#Tobaccocontrol

Lung cancer is likely undercounted across sub-Saharan Africa, and the pattern has implications for Thailand as smoking shifts to lower-income markets and non-communicable diseases rise. Experts say better data and stronger health systems are essential to curb this deadly disease. Global cancer assessments indicate roughly 1.8 million deaths each year, underscoring why gaps in Africa’s reporting matter for Thai planners and communities alike.

Undercounting matters for prevention. Lung cancer is highly preventable through reduced smoking and early detection, yet many cases are detected late in low-resource settings when treatment options are limited. Clinicians in better-resourced areas note that higher observed rates often reflect stronger detection rather than greater regional severity, highlighting a global health issue: as infectious diseases come under control, non-communicable diseases like cancer rise in importance in lower-income countries, demanding new funding and health-system capacity.

Doctors and researchers warn that lung cancer is being grossly undercounted across sub‑Saharan Africa — a “hidden epidemic” masked by weak death registration, frequent misdiagnosis as tuberculosis, and late presentation — and the lessons have direct relevance for Thailand as tobacco companies pivot to low‑ and middle‑income markets and non‑communicable diseases rise in importance (NPR report on hidden epidemic). The global toll of lung cancer remains enormous: roughly 1.8 million deaths a year, making it the single deadliest cancer worldwide (IARC/GLOBOCAN global lung cancer data). The mismatch between apparent low lung‑cancer rates in much of Africa and what clinicians are seeing on the ground highlights how gaps in diagnosis, data and health systems can hide a growing threat that also matters for Thailand’s health planners and communities.

A recent case from the United States has cast fresh light on the potentially life-threatening risks of vaping, highlighting concerns that are increasingly relevant to Thai health officials and the public. A 39-year-old woman from New York, who believed switching from smoking to vaping would improve her health, was shocked to find herself hospitalized with severe, possibly fatal lung failure just one year after making the change. Her story is not an isolated incident but reflects a broader trend revealed by new research into the health risks associated with e-cigarettes—a habit followed by millions, including a growing number in Thailand.

A recent US case highlights how vaping can pose serious, even life-threatening, health risks. A 39-year-old New York woman, who switched from smoking to vaping, was hospitalized with severe lung failure within a year. Her experience mirrors a broader pattern found in new research on e-cigarettes, a habit adopted by many in Thailand and around the world.

The patient, a long-time smoker who started vaping after quitting cigarettes, developed acute lung complications. She could not lie flat or perform basic tasks, and doctors diagnosed pulmonary bullae—damaged lung tissue that creates large air spaces. Vaping had to stop immediately, and surgery was urgent. She described vaping as “100 percent more dangerous than cigarettes,” warning others about dangers she never anticipated. Experts say this case reflects a common misunderstanding that vaping is a safe alternative, a belief that shapes behaviors and policy.

As increasing numbers of smokers look for ways to finally quit amid a confusing landscape of old habits and new pressures, the latest research and advice suggest that both traditional methods and new perspectives are making a difference—even as Thailand and the world face persistent tobacco use. A recent advice column in Slate by A.J. Daulerio reignited debate over the most effective paths to smoking cessation, especially highlighting the resurgence of Allen Carr’s Easy Way method alongside standard medical and behavioral approaches. The relevance of this discussion is heightened for Thai readers, given Thailand’s long struggle with high smoking rates and ongoing public health campaigns to reduce tobacco use (Slate).

Quitting smoking remains a national health priority in Thailand, where tobacco use persists despite decades of anti-smoking campaigns. New guidance suggests that a blend of proven methods and renewed perspectives can boost success rates. An advisory column recently revisited Allen Carr’s Easy Way alongside medical and behavioral supports, highlighting a broader toolkit for Thai smokers navigating a complex quit journey.

Thailand faces heavy tobacco-related consequences. National statistics show tobacco-related deaths reaching tens of thousands each year, underscoring the urgent need for effective quitting strategies. The World Health Organization reminds us that tobacco can claim half of its users who do not quit, a stark reminder of the stakes involved. In Thai communities, social cues, stress, and cultural norms can complicate cessation efforts, even as awareness of health risks grows. Relapse often occurs during social gatherings or family obligations, making sustained support essential.

A new analysis of cancer prevention in the United States shows both progress and new challenges. Smoking rates are at historic lows, but HPV vaccination among teens has stalled. The findings offer timely lessons for Thailand, where cancer remains a leading cause of death and prevention campaigns must address both established and emerging risks.

The continued fall in smoking is a public health success. Decades of awareness campaigns, policy measures, and higher prices have driven adults away from tobacco. The World Health Organization notes similar downward trends in many countries, though progress is not uniform. In Thailand, smoking rates have eased—particularly among women and urban youths—but a sizable portion of men still use tobacco. Data from Thailand’s Ministry of Public Health indicates about 17% of Thais over 15 are smokers, a figure higher than the current U.S. rate of around 11%. This places Thai policymakers on watch as tobacco-related cancers continue to burden the healthcare system.

A recent report on cancer prevention trends in the United States has delivered both hopeful and concerning findings: while smoking rates continue their historic decline, vaccination rates against human papillomavirus (HPV)—a leading cause of cervical and other cancers—have stalled. This research carries important lessons for Thailand, where cancer remains a leading cause of death and where public health campaigns must juggle both familiar and emerging risks (CNN, 2025).

The continued drop in smoking rates is seen as a major victory for US public health. Decades of anti-smoking campaigns, policy changes, and increased public awareness have pushed adult smoking rates in the US to all-time lows. Globally, the World Health Organization (WHO) points to similar downward trends in high- and some middle-income countries, though progress is uneven. In Thailand, while smoking rates have decreased somewhat—especially among women and urban youth—a significant portion of the male population still uses tobacco products. According to the Ministry of Public Health, about 17% of Thais over 15 are smokers, higher than the current US adult smoking rate of around 11% (Thai National Statistics Office, 2023; CDC, 2024). This positions the new US numbers as benchmarks for Thai policymakers, especially as tobacco-related cancers continue to challenge the country’s healthcare system.