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LetterLetters

Environmental effect of smoking cessation

Samantha Green and Meghan Davis
Canadian Family Physician December 2021, 67 (12) 882-883; DOI: https://doi.org/10.46747/cfp.6712882_1
Samantha Green
Toronto, Ont
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Meghan Davis
Hamilton, Ont
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We thank the authors for their useful review of bupropion for smoking cessation in adolescents, published in the climate change–themed October issue of Canadian Family Physician.1 We would like to highlight that smoking cessation, in addition to being good for patient care, is a climate change intervention. Helping a patient quit smoking prevents tobacco-related illness and reduces the carbon footprint of both cigarette production and the health care burden of tobacco-related illness.

Producing just 1 cigarette takes 3.7 L of water and 3.5 g of oil, making cigarette production responsible for 0.2% of global carbon emissions.2 Additionally, tobacco and cigarette production reduces the capability of agricultural land to produce food for consumption, increasing food insecurity in vulnerable populations and contributing to deforestation.2,3

Every health care activity has an environmental impact. Every procedure, test, and treatment consumes energy and resources, and produces waste.4 By enabling our adolescent patients to stop smoking, we can substantially improve their health, and also reduce the carbon emissions that would have been associated with tobacco production and tobacco-related illness.

Acknowledgment

We acknowledge Tatiana Gayowsky, HBASc, Project Coordinator for the Hamilton Family Health Team Green Initiative, for her research data on cigarettes.

Footnotes

  • Competing interests

    Nore declared

  • Copyright © 2021 the College of Family Physicians of Canada

References

  1. 1.↵
    1. Yan T,
    2. Goldman RD.
    Buproprion for smoking cessation in adolescents. Can Fam Physician 2021;67:743-5 (Eng), e285-7 (Fr).
    OpenUrlAbstract/FREE Full Text
  2. 2.↵
    1. Zafeiridou M,
    2. Hopkinson NS,
    3. Voulvoulis N.
    Cigarette smoking: an assessment of tobacco’s global environmental footprint across its entire supply chain. Environ Sci Technol 2018;52(15):8087-94. Epub 2018 Jul 23.
    OpenUrlCrossRefPubMed
  3. 3.↵
    1. Otañez M,
    2. Glantz SA.
    Social responsibility in tobacco production? Tobacco companies’ use of green supply chains to obscure the real costs of tobacco farming. Tob Control 2011;20(6):403-11. Epub 2011 Apr 19.
    OpenUrlAbstract/FREE Full Text
  4. 4.↵
    1. MacNeill AJ,
    2. McGain F,
    3. Sherman JD.
    Planetary health care: a framework for sustainable health systems. Lancet Planet Health 2021;5(2):e66-8.
    OpenUrlCrossRefPubMed
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Canadian Family Physician: 67 (12)
Canadian Family Physician
Vol. 67, Issue 12
1 Dec 2021
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Environmental effect of smoking cessation
Samantha Green, Meghan Davis
Canadian Family Physician Dec 2021, 67 (12) 882-883; DOI: 10.46747/cfp.6712882_1

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Environmental effect of smoking cessation
Samantha Green, Meghan Davis
Canadian Family Physician Dec 2021, 67 (12) 882-883; DOI: 10.46747/cfp.6712882_1
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