BAT Vietnam - The health risks of smoking

Traditionally, epidemiology has been used to identify associations that point to possible causes of a disease, providing direction for thorough laboratory investigations. With smoking, many laboratory investigations over the years have proved more problematic, and science has not to date been able to identify biological mechanisms which can explain with certainty the statistical findings linking smoking and certain diseases, nor has science to date been able to clarify the role of particular smoke constituents in these disease processes.

This means that science is still to determine which smokers will get a smoking related disease and which will not. Nor can science tell if an individual became ill solely because they smoked. This is, in part, because all the diseases that are associated with smoking also occur in life-long non-smokers.

We do not point out these scientific limitations to cast doubt on the fact that smoking is a cause of serious disease. An important point is that the lack of complete understanding about the biological aspects of the disease mechanisms, and the role of particular smoke constituents, create uncertainty for efforts to design less harmful cigarettes. British American Tobacco's work for many years has included, and still does, research into the assessment of potentially less harmful cigarettes. British American Tobacco remains committed to this work, although the scientific uncertainties make it a major challenge.

What people should consider:

•  Smoking is a cause of various serious and fatal diseases.
•  The health risks in groups vary by the amount smoked, being highest in those that smoke for more years, more cigarettes per day.
•  The risks reduce in groups of people who quit smoking, and the reductions increase from quitting earlier.
•  Experts advise against smoking during pregnancy – and we agree.
•  The only way to be certain of avoiding the risks of smoking is not to smoke.