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The Life Scientific

Richard Peto on why smoking kills but quitting saves lives

The Life Scientific

BBC

Technology, Personal Journals, Society & Culture, Science

4.61.4K Ratings

🗓️ 9 April 2019

⏱️ 30 minutes

🧾️ Download transcript

Summary

When Sir Richard Peto began work with the late Richard Doll fifty years ago, the UK had the worst death rates from smoking in the world. Smoking was the cause of more than half of all premature deaths of British men. The fact that this country now boasts the biggest decrease in tobacco-linked mortality is in no doubt partly due to Doll and Peto's thirty year collaboration. Professor of Medical Statistics and Epidemiology at the University of Oxford and until last year co-director of the Clinical Trial Service Unit with Professor Sir Rory Collins, Richard Peto pioneered "big data", setting up enormous randomised clinical trials and then, in a novel approach, combining results in what became known as meta-analyses, amassing unequivocal evidence about how early death could be avoided. He showed how asprin could prevent heart attacks and how the oestrogen-blocking drug tamoxifen really did affect survival rates for breast cancer patients. Results on paper saves lives in the real world, he says, and he's famous for catchphrases like: "death in old age is inevitable, but death before old age is not" and "you can avoid more deaths by a moderate reduction of a big cause, than by a big reduction in a small cause" as well as "take the big numbers seriously". One of the world's leading epidemiologists, Richard Peto's landmark study with Alan Lopez at the World Health Organisation predicted that a billion people would die from diseases associated with tobacco this century, compared to a hundred million killed by tobacco in the 20th century. The chilling message galvanised governments around the world to adopt anti-smoking policies. And Professor Peto's studies about smoking cessation ("smoking kills, stopping works") provided the public health evidence needed to encourage smokers that, however long they had smoked for, it was always worth quitting. Producer: Fiona Hill

Transcript

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0:00.0

Hey, it's Doleepa, and I'm at your service.

0:04.7

Join me as I serve up personal conversations with my sensational guests.

0:08.8

Do a leap interviews, Tim Cook.

0:11.2

Technology doesn't want to be good or bad.

0:15.0

It's in the hands of the creator.

0:16.7

It's not every day that I have the CEO of the world's biggest company in my living room.

0:20.7

If you're looking at your phone more than you're looking in someone's eyes, you're doing the wrong thing.

0:26.0

Julie, at your service.

0:28.0

Listen to all episodes on BBC Sales.

0:31.0

I'm Jemalkelely, and this week's guest on the life scientific is a natural provocateur who loves a good argument.

0:38.0

He's the epidemiologist Richard Pito and when he was a child his family discussed and debated everything.

0:45.3

It was expected that he'd question and challenge whatever was presented to him, and it was a

0:49.7

start in life that stood him in very good stead. The daughter was cast when he landed his first job

0:55.4

with a man whom he describes as its intellectual godfather, the epidemiologist Richard Dahl.

1:01.2

In their 30-year collaboration, every paper they wrote together, and there were many,

1:06.1

was accompanied by blazing rouse and swearing. The air was blue, all in the name of better science.

1:12.4

I have to say that in my world of

1:14.0

theoretical physics things are much calmer but whatever it takes I say enjoy the

1:19.5

life scientific podcast.

1:20.9

BBC Sounds music radio Pacific Podcast. even a pipe as I did this interview and my guests would too. There'd be a smoky foggy haze across the

1:36.6

room and that would have been quite normal. It's hard to imagine that now but it's in large

1:42.2

part because of the work of my guest so Richard Peter that this studio in

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