Major Conclusions of the 2004 Surgeon General Report1
Smoking harms nearly every organ of the body, causing many diseases and reducing the health of smokers in general.
Quitting smoking has immediate and long-term benefits, reducing risks of diseases caused by smoking and improving health in general.
Smoking cigarettes with lower machine-measured yields of tar and nicotine provides no clear benefit to health.
The list of diseases caused by smoking has been expanded to include abdominal aortic aneurysm, acute myeloid leukemia, cataract, cervical cancer, kidney cancer, pancreatic cancer, pneumonia, periodontitis, and stomach cancer. These are in addition to diseases previously known to be caused by smoking, including bladder, esophageal, laryngeal, lung, oral, and throat cancers; chronic lung diseases; coronary heart and cardiovascular diseases; and reproductive effects and sudden infant death syndrome.
Brief Interventions to Treat Tobacco Dependence7,81: The 6 A's for Brief Intervention to Treat Tobacco Dependence
Anticipate risk of tobacco use
Routinely ask parents about smoking.
Make parents aware of age of smoking onset.
Discuss health effects of tobacco use.
Be aware of populations at increased risk of tobacco initiation.
Ask about tobacco use
Identify and document tobacco-use status and secondhand smoke exposure for every patient at every visit.
Advise to quit
In a clear, strong, and personalized manner, urge every tobacco user to quit and nonusers to remain tobacco free. (Focus on short-term effects with youth; remind parents of their responsibility as role models.)
Assess willingness to make a cessation attempt
Is the tobacco user willing to make a cessation attempt at this time? (Assess risk of future tobacco use; praise and reinforce healthy decisions; help youth practice refusal skills.)
Assist in cessation attempt
For the patient willing to make a cessation attempt, use counseling to help him or her quit. (Set a quit date; provide brief counseling and self-help materials; refer to quit line.)
Schedule follow-up contact, preferably within the first week after the cessation date. (Monitor progress and problems; reinforce antismoking messages; discuss possibility of relapse and ways to prevent relapse.)