mind & bodyWellcome Collection1604–1962 · England

Tobacco was once a plague remedy, until 1962 research showed that smoking causes cancer

the gist

Tobacco reached Europe in the 16th century and was quickly adopted as a cure-all, and the Royal College of Physicians recommended it in its 1618 pharmacopoeia. During the 1665 plague, smoke was thought to ward off bad air, and Georgian physicians used tobacco-smoke enemas to revive drowning victims. The turn came in 1962, when the RCP's Smoking and Health report, using research by Richard Doll and Austin Bradford Hill, showed that smoking causes cancer. Official advice then shifted from searching for healthier cigarettes to encouraging people to quit.

how it works

Early physicians believed smoke warmed the body and cured cold and drowsiness, and inhaling seemed a direct way to deliver medicine to the lungs. Later research showed that the chemicals in smoke damage airways and cells, which is why the same habit became a leading cause of cancer.

so what

Tobacco's journey from medicine to hazard shows how evidence can overturn centuries of medical belief. It led to anti-smoking campaigns and, in Britain, a ban on smoking in enclosed workplaces in 2006 and 2007.

the bigger pattern

Medical endorsement has been used to sell tobacco before. In the 1930s Camel advertisements claimed doctors smoked and recommended it.

fun fact

King James VI and I wrote A Counterblaste to Tobacco in 1604, attacking the habit as harmful to the lungs.

Wellcome Collection · CC BY 4.0

Illustrative photo · Susanne Nilsson, CC BY-SA 2.0, via Wikimedia Commons