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Drinking SmokeThe Tobacco Syndemic in Oceania$
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Mac Marshall

Print publication date: 2013

Print ISBN-13: 9780824836856

Published to Hawaii Scholarship Online: November 2016

DOI: 10.21313/hawaii/9780824836856.001.0001

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Introduction and Historical Background

Introduction and Historical Background

(p.5) Chapter 1 Introduction and Historical Background
Drinking Smoke

Mac Marshall

University of Hawai'i Press

This introductory chapter asserts that the main causes of death for Pacific Islanders today are from noncommunicable diseases (NCDs) such as coronary heart disease, cancer, diabetes, and chronic obstructive pulmonary disease (COPD). Prior and Tasman-Jones refer to this collection of maladies as “the smoking disease.” They have multiple causes, many of which reflect the profound changes that have occurred in Islanders' lives, especially over the past half-century—including anew diet high in saturated fats, sugar, and salt; much lower levels of physical exercise that contribute to obesity, heavy use of alcoholic beverages, and the widespread smoking of industrially manufactured cigarettes.

Keywords:   noncommunicable disease, coronary heart disease, cancer, diabetes, chronic obstructive pulmonary disease, smoking

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