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Alice H. Cooper and Paulette Kurzer

The puzzle explored in this article is why Germany, in spite of its

superb record in environmental policy and health care, has systematically

thwarted measures to reduce smoking rates. At this point,

thousands of large-scale epidemiological findings demonstrate a relationship

between smoking and disease. Moreover, unlike alcohol,

there is no safe amount of smoking. Cigarettes kill, and smoking is

the single largest source of preventable death in advanced industrialized

states. By various estimates, tobacco kills 500,000 Europeans

per year, including 120,000 Germans. Globally, in the years 2025 to

2030, smoking will kill 7 million people in the developing world and

3 million in the industrialized world. No other consumer product is

as dangerous as tobacco, which kills more people than AIDS, legal

and illegal drugs, road accidents, murder, and suicide combined.