Although it may be hard to believe, the surgeon general released a new report which found that smoking and second hand smoke are much worse than we thought. The report, which was published 50 years after the first surgeon general report on smoking, shed some light on new ways smoking harms people. COPD, lung cancer, heart attack, and stroke are just four major health conditions that can be caused by smoking. 50 years after the original surgeon general report and there are more diseases and health conditions to add to that list.