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Health

Trying to guess which twin smokes is the perfect way to help you quit

Nobody would call smoking “glamorous” after seeing these comparisons.

Image via Wolters Kluwer Health.

Which twin smoked?


It's not revolutionary news that smoking wreaks havoc on your body in different ways. More often than not, however, the focus of anti-smoking campaigns is on your internal health, citing emphysema, heart disease, and lung cancer, to name just a few consequences.

While the superficial effects may not be as lethal, appealing to people's sense of vanity can have a powerful effect as this clever gallery below shows. Twins, only one of whom smokes, sit side by side, showing the profound damage smoking can cause to your face, hair, and teeth.

The twins' circumstances vary in each set of pictures, but the differences and effects are undeniable. In some instances, one of the twins never smoked. In others, the "smoking" twin had smoked for at least five years longer than the other "non-smoking" twin.

Though they're not common knowledge, the effects of smoking on your appearance are predictable and consistent. You can identify a smoker with ease if you know what you're looking for. Harmful smoke, dehydration, and even the heat from a burning cigarette can damage your complexion, hair, and eyes. The photos below helpfully point out the symptoms and effects on the smoking twin.

The photos here were taken from those of 79 pairs of identical twins at the Twins Days Festival in Twinsburg, Ohio. Though they weren't taken with this use in mind, that allows them to serve as an even more powerful testament to the effects as perceived by casual observers.

1. The eyes are a strong "tell" if someone's a smoker or not. In this photo, the smoker is the man on the right. He has smaller, more sunken eyes and carries more wrinkles throughout his face than his twin on the left. You'll also notice his hairline has receded further than his brother's. That's a little-known though hardly surprising effect of smoking habitually.

health, danger of smoking, studies on smoking, mental health

Can you tell the smoker?

Image via Wolters Kluwer Health.

2. Here, the difference is profound. Though they're the same age, they look almost like they represent different generations. The smoking twin on the right has done so for 16 years, and it's manifested in a number of ways. Most noticeable is the pervasive discoloration of her skin compared to her twin on the left. Less noticeable, but still apparent, is the damage done to her lips, eyes, and even her hair. It's difficult to believe they're even related, let alone twins.

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Did I get this one wrong?

Image via Wolters Kluwer Health.

3. This comparison is less glaring but still apparent. The twin on the left is the smoker. You can see many more pronounced wrinkles on her forehead, under her eyes, and around her nose. There are also pronounced bags under her eyes.

skin aging, medicine, medical insurance, damaged hair

Some differences are more subtle than others.

Image via Wolters Kluwer Health.

4. In this comparison, the smoking twin only smokes about two cigarettes per day, so the difference will be less profound. The twin on the right is the smoker. The differences are on the subtle side, mostly the more damaged hair and the squintier eyes.

twins, research, studies

Smoking can cause a receding hair line.

Image via Wolters Kluwer Health.


5. Based on what you've read in the earlier side by side pics, you might be able to ID the right twin as the smoker due to the discolored and receding hair as well as the aged skin.

wrinkles, aging, smoking

Smoking appears to cause more gray.

Image via Wolters Kluwer Health.

6. These two twins are both elderly, so the differences are slightly less pronounced. Though the left twin has more graying hair, it's the right twin that's the smoker. She's got a droopier face, especially on the outside of the eyes. The wrinkles are also more pronounced in the brow and upper lip.

wrinkles, skin, health

The hallmarks of smoking apparent on the skin.

Image via Wolters Kluwer Health.

7. Though the two sisters here are also older, it's easier to distinguish the smoker. The left sister bears the hallmarks all over her skin. Her cheek, outer eye, and neck all look weathered from her habit. Not only is she more wrinkled, but the skin has begun to discolor from the fair tone her sister has.

discoloration of skin, dermatology, identifying factors

Wrinkles around the lips distinguish the smoker.

Image via Wolters Kluwer Health.

8. Here it's pretty difficult to tell. The woman on the left is the smoker. She sports slightly discolored lips that are upon inspection, more wrinkled than her sister's. Since the lips are the most proximate to the smoke, they are a pretty telling feature when it comes to identifying smokers.

