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The Global Youth Tobacco Survey (GYTS) found that between 8 to 15% of students have tried cigarettes before the age of 13.4 Estimates of premature mortality attributable to smoking show that tobacco consumption is responsible for 25,000 to 60,000 deaths each year in Mexico.5 Further, nearly 11 million Mexicans who have never smoked (25% of men and 22% of women) are exposed to secondhand smoke.3 The total healthcare expenditures associated with smoking in Mexico were estimated to be 75.2 billion pesos (US 5.7 billion) in 2008.6 Even there is misperception of the main consequences of smoking are located in the respiratory tract, most smokers die as a consequence of an increased risk of atherothrombotic clinical events such as myocardial infarction and cerebrovascular events.2 On the other hand, in our country several studies have documented a high prevalence of overweigh and obesity.7,8 Currently Mexico ranks first worldwide in childhood obesity and second in morbid obesity (70% of adults and 30% of children suffer it) for which Mexican government is spending more than 40,000 million pesos per year for health problems caused by this decease, equivalent to 33% of federal spending on direct health services

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