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The link between smoking and lung cancer was established
by the early 1950s, but the original studies could not determine the
effects of really prolonged cigarette smoking or of really prolonged
cessation. On p 323 Peto et al compare the results of two case-control
studies of smoking and lung cancer carried out in 1950 and 1990. The
result shows that cigarette smoking, when continued over a long period,
causes a greater risk than was originally thought. By the time of the
1990 study, however, many people had stopped smoking, and the risk
of dying from the disease was shown to decrease progressively, in
comparison with that in continuing smokers, with the amount of time
since smoking stopped. Corresponding with this change, male mortality
from lung cancer in the United Kingdom has fallen sharply.