul Henreid and Humphrey Bogart in Casablanca trailer](https://upload.wikimedia.org/wikipedia/commons/d/da/Paul_Henreid_and_Humphrey_Bogart_in_Casablanca_trailer.jpg)
Ever since the era of silent films, smoking has had a major part in film symbolism. In the hard-boiled ''film noir'' crime thrillers, cigarette smoke often frames characters and is frequently used to add an aura of mystique or nihilism. One of the forerunners of this symbolism can be seen in Fritz Lang's Weimar Republic, Weimar era ''Dr Mabuse, der Spieler'', 1922 (''Dr. Mabuse the Gambler, Dr Mabuse, the Gambler''), where men mesmerized by card playing smoke cigarettes while gambling.
Female smokers in film were also early on associated with a type of sensuous and seductive sexuality, most notably personified by German film star Marlene Dietrich. Similarly, actors like Humphrey Bogart and Audrey Hepburn have been closely identified with their smoker persona, and some of their most famous portraits and roles have involved them being haloed by a mist of cigarette smoke. Hepburn often enhanced the glamor with a cigarette holder, most notably in the film ''Breakfast at Tiffany's (film), Breakfast at Tiffany's''. Smoking could also be used as a means to subvert censorship, as two cigarettes burning unattended in an ashtray were often used to suggest sexual activity.
Since World War II, smoking has gradually become less frequent on screen as the obvious health hazards of smoking have become more widely known. With the anti-smoking movement gaining greater respect and influence, conscious attempts not to show smoking on screen are now undertaken in order to avoid encouraging smoking or giving it positive associations, particularly for family films. Smoking on screen is more common today among characters who are portrayed as anti-social or even criminal.
According to a 2019 study, the introduction of television in the United States led to a substantial increase in smoking, in particular among 16–21-year-olds.
The study suggested "that television increased the share of smokers in the population by 5–15 percentage points, generating roughly 11 million additional smokers between 1946 and 1970."
Literature
Just as in other types of fiction, smoking has had an important place in literature and smokers are often portrayed as characters with great individuality, or outright eccentrics, something typically personified in one of the most iconic smoking literary figures of all, Sherlock Holmes. Other than being a frequent part of short stories and novels, smoking has spawned endless eulogies, praising its qualities and affirming the author's identity as a devoted smoker. Especially during the late 19th century and early 20th century, a panoply of books with titles like ''Tobacco: Its History and associations'' (1876), ''Cigarettes in Fact and Fancy'' (1906) and ''Pipe and Pouch: The Smokers Own Book of Poetry'' (1905) were written in the UK and the US. The titles were written by men for other men and contained general tidbits and poetic musings about the love for tobacco and all things related to it, and frequently praised the refined bachelor's life. ''The Fragrant Weed: Some of the Good Things Which Have been Said or Sung about Tobacco'', published in 1907, contained, among many others, the following lines from the poem ''A Bachelor's Views'' by Tom Hall that were typical of the attitude of many of the books:
![My Lady Nicotine](https://upload.wikimedia.org/wikipedia/commons/6/69/My_Lady_Nicotine.jpg)
These works were all published in an era before the cigarette had become the dominant form of tobacco consumption and pipes, cigars, and chewing tobacco were still commonplace. Many of the books were published in novel packaging that would attract the learned smoking gentleman. ''Pipe and Pouch'' came in a leather bag resembling a tobacco pouch and ''Cigarettes in Fact and Fancy'' (1901) came bound in leather, packaged in an imitation cardboard cigar box. By the late 1920s, the publication of this type of literature largely abated and was only sporadically revived in the later 20th century.
