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About 400 million or one in 4 people people smoke in China. State ownership of the tobacco industry only makes this worse. Enforcement of bans on smoking is lax. Experts warn that this would become a major healthcare problem in China.

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The China Cognition and Aging Study of 29000 adults over 60 years over 10 years from 2009 to 2019 shows that healthy habits of eating, exercize, socializing, cognitive activity have as much as a 90% impact in maintaining memory skills as people age. Not smoking and no alcohol are part of thehealthy habit routine. Cognitive activity includes writing and reading.

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Britain's NHS watchdog, National Audit Office, says cuts in public health spending for social care such as for obesity and smoking, by a quarter since 2014, could risk derailing achieving a key goal of preventing illness for the NHS.

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How Integrative Medicine, changes in lifestyle and diet, yoga and exercize, meditation, no smoking habits, can add up to changes in the nation's health that work more effectively than new drugs to prevent or delay the onset and progression of chronic diseases like diabetes, asthma, heart disease and of obesity, etc that consume 75% of the costs in the $2.1 trillion spent on medical care in the USA. Shockingly 95% of these costs are incurred after the onset of the disease, proving that prevention is simply not an important part of the equation.

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A study done at the University of Wisconsin's Population Health Institute by health sciences professor, David Kindig and PhD candidate Erika Cheng, shows the impact of smoking, graduation rates, poor choices and availability of food, and incomes, in declining life spans of women in some parts of the U.S.

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Rosie Millard takes up French at age 60 at London University. She lives just up the road from Birkbeck College. She comes back to the classroom in evening classes attended by people who work during the day. Here she describes her day at school learning French in a new environment of computers, the cloud, and a classroom of avid learners. Only 135,000 students in Britain took modern languages at GCSE A level with French doing the worst. Millard is bucking the trend. For seniors this is about resilience in aging as this as important as smoking cessation or cutting obesity habits say researchers to maintain a healthy vibrant brain well into the eighties and nineties.

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British Air's new all business class flights twice a day in 2009 between London city airport and either Newark or JFK.

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The major part of 4.5 million deaths have been saved in the US just by the decline in smoking. About 4.5 times the losses during Covid pandemic 4.5 million American saved lives just from the efforts to cut smoking of the last 2 decades, and better cancer screening and treatments. Stopping cigarette advertising saved millions of lives. It means letting processed food companies advertise freely, the FDA not doing its job by letting  companies use Red Dyes in food, and lobbyists for plastics companies not stopping PFAS contamination are all costing American lives in the hundreds of thousands. Cancer rate for women keeps increasing as men cancer rate drops. Men took up smoking in large numbers and the decline in smoking had a bigger impact for men's cancer rate. The overall cancer rate has dropped by 34% since 1991 largely because of the decline in smoking. Men's cancer is now almost even with women in 2021 compared to men having 1.6 times the rate of women in 1992. For women increase in breast feeding and having children at a younger age reduced some kinds of breast cancers, as women had children later, and higher use of alcohol, physical inactivity, obesity added to increase in cancer rates. ...

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The Commerce Department reports U.S. annualized growth was a low of 0.7% in the 4th quarter of 2015. Growth in the U.S. economy was 2.4% for 2015, growth was 2.4% in 2014, and 1.5% in 2013.

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A new study in the Journal of the American Medical Association shows an alarming and unsettling gap in the life expectancy of men vs. women in the US. The JAMA study shows life expectancy of women at 79 years, and of men dropping down to 73 years. Combined with lower educational opportunities for men to go to college compared to women these numbers are difficult to grapple with. The pandemic hit men harder, the opioid epidemic also hit men harder, men also have higher rates of suicide, heart disease and diabetes. Action is needed. Looking back at the turn of the century in 1900 the difference was 2 years. Decline of smoking has improved the life expectancy of men- action was taken for this to happen. 

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How the new marketing approach for drug companies and Pfizer in particular is affecting how Pfizer is marketing an anti smoking drug. the approach is measure and careful and mindful of all the difficulties in making it work for patients including the psychological aspects of smoking addiction.

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Nature Conservancy reports that trees planted in cities reduce particulate matter by between 7% and 24%.  Particulate matter are microscopic particles we breathe in when there is polluted air from automobiles, factories, or smoking. The cooling effect is about 2 degrees centigrade or 3.6 degrees fahrenheit. Outdoor air pollution causes asthma and other lung diseases, and led to premature deaths of about 3 million people in 2012, according to the World Health Organization (WHO). Hospitalization from high pollution levels is another major problem, especially in poor and middle income nations, such as Brazil, Mexico, India, China and Indonesia. Air Flow should be considered when planting trees in congested urban areas. Cities in the west also benefit from tree planting, and London has benefitted from the park spaces and tree planting.

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Pfizer's aggressive promotion of Chantix an antismoking drug. Article by Steinberg and Foulds in the Annals of Internal Medicine, suggesting treating smoking not like alcoholism but like diabetes with lifelong taking of medication like Chantix to curb craving for nicotine after cessation of smoking. The article may have been intended to promote Chantix to insurance companies to cover its use as a drug for treatment of diabetes type lifelong disease. It costs $100 a month for Chantix. The drug can cause depression and psychological disorders so the FDA is considering putting a black box warning on the drug for patients to take due care in using it. Chantix had USA sales of $680 million in 2007.

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The figures are huge and it takes the World Health Organization Framework Convention on Tobacco Control to do something however small in Japan about smoking. Now the half million vending machines that dispense cigarettes to some 26 million Japanese smokers can only dispense to adults because users have to have a special card called Taspo or tobacco passport that they insert into the vending machine. This will shift sales to convenience stores like the Lawson's chain. In Japan 29.2% of all adults and probably an even higher percentage of men smoke according to OECD data. In the US its about 17%. Like obesity and poor eating habits and the availability of fast food in the USA, smoking in Japan remains largely untouched by any efforts to educate young people and the public about the great dangers, with companies largely uninterested and the government and schools and universities largely apathetic about what are really huge health concerns that reverberate in so many ways across the fabric of society. For example a obese person consumes more health care dollars, a smoker also consumes more health care dollars. And health care dollars are scarce dollars and need to be spread out in better ways than wasted on preventable things like obesity and smoking through partnership in education and other measures between all groups and organizations in society and the government. ...

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People have to take charge of their own lives by eating healthy food and lots of fruits and vegetables, to reduce obesity in this pandemic. Studies show that people with obesity were twice as likely to end up in hospital, and 74% more likely to end up in intensive care. Efforts to rid our diets of sugary drinks and junk or processed foods need to be escalated, and exercize, walking, cycling, other activity need to be made part of our daily activity. This needs to be taken up as a fight for life, a war against decades of neglect and reckless behaviour in eating habits.  Even vaccines will not work well when body mass index BMI is over 30. Obesity has reached unbelievable and scary levels - 66% in the UK, U.S., high in the Middle East, and increasing all over the world. Added risk is high smoking levels in China and India. Coca Cola takes the place of water in parts of Mexico where obesity is high and Mexico has suffered from high coronavirus cases. ...