Tobacco use report released by the US Surgeon General

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Updated Nov 22, 2024 | 03:00 AM IST

Half A Million People Die Of Tobacco Use, But Some Are More At Risk

SummaryDespite a 70% decline in smoking rates since 1965, tobacco remains the top cause of preventable deaths in the US. Disparities persist, with passive smoking alone posing significant risks. Know more on how smoking impacts health.

The US Surgeon General Vivek H Murthy released a report on tobacco-related disease and death, addressing health disparities. "Tobacco use imposes a heavy toll on families across generations. Now is the time to accelerate our efforts to create a world in which zero lives are harmed by or lost to tobacco,” he said.

As per the report, "Smoking has declined more than 70% in the United States since 1965. However, progress achieved through improvements in tobacco-related policies, regulations, programs, research, clinical care, and other areas, has not resulted in the same outcomes across all U.S. population groups."

The HHS Secretary for Health Xavier Bacerra said that tobacco use continues to decline, however it still remains the leading cause of preventable death in the United States. He also reflected on the fact that progress is still not across all populations and communities.

What Can Smoking Do To You?

As per Dr Mickey Mehta, also associated with prominent hospitals and organizations, including Jaslok Hospital, Asian Cancer Institute, and Tata Memorial, "Smoking rapidly increases insulin resistance; a primary characteristic feature of the disease type 2 diabetes. Nicotine and other chemicals in cigarette smoke impair the body's capacity to utilize its own insulin appropriately. Eventually, that makes it difficult to regulate blood sugar level by causing hyperglycemia (high blood sugar), one among the most common side effects of diabetes."

How Does It Affect You?

Your lung contains around 500 million tiny air sacks, known as alveoli that pull oxygen from the air when you breathe and releases carbon dioxide when you exhale. Smoking destroys these air sacks by killing the cells that line them, thus causing your lung to damage, overtime.

Lung cancer is also the most common cancer worldwide and claims around 1.8 million lives each year. The study also mentioned that by reducing smoking rates to 5% by 2050, it could extend life expectancy by one year for men and 0.2 years for women. It could actually lead to saving 876 million years of life, if the number of men and women is combined.

Murthy also pointed out that nearly half a million people each year lose their life due to smoking and secondhand smoke, also known as passive smoking.

What Is Passive Smoking And How Can It Affect You?

Passive smoking occurs when a non-smoker inhales smoke released by someone else's tobacco product, such as a cigarette or cigar. This exposure is harmful because the smoke contains over 7,000 chemicals, of which at least 70 are known carcinogens.

The toxic chemicals in tobacco smoke can cause genetic mutations in lung cells, leading to cancer. Passive smoke contains the same cancer-causing agents as directly inhaled smoke. When non-smokers are repeatedly exposed, these harmful substances accumulate in the lungs, damaging cells and causing inflammation. Prolonged exposure to secondhand smoke can weaken the respiratory system, which leads to conditions where cancer is more likely to develop. Research shows that non-smokers regularly exposed to smoke are as likely to develop lung cancer as smokers who smoke about one to two cigarettes daily.

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Updated Apr 27, 2025 | 07:44 AM IST

Men's Health: Why Do Men Visit Doctors Less?

SummaryOn an average, men die five years earlier than women. They are also more likely to suffer from preventable conditions that could be caught through regular routine checkups. The narrative that men should "tough it out", not only endangers individual lives, but also contributes to a broader public health problem.

Despite having access to better information and healthcare than ever before, many men still avoid seeing doctors, unless it is absolutely critical. The reasons being outdated cultural norms, and idea of masculinity that often push men to vulnerability and pain. It also includes being ignorant about their physical health issues.

On an average, men die five years earlier than women. They are also more likely to suffer from preventable conditions that could be caught through regular routine checkups. The narrative that men should "tough it out", not only endangers individual lives, but also contributes to a broader public health problem.

What Do The Numbers Say?