Music
There have been few examples of tobacco in music in early modern times, though there are occasional signs of influence in pieces such as Johann Sebastian Bach's ''Enlightening Thoughts of a Tobacco-Smoker''. However, from the early 20th century and onwards smoking has been closely associated with popular music. Jazz was from early on closely intertwined with the smoking that was practiced in the venues where it was played, such as bars, dance halls, jazz clubs and even brothels. The rise of jazz coincided with the expansion of the modern tobacco industry, and in the United States also contributed to the spread of cannabis. The latter went under names like "tea", "muggles" and "reefer" in the jazz community and was so influential in the 1920s and 30s that it found its way into songs composed at the time such as Louis Armstrong's ''Muggles'', Larry Adler's ''Smoking Reefers'', and Don Redman's ''Chant of The Weed''. The popularity of marijuana among jazz musicians remained high until the 1940s and 50s, when it was partially replaced by the use of heroin.
Another form of modern popular music that has been closely associated with cannabis smoking is reggae, a style of music that originated in Jamaica in the late 1950s and early 60s. Cannabis, or ''ganja'', is believed to have been introduced to Jamaica in the mid-19th century by Indian immigrant labor and was primarily associated with Indian workers until it was appropriated by the Rastafari movement in the middle of the 20th century. The Rastafari considered cannabis smoking to be a way to come closer to God, or Jah, an association that was greatly popularized by reggae icons such as Bob Marley and Peter Tosh in the 1960s and 70s.
Economics
Estimates claim that smokers cost the U.S. economy $97.6 billion a year in lost productivity and that an additional $96.7 billion is spent on public and private health care combined. This is over 1% of the gross domestic product. A male smoker in the United States that smokes more than one pack a day can expect an average increase of $19,000 just in medical expenses over the course of his lifetime. A U.S. female smoker that also smokes more than a pack a day can expect an average of $25,800 additional healthcare costs over her lifetime.
[U.S. Department of Treasury. "The Economic Costs of Smoking in the United States and the Benefits of Comprehensive Tobacco Legislation". Retrieved 10 September 2008 from ]
See also
* Cigarette smoking for weight loss
* Electronic cigarette
* Outline of smoking
* Plain tobacco packaging
* Reverse smoking
* Schizophrenia and tobacco smoking
* Smoke social
* Varenicline
*Smoker's paradox
*Smoking in association football
References
Notes
* ''Ashes to Ashes: The History of Smoking and Health'' (1998) edited by S. Lock, L.A. Reynolds and E.M. Tansey 2nd ed. Rodopi.
* Coe, Sophie D. (1994) ''America's first cuisines''
* Gately, Iain (2003) ''Tobacco: A Cultural History of How an Exotic Plant Seduced Civilization''
* Goldberg, Ray (2005) ''Drugs Across the Spectrum''. 5th ed. Thomson Brooks/Cole.
* Greaves, Lorraine (2002) ''High Culture: Reflections on Addiction and Modernity.'' edited by Anna Alexander and Mark S. Roberts. State University of New York Press.
* James I of England,
A Counterblaste to Tobacco'
* John Lloyd (writer), Lloyd, J & John Mitchinson (researcher), Mitchinson, J: "The Book of General Ignorance". Faber & Faber, 2006
* ''Marihuana and Medicine'' (1999), editor: Gabriel Nahas
*
*
* Robicsek, Francis (1978) ''The Smoking Gods: Tobacco in Maya Art, History, and Religion''
*
* Wilbert, Johannes (1993) ''Tobacco and Shamanism in South America''
* Burns, Eric. The Smoke of the Gods: A Social History of Tobacco. Philadelphia: Temple University Press, 2007.
* Kulikoff, Allan. Tobacco & Slaves: The Development of Southern Cultures in the Chesapeake. North Carolina: University of North Carolina Press, 1986.
*
External links
BBC Headroom- Smoking advice
Cigarette Smoking and Cancer– National Cancer Institute
Smoking & Tobacco Use– Centers for Disease Control
– U.S. Department of Health and Human Services
How to stop smoking – National Health Service UK
NY Times: Responses to the targeting of teenage smokersStudy ties more deaths, types of disease, to smoking (Feb 2015), Marilynn Marchione, ''Associated Press''
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