The second fatal impact: Cigarette smoking, chronic disease, and the epidemiological transition in Oceania

The island countries of Oceania are now experiencing the epidemiological transition which has shifted patterns of morbidity and mortality from primarily infectious to mainly noncommunicable diseases. Prominent among these are many ailments known to be linked to or caused by tobacco smoking-especiall...

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Bibliographic Details
Published in:Social science & medicine (1982) 1991, Vol.33 (12), p.1327-1342
Main Author: Marshall, Mac
Format: Article
Language:English
Subjects:
Addictive behaviors
Adult and adolescent clinical studies
Advertising as Topic
anti-smoking
Biological and medical sciences
Chronic diseases
Diseases
Fatalities
Health
Humans
Industry
Medical disorders
Medical research
Medical sciences
Morbidity
Mortality Rates
New Zealand - epidemiology
Oceania
Pacific Islands - epidemiology
Pacific region
Prevalence
Preventive programmes
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Public Health
Respiration Disorders - epidemiology
Risk factors
Smoking
Smoking - epidemiology
Smoking - ethnology
smoking diseases
Social Control, Informal
Tobacco
tobacco smoking diseases anti-smoking oceania
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Summary:The island countries of Oceania are now experiencing the epidemiological transition which has shifted patterns of morbidity and mortality from primarily infectious to mainly noncommunicable diseases. Prominent among these are many ailments known to be linked to or caused by tobacco smoking-especially to smoking of flue-cured, commercially made cigarettes. Cigarette manufacture by major tobacco transnational corporations began in the Pacific during the mid-1950s and production has grown rapidly since then. Cigarettes have been marketed aggressively, with a result that they have increasingly replaced the smoking of home-grown and twist tobacco. The history of tobacco production and marketing is sketched, and the literature on chronic diseases related to smoking is summarized for the Pacific region. The rise of anti-smoking movements in Oceania is then discussed, with particular attention to the PNG case during the 1980s.
ISSN:0277-9536
1873-5347
DOI:10.1016/0277-9536(91)90276-I