A Cleveland Clinic survey revealed that close to 60% of men do not regularly see a doctor. Nearly half stated that they do not talk about their health. Instead they are far more likely to talk about sports, current events, or work. Only 7% of men reported regularly discussing their health.

According to the Centers for Disease Control and Prevention (CDC), women are 33 percent more likely than men to visit the doctor, and women are 100 percent better at keeping up with preventive care such as routine screenings. This disparity holds even when adjusting for pregnancy-related visits.

Similarly, a UK study published in BMJ Open found that men’s consultation rates were 32 percent lower than women’s, especially in the 16 to 60 age group. Even when men had similar medical conditions, they were slightly less likely to consult a doctor than women — but the gap narrowed significantly when reproductive health visits were excluded.

Why Men Stay Away From Doctors?

The reasons are more psychological and emotional than practical. According to an online survey commissioned by Orlando Health, the most common excuses men give for avoiding annual doctor visits are:

  • They’re too busy
  • They fear being diagnosed with something serious
  • They’re uncomfortable with intimate or invasive exams

Prostate checks, testicular exams, and colon screenings are often cited as particularly awkward experiences. These fears, combined with social conditioning to appear invincible, lead many men to delay care — sometimes until it’s too late.

In fact, nearly 1 in 5 men in the Cleveland Clinic survey admitted they only visit the doctor because a loved one nags them to go.

What Can Be Done?

Recognizing this gap, health organizations are developing creative strategies to connect with men. INTEGRIS, a health system in Oklahoma, launched Men’s Health University 15 years ago to directly address male health awareness. The initiative offers screenings at sporting events, cooking demonstrations, and wellness fairs — making the experience more social, accessible, and stigma-free.

Steve Petty, director of community health at INTEGRIS, emphasized the importance of such outreach. In 2018, their screenings found that 67 percent of participating men had abnormal blood pressure, and 40 percent had concerning blood sugar levels — both red flags for serious conditions like hypertension and diabetes.

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Updated Apr 26, 2025 | 07:10 PM IST

Research Finds Treating High Blood Pressure Could Cut The Risk Of Dementia By 15%

SummaryMillions of people across the globe suffer with dementia. It is a disease that exists with no cure and definitive prevention. However, a new study shows that you may be able to slash its risk by 15% by making this change.

Dementia is a condition that devastates many people across the globe. According to the World Health Organization (WHO), in 2021, 57 million people had dementia worldwide and 60% of them were living in low and middle-income countries. Dementia is the result of various injuries to the brain, and it is the seventh leading cause of death globally.

While the symptoms of dementia are well-known and understood, a way to cure it has not been made yet. The risk factors include family history, lifestyle choices etc. So, there can be a touch and go reason as to why someone developed dementia. However, a new study has revealed a way to cut the risk of this condition.

According to the Cleveland Clinic, dementia can be influenced by several other issues like inflammation, thyroid problems etc. So, if one can control these issues, does that slash the risk of dementia?

A study published in the Nature Medicine April 2025 has discovered that if people take steps to get their high blood pressure under better control, they might be able to lower their chances of developing dementia quite a bit – by as much as 15%. What's interesting is that this study also found that making two specific changes to what people eat can play a big part in achieving this lower risk. This suggests that managing blood pressure isn't just about taking medicine; what we eat every day can also have a significant impact on protecting our brains from dementia later in life.

How Did The Study Find This?

Researchers conducted a study over four years with a large group of people living in rural parts of China. They included almost 34,000 adults who were 40 years old or older. The researchers divided these people into two groups. One group, with about 17,400 people, received special help to manage their high blood pressure.

This help included getting blood pressure medication, learning how to check their blood pressure at home, and getting advice on how to live a healthier lifestyle, like losing weight, eating less salty food, and drinking less alcohol. The other group just received the usual medical care for their blood pressure.

