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INTRODUCTION In Karachi there are an estimated eight million smokers at present If each smoker spends just Rs 20 per day Rs 16 million are wasted in smoking cigarettes In addition people on the treatment of smoking related diseases every year spend several billion rupees Thus the economics loss to the city of Karachi as a result of tobacco use is huge Experience from the western world has shown that controlling tobacco consumption in a country actually saves money The city government of Karachi unlike other governments in the country has so far not taken any concrete step toward the control of this epidemic The government probably fears that by controlling tobacco they will lose the revenue generated from taxation on cigarettes and the marketing of the cigarette brands through the hoardings According to the experts of WHO and World Bank controlling tobacco use will bring unprecedented health benefits without harming the economy of the country There are over 7000 scientific studies published in various international journals which prove the serious harm caused to human health from tobacco use Up to 90 percent of lung cancer and 80 percent of deaths from chronic obstructive lung disease in Karachi are caused by tobacco use Tobacco use is also the most important risk factor for heart attack Smoking is also a risk factor for cancer of the kidney buccal cavity food pipe larynx bladder pancreases and breast Smokers have a poor quality of life compared to that of non-smokers The harmful effects of tobacco use are not just confined to the smokers alone those who live or work close to smokers are also at an increased risk of various diseases including lung cancer heart attack child hood respiratory disease effusion in children asthma eye nose and throat irritation and cot death Following are the main reasons and causes for smoking 1Advertising 2Price 3Media role and lack of Health Education Programme 4Few smoking cessation clinics 5Anti Tobacco Law
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