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Ceylon Medical Journal 1Chairman, National Dangerous Drugs Control Board, 383, Kotte Road, Rajagiriya, Sri Lanka; e-mail: . The Common General Test of the GCE Advanced Level examination of 2005 carried a question that deserves attention, for it illustrates the subtlety with which tobacco industry propaganda is placed. The question was as follows in the English version of this paper. A group of people who support smoking says that the significant beneficial effects of smoking occur primarily in the area of mental health and the habit originates in a search for contentment. The life expectancy of people has increased greatly in recent years. It is possible that the relaxation and contentment and enjoyment produced by smoking have lengthened many lives, smoking is therefore beneficial they conclude. Which one of the following, if true weakens the above conclusion? 1. That cigarettes are the major health hazard, cannot be traced to the willful act of any human organisation. 2. The government earns millions of money from the tobacco tax and tens and thousands of civilians are employed in the tobacco industry. 3. The evidence cited in the statement covers only one example of the effect of cigarette smoking. 4. No mention is made of possible harmful side-effects of smoking. 5. No statistical evidence has proven a link between smoking and longevity.

Using examinations to promote tobacco? Question No. 56 of the Common General Test of the Advanced Level examination of 2005