The Tobacco Reference Guide by David Moyer

The Tobacco Reference Guide

by David Moyer, MD.

Chapter 10 Chronic obstructive pulmonary disease (COPD),

emphysema, and other lung disease

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Chronic obstructive pulmonary disease was the fourth leading cause of death in 1997,

with 109,029 deaths, or 4.7% of the total. The top three were heart disease, cancer,

and cerebrovascular disease.

CA-A Cancer Journal for Clinicians, January-February 2000, p. 22

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There are 15 million Americans with COPD. This is now the fifth leading cause of

death in the United States, deaths from COPD have increased by 22% in the last

decade, and there is a 50% total mortality in the 10 years after diagnosis, the same

mortality as breast cancer.

Allan Siefkin, M.D., lecture in San Francisco, April 14, 1999

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Chronic obstructive pulmonary disease - emphysema and chronic bronchitis - is the

leading cause of death in China, with a mortality rate five times that of the United

States. Air pollution, much from coal smoke, kills at least 1.9 million people a year in

the country, and cigarettes account for only 50% of the lung cancer risk (compared to

90% in Western countries); the greater air pollution accounts for the rest.

World Bank data reported in Earth Odyssey, Mark Hertsgaard, Broadway Books,

1998, pp. 162 and 177

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