The pics above show a lot of singular traits that can call out a smoker, but it can be a lot more simple than that. Speaking to the NY Daily News, dermatologist Elizabeth Tanzi from George Washington Medical Center dispenses with the jargon, stating, "Smoking makes you look old. That's all there is to it."


This article originally appeared on 11.01.16

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The 'Best Anti-Smoking Ad Ever' was made 8 years ago, but is just as relevant today

via Ogilvy

Quitting smoking is one of the hardest things to do because nicotine addiction keeps people in denial. Smokers either tell themselves they'll be the lucky one who avoids the health consequences of smoking or they procrastinate, halfheartedly believing they will quit next week, next month or next year.

One of the keys to helping people quit, is to put them in a position where they are forced to take an honest look at themselves and their habits.

A 2012 anti-smoking ad made by Ogilvy Thailand for the Thai Health Promotion Foundation is known as one of the greatest ever because it uses the smokers' love of children to help them confront their habit.

In the video, two small children, armed with cigarettes, ask adults if they can borrow a light. Out of concern for the little ones' health, the smokers tell the kids all about the dangers of smoking.

"If you smoke you die faster," one man tells a little boy. "Don't you want to live and play?" "When you smoke you suffer from lung cancer, emphysema and strokes," another says.

The smokers cannot help but feel hypocritical talking about the dangers of smoking to a child while holding a cigarette.

The ad ends with a touching twist.

Smoking Kid - Best of #OgilvyCannes 2012 / #CannesLionswww.youtube.com


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These anti-smoking ads were —​ wait for it — ​paid for ​by tobacco companies.​

Justice has finally been served to Big Tobacco in the U.S.

"More people die every year from smoking than from murder, AIDS, suicide, drugs, car crashes, and alcohol, combined."

After decades of growing evidence telling us smoking kills, you may not be all that shocked to see a message like that being advertised.

What if I told you a cigarette company paid for it?

[rebelmouse-image 19469889 dam="1" original_size="750x394" caption="Graphic by the Campaign for Tobacco-Free Kids." expand=1]Graphic by the Campaign for Tobacco-Free Kids.

Starting Nov. 26, anti-smoking ads — paid for by Big Tobacco companies — will start appearing in newspapers and on TVs across the U.S.

These companies aren't running the ads voluntarily, of course.

Back in 2006, U.S. District Judge Gladys Kessler found that tobacco giants Altria, R.J. Reynolds Tobacco, Lorillard, and Philip Morris USA conspired to hide the health risks associated with smoking from the public, NPR reported. The suit was originally filed by a number of medical and advocacy groups in 1999.

In her scathing ruling — in which she called cigarettes "highly addictive" products that lead to "a staggering number of deaths per year [and] an immeasurable amount of human suffering" — Justice Kessler ordered the companies run "corrective statements" to counter their harmful and misleading messages from years past. After years (and years and years) of appeals and disputes over the exact wording of the statements, the companies' ads are finally being published and aired to an audience of millions.

So you may start seeing ads like this one — a full page spread in The Wall Street Journal — that spells out the facts about cigarettes and their effects.

Or a TV spot like this one, which will air on networks during prime time.

The ads are void of color and flashy imagery; they simply state the facts.

All in all, 50 major American newspapers will carry full-page, weekly anti-smoking ads, and NBC, ABC, and CBS will air five spots like the one above every week for the next year — all paid for by Big Tobacco, NBC News reported.

The Campaign for Tobacco-Free Kids, which has been part of the suit since the beginning, created graphics to be shared on social media to help boost news of the ad launch.

There's this graphic, in which the group notes why tobacco executives are a bunch of "frauds."

[rebelmouse-image 19469890 dam="1" original_size="750x393" caption="Graphic by the Campaign for Tobacco-Free Kids." expand=1]Graphic by the Campaign for Tobacco-Free Kids.

Or this one, in which the organization highlights the fact that Big Tobacco all but admitted to lying and racketeering.

[rebelmouse-image 19469891 dam="1" original_size="750x394" caption="Graphic by the Campaign for Tobacco-Free Kids." expand=1]Graphic by the Campaign for Tobacco-Free Kids.

"It’s both an important victory and a frustrating one," Matthew Myers, president of the organization, told The New York Times. These companies, he explained, have spent millions of dollars and over a decade avoiding having to simply tell the truth about their products.

