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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.
  • 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 14.1 Tobacco Control Efforts in the Department of Defense [PDF – 65 KB]
    • Chapter 14. Appendix 14.2 History of Tobacco Product Litigation [PDF – 59 KB]
    • Chapter 14, Appendix 14.3 Tobacco Litigation Case Summaries [PDF – 143 KB ]
    • Chapter 14. Appendix 14.4 Treatment for Tobacco Use and Dependence [PDF - 110 KB]
    • Chapter 14. Appendix 14.5 Smoking Cessation Medications [PDF - 143 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