Consultant Oncologist
Govt T.D.Medical College Hospital, Alappuzha





! Tobacco use is the single most modifiable risk factor for cancer

! In India 48% cancers in men and 20% cancers in women are due to tobacco usage

! There are nearly 4000 and 3000 chemical constituents in tobacco smoke and smokeless tobacco respectively

! Majority of chemicals present in tobacco like tobacco specific nitrosamines, polycyclic aromatic hydrocarbons, aromatic amines, naphthalene etc; have proved to cause cancer

! Nicotine present in tobacco cause addiction or dependency

! 89% of lung cancer is caused by tobacco. Among the different cancer types, lung cancer has very bad outcome even after treatment. Intelligent approach is ‘’avoid tobacco, save yours & others life”

! Other cancers which have very strong association with tobacco use are oral cavity (mouth) cancers, esophagus (food pipe), pharynx and larynx (voice box) cancers and even leukemia (Blood cancer).

! Smoking is also associated with cancers of stomach, pancreas, urinary bladder, ureter and uterine cervix.

! There is NO safe “tobacco product’’ & and there is NO “safe limit ‘’ in tobacco use. All tobacco products are hazardous.

! Sit alone and just think why you spend your money and smoke, were in return you get the dreadful disease.