Anti-smoking advocates see a few drawbacks to the ad launch though. For starters, the 11 years it took for these corrective statements to go public means the media landscape has evolved in favor of the tobacco companies. Newspaper ads, for instance, are significantly less influential than they were in 2006 since social media and internet advertising has grown. The wording on the ads has also been tampered down throughout the appeals process; the companies' lawyers argued earlier versions were crafted with the sole intent to "shame and humiliate them," according to The New York Times.

These ads will still make a difference, however, advocates argue.

The public may already know smoking cigarettes is harmful because the health effects are well-documented by now, Myers said. But this is still an opportunity to further inform Americans about just how deadly they can be and just how far their makers are willing to go to get customers to buy them.

"Very few people know that the court found that the tobacco industry intentionally manipulates cigarettes to make them more addictive," Myers told NPR.

[rebelmouse-image 19469892 dam="1" original_size="750x394" caption="Graphic by the Campaign for Tobacco-Free Kids." expand=1]Graphic by the Campaign for Tobacco-Free Kids.

Robin Koval, CEO and president of anti-smoking nonprofit Truth Initiative, agreed: The ads take on important new meanings in 2017.

"People have forgotten over time all of the practices of the tobacco industry," Koval told NBC News. "Not only the fact that they lied about the products but also the fact that the products they were selling to the American people were engineered to be addictive as possible."

It's about time Big Tobacco got its facts straight.

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90% of smokers start before they turn 18. Will this legislation help?

On Aug. 9, Oregon became the fifth state to raise the legal age to purchase tobacco products to 21.

Oregon has been at the forefront of tobacco cessation and prevention programs for more than 20 years. A 1996 voter-approved tobacco taxation and prevention initiative has prevented an estimated 31,000 Oregon children from picking up the habit, and cigarette use has declined by more than 50% in the state.

The latest tobacco bill, signed by Governor Kate Brown, will continue to build on these efforts, prohibiting the sale and use of cigarettes, e-cigarettes, and tobacco products to people under the age of 21.

Photo by Justin Sullivan/Getty Images.

Oregon joins California, Hawaii, Washington, D.C., Maine, and New Jersey in raising the legal age for tobacco use to 21.

Like Oregon, Maine and New Jersey raised the tobacco age to 21 this summer. The Maine legislature successfully overrode the veto of Governor Paul LePage to turn the bill into law on Aug. 2. While New Jersey Governor Chris Christie signed the bipartisan bill July 21.

In a statement, Christie cited his mother's death from the effects of smoking and hoped the measure would keep young people from ever starting the addictive habit.

"By raising the minimum age to purchase tobacco products to 21, we are giving young people more time to develop a maturity and better understanding of how dangerous smoking can be and that it is better to not start smoking in the first place,” he wrote.

New Jersey Gov. Chris Christie. Photo by Jeff Zelevansky/Getty Images.

While only five states and D.C. have raised the tobacco age so far, many cities and states are considering the measure.

After nearly 10 years of trying, a bill in Texas to raise the tobacco age has bipartisan support and positive momentum. Efforts in Utah, Massachusetts, and Washington state are similarly underway after several fits and starts.

Since statewide measures are time consuming and difficult, 200 cities and towns have taken the step to raise the tobacco age on their own, including Chicago, New York City, Kansas City, and Boston.

Photo by Noel Celis/AFP/Getty Images.

Cigarette smoking causes more than 480,000, or 1 in 5, deaths in the U.S. each year.

Measures like these are truly a matter of life and death. Smoking causes a majority of the cases of lung cancer and chronic obstructive pulmonary disease (COPD), and it significantly increases the risk of cardiovascular and respiratory diseases and cancer. It can affect fertility and smoking, while pregnant can result in stillbirth or low birth weight.

Each day, more than 3,200 people under 18 try their first cigarette. If current patterns persist, 5.6 million Americans currently under the age of 18 will ultimately die from a smoking-related illness.

Photo by Matt Cardy/Getty Images.

Something has got to give.

Since 99% of smokers have their first cigarette by 26, (90% before 18), raising the legal tobacco age is an important step toward keeping the next generation healthy and tobacco-free.

Hawaii, California, Maine, New Jersey, and Oregon are leading the way. Make sure your city government and state legislature are working to join them.

Photo by Johannes Eisele/AFP/Getty Images.

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