In 2011, at least a third of middle school and high school students who smoked cigars used flavored little cigars. Six states - Florida, Georgia, Maryland, Massachusetts, Rhode Island and Wisconsin - already have youth cigar smoking rates that are the same or higher than youth cigarette smoking.
Health is correlated with quality of life. If you get regular physical activity, have social connections, control your cholesterol, keep your blood pressure at a normal level, don't smoke - these things can make an enormous difference not only in how long you live, but how much you enjoy your life in those years.
The importance in what we're seeing in countries around the world is a poorly regulated and poorly functioning private sector using irrational and ineffective medications that result in the emergence of drug-resistance tuberculosis. What we've done is begun a program to rapidly improve infection control in places that are treating TB patients.