"Diabetes, liver cancer, colon cancer, as well as erectile dysfunction. Of every three cancers in the United States, one of those cancers is caused by cigarette smoking," says Boris Lushniak, the acting Surgeon General.
Macular degeneration, rheumatoid arthritis and certain birth defects are also on the list.
Despite the warnings, about 18-percent of Americans smoke. That's down dramatically from 42-percent in 1964.
20-million Americans have died from smoking related diseases since that first report back in 1964. Nearly half a million people will die in the coming year.
The Surgeon General is calling for more price hikes on cigarettes and expanding indoor smoking bans.