As each year went by there were more medical papers linking smoking to cancer and premature death until it became irrefutable smoking was bad for peoples health
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A comprehensive time series analysis of the effectiveness of tobacco control measures in Australia in 2008 concluded that the most effective population level interventions were price control through excise and hard-hitting mass media antismoking campaigns, with a synergistic benefit when used in tandem.33 Over the past decade, while excise has reached best-practice levels, there has been little or no commensurate investment in antismoking campaigns, other than targeted campaigns to tackle smoking by Aboriginal and Torres Strait Islander peoples.34 In this study, only cancer types which have been shown to have an established relationship with cigarette smoking were included,6 but it should be acknowledged that smoking may also increase mortality from cancers for which there is limited evidence that smoking is a risk factor.35 For example, previous studies reported that smokers diagnosed with prostate cancer have poorer survival outcomes than non-smokers,17 and it has also been reported that women who were smokers at the time of breast cancer diagnosis are more likely to develop systemic recurrence after surgery.36 In addition, smoking can decrease the effectiveness of many cancer treatments, so quitting smoking is likely to have a range of benefits for smokers who are diagnosed with cancer.37 Furthermore, as tobacco smoking is also known to increase the risk of developing many non-cancer diseases,38 which are not included in this study, the wider benefits from tobacco control on all deaths directly attributable to smoking will be even greater than we have estimated here
