TOBACCO DEATH TOLL Human Resources Development and Operations Policy HRO DISSEMINATION NOTES Number 1, February, 1993 Added to all the most fearsome plagues (the Black Death, smallpox, malaria, and tuberculosis), a man-made plague--diseases resulting from the smoking, chewing and snuffing of tobacco--is now the leading scourge of the twentieth century. But unlike most microbial plagues, damage ...