Similar to other noxious effects of tobacco, the association of thyroid multinodularity also seems to exist predominantly in areas with more pronounced iodine deficiency suggesting that tobacco smoke may be more toxic for a compromised thyroid gland.[] The best evidence for the role of iodine intake comes from an interesting study from Denmark, which followed 8,219 individuals before and after the mandatory salt iodization program in year 2000.[] The authors found a reduction in the overall difference in thyroid volume between heavy smokers and nonsmokers across the age groups after iodization of salt was introduced
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In 2004, those efforts led to the passage of the Fair and Equitable Tobacco Trade Reform Act (FETTRA), which marked the beginning of the tobacco markets 10-year transition to a free market system
Countries that implement evidence-based policies and provide people who use tobacco with help to quit can expect to reap substantial benefits, including reduced cancer mortality, reduced health care costs, and improved economic status for individuals, families, and communities.
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