tambaakoo aur anya nasheele padaarthon ke istemaal ke beech sambandhon ko achhi tarah se sthaapit kiya gaya hai, lekin is saahacharya ki prakruti aspasht bani hui hai. do mukhya siddhaant fenotaaipik kaaryakaaran sambandh (getave) model aur sahasambaddh daayitv model hain. kaaryakaaran sambandh model ka tark hai ki dhoomrapaan bhavishya mein nasheeli davaaon ke prayog ka ek praathamik prabhaav daalata hai,[102] jabki sahasanbaddh daayitv model ka tark hai ki dhoomrapaan aur anya nasheeli davaaon ke prayog aanuvanshik ya paryaavaraneeya kaarakon se nirdisht hain.[103]

apratyaksh dhoomrapaan tambaakoo ke dhuen ka anaichhik sevan hai. second hand dhoomrapaan (SHS) vah khapat hai jahaan sulagane ka sira maujood hota, paryaavaran tambaakoo dhoomrapaan (ETS) ya thard hand dhoomrapaan vah dhoomrapaan hai jiska upabhog jalne vaale sire ke baad bhi hota rahata hai. iske nakaaraatmak prabhaav ke kaaran upabhog ke is svaroop ne tambaakoo utpaadon ke viniyman mein ek keindreeya bhoomika nibhaai.
vipanak (adhikatar) yah jaanakar prasann honge ki sampoorn maanav-vishisht kaaryon ke svachaalan ko saksham karane vaalee unnat takaneek ke saath 2017 mein svachaalan ek bada aadhaar ban jaega. hamaare paas kuchh varshon ke lie prachalan mein robot patrakaar the, aur mujhe ummeed hai ki ve adhik vyaavahaarik prakaar ke lekhon mein ek aur chhalaang lagaane se pahale lambe samay tak nahin rahenge. aisa hone kee sambhaavana hai ki ham kaee prakaar kee shvet-kolar prakaar kee naukariyon mein utpaadakata badhana shuroo kar denge- aur ham kuchh naukariyon ko pooree tarah se gaayab hone se dekhana shuroo karenge. jab otomeshan masheen seekhane ke saath joda jaata hai, to sab kuchh bhee tez ho sakata hai, isalie 2017 mein vaastav mein ek meel ka patthar varsh hone kee sambhaavana hai.

1995 se 1970 ke beech gareeb vikaasasheel deshon mein prati vyakti cigarette ki khapat mein 67 pratishat ki vruddhi hui hai, jabki usamein ameer viksit duniya mein 10 pratishat giraavat aayi hai. dhoomrapaan karne vaalon mein se assi pratishat ab kam viksit deshon mein rahate hain. 2030 tak vishv svaasthya sangathan (WHO) ki bhavishyavaani hai ki 10 million logon ki maut prativrsh dhoomrapaan se sambandhit beemaariyon se hogi jo duniya bhar mein maut ka ek sabse bada kaaran hoga, mahilaaon mein iski sabse badi vruddhi hogi. WHO ki bhavishyavaani hai ki 20 veen sadi mein dhoomrapaan se hui mauton ki daron mein 21 veen sadi mein das guna vruddhi hogi. ("Washington"(Washingtonian) patrika, December 2007).
vishv svaasthya sangathan ka anumaan hai ki tambaakoo ki vajah se 2004 mein 5.4 million logon ki mrutyu hui[75] aur 20 veen sadi ke dauraan 100 million se adhik logon ki mrutyu hui.[76] isi tarah, sanyukt raajya America rog niyantran aur nivaaran kendra ne tambaakoo ka prayog ka varnan viksit deshon mein maanav svaasthya aur duniya bhar mein samay se pehle maut ke sabse mahatvapoorn jokhim vaale kaarak ke roop mein ki hai."[77]
↑ a aa The World Health Organization, and the Institute for Global Tobacco Control, Johns Hopkins School of Public Health (2001). "Women and the Tobacco Epidemic: Challenges for the 21st Century" (PDF). World Health Organization. pp. 5–6. Archived from the original on 2003-11-28. http://web.archive.org/20031128122821/www.who.int/tobacco/media/en/WomenMonograph.pdf. abhigman tithi: 2009-01-02.
1980 ke dashak mein mile vaigyaanik pramaan ke anusaar tambaakoo companiyaan ne daava kiya hai ki laaparavaahi baratne ka kaaran svaasthya par padne vaale pratikool prabhaav se pehle unka anajaan hona tha ya paryaapt vishvasaneeyata ka abhaav tha. svaasthya adhikaariyon ne 1998 tak in daavon ka saath diya jiske baad unhonne apni sthiti ulat di. tambaakoo pradhaan niptaan samjhauta (the tobaiko master saitalameint egreemeint) mool roop se chaar sabse badi tambaakoo companiyon aur 46 raajyon ke ameriki etorni general ke beech hua. tambaakoo ke kuchh khaas prakaar ke vijnyaaapanon par pratibandh laga diya gaya aur svaasthya muaavaje ke taur par bhugataan ko aavashyak kar diya gaya, jo baad mein sanyukt raajya America ke itihaas mein sabse bade naagrik niptaan ke roop saamane aaya.[36]

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