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19 Iyar 5759 - May 5, 1999 | Mordecai Plaut, director Published Weekly
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Battle Against Smoking Gets Results

by N. Katzin

A new report appearing in the Israeli Medical Association's journal, Refu'ah, states that during the past twenty years there has been a significant decline in the number of smokers in Israel. As a result, there has been a distinct drop in the number of lung cancer victims.

Smoking is the main cause of lung cancer. 90% of the victims of this type of cancer have contracted it due to smoking. Researchers from the National Center for Disease Control of the Health Ministry along with the Epidemiological and Preventive Medicine Departments of Tel Aviv University compared information on smoking exposure and information on lung cancer mortality among the Israeli populace.

The rate of smokers was found to be in a state of constant decline during the past two decades. However, the decline more significant among adults than among young people.

60% of the deaths in Israel are caused by heart ailments and cancer, diseases whose main behavioral risk factor is smoking. According to worldwide research, the risk of contracting lung cancer among smokers, in comparison with non- smokers is 9-15% higher. The risk increases according to the number of years one smoked as well as the amount of cigarettes smoked.

Public awareness of the hazards of smoking has greatly increased since 1980, while the percentage of smokers has dropped significantly, from 42% of the country's populace in 1979, to 28% in 1996 -- a drop of 33%. The decline in the percentage of smokers was mainly among adults, and much smaller among the younger generation.

According to medical literature, the added risk of contracting lung cancer decreases five years after one stops smoking. The risk continues to drop even twenty years after one has stopped smoking. Consequently, the decrease in the percentages of smoking during recent decades was expected to have shown its marks by now. However, since in the younger age bracket there was no significant drop in the rate of smokers, there has been no decline in the mortality of older age groups. They say that the expected drop has yet to become apparent in the mortality statistics.

The study also shows that the mortality rates from lung cancer in Israel are relatively lower than those of other countries in the Western world, given the smoking rates here. The reason for this is not yet known. Researchers conjecture that this is caused by the relatively low levels of other environmental factors linked to lung cancer, such as alcohol consumption, depression, different nutrition, as well as genetic differences.

According to the findings of a recent study conducted at Sha'arei Tzedek, more Jewish adolescents than their Arab counterparts smoke due to social pressure. Most of the Jewish youngsters received their first cigarette from a friend, and the most widespread reason they offered for their habit was their need for social acceptance.

Professor Eitan Kerem, Director of the Children's Lung Unit in Sha'arei Tzedek who headed the research team, noted that the results of the study indicate that smoking prevention programs in the Jewish sector of the country should concentrate on coping with social pressures, and place less emphasis on the hazards of smoking.


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