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November 8, 2000

Health Risks of Cigar Smoking—Reply

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Executive Deputy EditorIndividualAuthor

JAMA. 2000;284(18):2320-2321. doi:10.1001/jama.284.18.2317

In Reply: Mr Stany cites a weekly poll at the Cigar Aficionado Web site as the basis for an estimate that only 5% of cigar smokers smoke 3 or more cigars a day, but this nonscientific poll is biased by self-selection and is not a measure of population rates of cigar use. Furthermore, the inexpensive machine-made cigars that account for most cigar consumption are not even advertised in this magazine, which focuses on glamorizing expensive hand-made cigars. In the American Cancer Society Cancer Prevention Study (CPS) I, more than half of daily cigar smokers smoked at least 3 cigars per day at enrollment in 1982.1