The 1988 report of the US Surgeon General identified cigarette smoking as nicotine addiction. The Royal College of Physicians similarly concluded that nicotine is an addictive drug on par with heroin and cocaine, and that the primary purpose of smoking tobacco is to deliver a dose of nicotine rapidly to the brain. The Diagnostic and Statistical Manual of Mental Disorders classifies nicotine-related disorders into the sub-categories of dependence and withdrawal which may develop with the use of all forms of tobacco. The effects of tobacco and nicotine to produce dependence and withdrawal are also identified by the International Statistical Classification of Diseases and Related Health Problems as a disease in the category ‘Toxic effect of other and unspecified substances’.
Tobacco threatens us all The brochure "Tobacco threatens us all", published for World No Tobacco Day 2017, describes how tobacco use has devastating health, social, environmental and economic consequences.