Tobacco smoking is now generally accepted as the most important cause of premature death and of much chronic ill health in most industrialized countries. In recent years - fostered by ruthless marketing by the multinational tobacco companies - the habit has been increasing in many developing countries, which will add a further burden of smoking-related disease to their already heavy burdens of communicable disease and malnutrition. Tobacco smoking is also increasing in many Eastern European countries, threatening to worsen a health record that is already causing much international concern.
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