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Such is the case in China and India where major studies conducted since the model was proposed have directly confirmed substantial hazards from smoking among men (particularly among those who started to smoke before age 20 years) and low smoking prevalence among women.47 Inability to apply the 1994 criteria to developing countries is an important limitation, since the WHO projects that by 2030 low and medium resource countries will account for 7 of every 10 deaths from smoking.8 Thus it is timely to reconsider how best to describe the evolution of the epidemic among men and women in different populations