The people who received the more intense help to manage their blood pressure not only had a 15% lower chance of being diagnosed with dementia during the four years of the study, but they also had a 16% lower chance of experiencing cognitive impairment.

Cognitive impairment means having difficulties with important brain functions like thinking clearly, remembering things, and solving everyday problems. This shows that really focusing on getting high blood pressure under control can have a big impact on protecting people's brain health and reducing their risk of these serious conditions.

Why Do Researchers Want People To Make This Change Worldwide?

In their report, they strongly suggested that the methods they used in the study – which included medication and lifestyle advice – should be used more widely across the world. They believe that if more people with high blood pressure received this kind of comprehensive care, it could significantly reduce the number of people who develop dementia globally, which is a huge concern for public health.

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Updated Apr 26, 2025 | 12:03 PM IST

This Common Sign After Eating Food Could Be An Early Symptom Of Cancer

SummaryDeadly diseases can often present themselves as harmless symptoms, causing people to ignore them. The more you overlook these signs, the more you are likely to fall seriously ill. One such sign could be an early symptom of cancer.

Sometimes serious health issues fail to get recognized due to their simple symptoms. Many times, things as simple as a persistent cough, or a fever, can end up being a sign of a concerning health issue. Since we deal with these issues on a daily basis, people often do not get them checked out by a doctor; instead, they choose to stay home and recuperate.

However, having information about the same goes a long way. Experts explain these symptoms and issues to people on various platforms, like social media or governmental portals. One such warning was issued by the National Health Service, England (NHS) about a common warning sign, that many people experience after eating.

NHS says this feeling of ‘heartburn’ could actually be one of the "least-recognised" signs that someone might have cancer. What's concerning is that a large majority of people in Britain, around 79% according to their findings, would not even think that this particular symptom could be a signal of a deadly disease growing inside their body. This lack of awareness means that crucial early warning signs could be easily overlooked, potentially delaying diagnosis and treatment, which can have serious consequences for the outcome of the illness.

Heartburn Could Be A Serious Concern

A new survey that was carried out by NHS England revealed a worrying trend: many of the initial warning signs that could point towards cancer are being easily missed by the general public. One of the key examples they highlighted is heartburn and indigestion. These are feelings that a lot of people experience from time to time, often as a result of eating too much, eating their food too quickly, or consuming certain types of foods that don't agree with them.

However, the NHS experts are emphasizing that heartburn that persists for a period of three weeks or even longer could be an early indication of oesophageal cancer. This is a particularly dangerous form of cancer that sadly leads to the deaths of around 8,000 people in the United Kingdom every single year, making early detection absolutely vital for improving survival rates.

Recognizing Changed Signs

To get a better understanding of what the public knows about cancer symptoms, NHS England conducted a survey that involved a significant number of people, around 2,000 individuals in total. The results of this survey were quite revealing. They found that heartburn, specifically heartburn that lasts for three weeks or more, was the cancer symptom that people were least likely to recognize as a potential warning sign.

Eight out of every ten people who were surveyed, which translates to 79% of the participants, did not identify this persistent heartburn as something that could possibly indicate cancer. However, heartburn wasn't the only symptom that wasn't widely recognized. The survey also showed that more than half of the people didn't recognize blood in their urine (even if it happened just once), nearly half didn't recognize unexplained weight loss, and over four in ten people didn't recognize an unexplained lump anywhere on their body as a potential sign of cancer.

Signs You Should Not Ignore

NHS England advises contacting your doctor if you notice any of the following: lumps, changes in moles, blood in poo or pee, unusual bleeding, a cough lasting three weeks or more, mouth sores that don't heal, tummy trouble, unexplained tiredness, ongoing heartburn, unusual poo, unexplained pain, or bloating.

Other less common signs of oesophageal cancer include trouble swallowing, feeling sick, a persistent cough, a hoarse voice, loss of appetite or weight loss without trying, tiredness, throat or chest pain when swallowing, and black poo or coughing up blood.

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