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). 

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.


shalya chikitsa, yahaan tak ki ek chhote paimaane par bhi, apne jokhim saath laati hai. RFID chip pratyaaropan bhi koi apavaad naheen hai. "yoojing radio freekveinsi aaidenteefikeshan (RFID) teknolaaji in hyumans in the United states for total control,"[12] ke lekhak David bi smith ke anusaar, smith svaasthya jokhimon ka udaaharan dete hain jaise "... pratikool ootak pratikriya, pratyaaropit traansapondar ka pravaas, samjhauta soochana suraksha, pratyaaropit traansapondar ki vifalta, pratyaaropan ki vifalta, electronic skainar ki vifalta, vidyut chumbakeeya hastakshep bijli ke khatre, chunbakeeya anunaad imejing asangati aur needal stick"(38). is tarah ke jokhim kisi ko bhi ho sakte hain.
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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