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The most recent data are for 2004, at which time 42% of boys and 27% of girls in their final year of school (aged 17-18) admitted having tried smoking at least once, while 13% of boys and 4% of girls smoked every day, and a further 8% of boys and 5% of girls had smoked at least once in the previous month.32 The future health risks to young Japanese smokers such as these will be substantial unless they manage to stop.33 Although many reports of the risks of smoking among the Japanese have suggested lower risks than studies carried out in Western populations, it is likely that this is due mainly to the inclusion of a large number of individuals who were born in the first quarter of the 20th century and started smoking at later ages and at lower intensities than do Japanese people born more recently

And prenatal tobacco smoke exposure among women is the most prevalent preventable cause of neonatal morbidity, preterm delivery, and low birthweight as well [11]

Glatt, MD, serves as assistant rabbi of the Young Israel of Woodmere in New York and chairman of the Department of Medicine, Mount Sinai South Nassau

and make healthy lifestyle changes