Tobacco use is now a well-documented threat to global health. It kills more than 7 million people a
year and is currently the world’s single biggest cause of preventable death. Much of what is known
about the risks of tobacco, however, concerns the direct impact (in terms of morbidity and mortality)
of first-hand and second-hand smoke on people’s health. What we have yet to do as a public health
community is draw attention to the myriad other ways in which tobacco growth, production and
consumption impact human development.