Smoking and COVID-19: What’s the reality?
Since late 2019, the world has faced the far-reaching impacts of the COVID-19 pandemic, a complex respiratory illness that has disrupted countless lives. The virus primarily affects the respiratory system, impairing lung function and leading to severe complications. Smokers, whose lungs are already compromised by tobacco use and related health issues, are especially at risk.
Interestingly, some studies have suggested that nicotine, a key substance in tobacco, could potentially offer protection against severe COVID-19 symptoms. But how reliable are these claims? Let’s delve into the scientific research and emerging findings to better understand the link between smoking and COVID-19.
COVID-19 and smoking: Do cigarettes lower the risk of infection?
Surprising clinical studies
During the early stages of the COVID-19 pandemic in late 2019, researchers began examining factors that might increase or decrease a person’s risk of contracting the virus. Some studies suggested that smokers showed lower rates of seropositivity compared to the general population, leading to speculation about whether nicotine could have a protective effect.
A hypothesis without evidence
Although the relationship between nicotine and COVID-19 has attracted attention, there is no solid evidence to support the idea that smoking offers any protection. Early studies faced significant issues, such as selection bias, misinterpretation of data, and a lack of control for key variables like pre-existing health conditions, healthcare access, and testing accuracy.
Many of these studies have since been retracted, underscoring the importance of approaching such claims with caution.
Smoking and COVID-19: Heightened risks for smokers
Concerning statistics from South Africa
According to studies, smokers face a 40–50% higher risk of developing severe complications from COVID-19. This includes an increased likelihood of hospitalisation, requiring mechanical ventilation, admission to intensive care units, or even death. Some research suggests that the risk for smokers could climb as high as 80% for severe complications.
Smokers with underlying health conditions, such as cardiovascular or respiratory diseases, are particularly vulnerable. These pre-existing conditions, often worsened by tobacco use, greatly amplify the chances of adverse outcomes in COVID-19 cases.
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Tobacco: A recognized killer
In South Africa, tobacco use remains a leading cause of preventable deaths, responsible for approximately 40.000 fatalities annually. Cigarettes contain over 4,000 harmful substances, including carcinogens and toxins, which contribute to various cardiorespiratory diseases, such as:
- Chronic obstructive pulmonary disease (COPD)
- Hypertension
- Bronchitis and recurrent infections
- Cardiovascular disease
- Lung and other cancers
These health conditions not only compromise long-term well-being but also increase the risk of severe outcomes from illnesses like COVID-19.
Smoking habits and virus transmission
The habits linked to smoking significantly heighten the risk of COVID-19 transmission. Smokers often touch their faces, adjust their masks, and handle shared objects such as lighters or cigarette packs. Furthermore, a smoker’s frequent coughing can release respiratory droplets, increasing the likelihood of spreading the virus in their immediate surroundings.
Combat severe COVID-19 by quitting smoking
Tobacco and COVID-19 form a dangerous combination. Quitting smoking is one of the most effective ways to lower your risk of contracting the virus and experiencing severe illness. Taking action to quit now is one of the best decisions you can make to protect your overall health.
For a quick, painless, and weight-neutral way to quit, consider the revolutionary laserOstop® method. This one-hour session uses photobiomodulation to significantly reduce nicotine cravings. Since 2020, laserOstop® has assisted over 500,000 South African smokers to quit successfully and continues to support thousands more across the country.






