FIGURE 2 | Trends in cigarette consumption and male lung cancer rates, 1920–2005.

From the following article:

Avoidable global cancer deaths and total deaths from smoking

Prabhat Jha

Nature Reviews Cancer 9, 655-664 (September 2009)


Avoidable global cancer deaths and total deaths from smoking

The number of cigarettes consumed per adult (males are used as the appropriate denominator for cigarette smoking as few females currently smoke in Asia) and the age-standardized lung cancer rates over time by country. The widespread automation of cigarette production in the early twentieth century turned cigarettes into a global commodity94. Lung cancer was a rare disease before the Second World War, and the large increase in lung cancer rates lagged behind consumption by three or more decades. The mean consumptions in Chinese men were 1, 4 and 10 cigarettes per day in 1952, 1972 and 1992, respectively, which were similar to the increases in cigarette consumption that were reported 40 years earlier in the United States (US)34, 49. China has reported a marked increase in cigarette production since 2000. Increases in exposure to smoking at very young ages, combined with prolonged exposure, would be likely to increase the age-specific death rates in the future in China, Indonesia and other countries.

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