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Strangely, it seems that a hundred years ago no one noticed or cared about the health hazards of smoking, even though for as long as there have been tobacco smokers there certainly must have been smoking-related deaths. Fortunately, in the past fifty years increased public awareness of the deleterious effects of tobacco smoke, whether first or second hand, has led to a decrease in the use of cigarettes by adults in America from 42.4% in 1965 to 17.8% in 2013. Fiscal and social factors, such as increased taxes and laws banning smoking in public areas, as well as a reversal in the media presentations, from ads for cigarettes to government-sponsored anti-smoking propaganda, have been instrumental in promoting this decrease, and those who have been able to quit, or were discouraged from acquiring the addiction, could expect, on average, an additional ten years of life. However, as impressive as this decline in smoking has been, for tens of millions of Americans with a desire to quit smoking, the addiction remains insurmountable, even with the smoking cessation aids and programs currently available.
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