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JAMA. 2004;291:814.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

MMWR. 2004;53:49

In January 1964, the first Surgeon General's Report on Smoking and Health was the first official recognition in the United States that cigarette smoking causes cancer and other serious diseases. The landmark report prompted a series of public health actions reflecting changes in societal attitudes toward the health hazards of tobacco use. Among the actions were banning tobacco advertising on broadcast media; developing effective treatments for tobacco dependence; and issuing 27 Surgeon General's reports on such topics as environmental (i.e., secondhand) tobacco smoke, which led to creation of smoke-free public places, restaurants, and bars.

As a result of these and other efforts, during 1963-2002, per capita daily consumption of cigarettes among adults aged 18 years declined from 4,345 cigarettes to 1,979, the lowest figure recorded since 1941.^1-2 Current smokers in the United States are now outnumbered by former smokers. However, despite this progress, smoking remains the foremost preventable . . . [Full Text of this Article]