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50 Years of Progress: A Report of the Surgeon General, 2014

This comprehensive report chronicles the devastating consequences of 50 years of tobacco use in the United States.  The report:

  • Updates data on the numerous health effects resulting from smoking and exposure to second­hand smoke and details public health trends, both favor­able and unfavorable, in tobacco use. 
  • Marks the steady progress achieved in reducing the prevalence of smoking and validates tobacco control strategies that have consistently proven to be effective. 
  • Examines strategies with the potential to eradicate the death and disease caused by the tobacco epidemic. 
  • Documents that effective interventions are available and calls for their full implementation.

The below PDFs are currently undergoing remediation for compliance with Section 508. The anticipated completion date for the remediation is the end of February. In the interim, if you need accessibility assistance with any of the content on the below file, please call 240-276-8853.

  • Cover
  • Front matter
  • Chapter 1. Introduction, Summary, and Conclusions [PDF – 2.2 MB]
  • Chapter 2. Fifty Years of Change 1964–2014 [PDF – 363 KB]
  • Chapter 3. Producing the Surgeon General’s Report From 1964–2014: Process and Purpose [PDF – 114 KB]
  • Chapter 4. Advances in Knowledge of the Health Consequences of Smoking: From 1964–2014 [PDF – 609 KB]
  • Chapter 5. Nicotine [PDF – 313 KB]
  • Chapter 6. Cancer [PDF – 7.8 MB]
    • Chapter 6. Supplement Tables [PDF – 2.2 MB]
  • Chapter 7. Respiratory Diseases [PDF – 1.2 MB]
    • Chapter 7. Supplement Tables [PDF – 313 KB]
  • Chapter 8. Cardiovascular Diseases [PDF – 1.3 MB]
    • Chapter 8. Supplement Tables [PDF – 2.8 MB]
  • Chapter 9. Reproductive Outcomes [PDF – 598 KB]
    • Chapter 9. Supplement Tables [PDF – 527 KB]
  • Chapter 10. Other Specific Outcomes [PDF – 5.3 MB]
    • Chapter 10. Supplement Tables [PDF – 1 MB]
  • Chapter 11. General Morbidity and All-Cause Mortality [PDF – 593 KB]
    • Chapter 11. Supplement Tables [PDF – 263 KB]
  • Chapter 12. Smoking-Attributable Morbidity, Mortality, and Economic Costs [PDF – 561 KB]
  • Chapter 13. Patterns of Tobacco Use Among U.S. Youth, Young Adults, and Adults [PDF – 3.1 MB]
  • Chapter 14. Current Status of Tobacco Control [PDF – 2.6 MB]
    • Chapter 14. Appendix 14.4 - Treatment for Tobacco Use and Dependence [PDF - 110 KB]
  • Chapter 15. The Changing Landscape of Tobacco Control—Current Status and Future Directions [PDF – 560 KB]
    • Chapter 15. Appendix [PDF – 1.7 MB]
  • Chapter 16. A Vision for Ending the Epidemic: Toward a Society Free of Tobacco-caused Death and Disease [PDF – 241 KB]
  • Back matter