According to a research which was published in the year 2008, smoking is killing nearly a million people a year in India, exacting a higher toll than previously thought, but allied problems are often different to those seen in the West. A study published in the New England Journal of Medicine shows Indian smokers prefer traditional leaf-wrapped, hand-rolled "beedis" to manufactured filter brands, and are more likely to die of tuberculosis than cancer; and,they almost never quit.Smoking can cause enough damage to the lungs that the latent infection can no longer be contained, researchers said.As a result, tuberculosis is the most common cause of smoking-related deaths among Indian men. Also, smoking has a very harmful effect on the reproductive organs.