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Every year, more than 20,000 Malaysians are killed by tobacco-related diseases. Studies show that more men and women die in Malaysia from tobacco-related diseases than on average in middle-income countries. What is more alarming is that you don’t need to be a smoker to be at risk. The Global Adult Tobacco Survey 2012 on Malaysia revealed that four out of 10 adults were found to be exposed to secondhand smoke at home (7.6 million adults), and four out of 10 were found to be exposed to secondhand smoke indoors at their workplace (2.3 million adults). Among those adults who visited a restaurant in the past 30 days, seven out of 10 would have been exposed to secondhand smoke (8.6 million adults). 4. Another critical area of consideration is economics. Tobacco use reduces overall national incomes by up to 3.6%. At the society level, direct costs are estimated from public and private medical costs of treating cigarette-related diseases. According to a study reported by Bernama in 2007, three smoking-related diseases – ischemic heart disease, lung cancer and chronic obstructive pulmonary disease – consumed about RM3.5bil of Malaysia’s healthcare budget.

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Addictive behaviours. 2008; 1012:1691-1715. A Report of the Surgeon General: Preventing hazards of smoking and benefits of cessation in the United States. Department of Health and Human Services, enters for Disease Control and Prevention, National Preventing Tobacco Use among Youth and Young Surgeon General. The American Psychologist. Human Services USDHHS. U.S. - 50 Years of Progress. Department of Health and Human Services, enters for Disease Control and Prevention, National Tobacco-Free Consumer Booklet. U.S. DiFranza BR. Effect of smoking on skin elastic fibres: Surgeon General. U.S.

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