drugs are also smoked, including DMT, 5-Meo-DMT, and Salvia divinorum. Even the most primitive form of smoking requires tools of some sort to perform. This has resulted in a staggering variety of smoking tools and paraphernalia from all over the world. Whether tobacco, cannabis, opium or herbs, some form of receptacle is required along with a source of fire to light the mixture. The most common today is by far the cigarette, consisting of a mild inhalant strain of tobacco in a tightly rolled tube of paper, usually manufactured industrially and including a filter, or hand-rolled with loose tobacco. Other popular smoking tools are various pipes and cigars. A less common but increasingly popular alternative to smoking is vaporizers, which use hot air convection to deliver the substance without combustion, which may reduce health risks. A portable vaporization alternative appeared in 2003 with the introduction of electronic cigarettes, battery-operated, cigarette-shaped devices which produce an aerosol intended to mimic the smoke from burning tobacco, delivering nicotine to the user without some of the harmful substances released in tobacco smoke. Other than actual smoking equipment, many other items are associated with smoking; cigarette cases, cigar boxes, lighters, matchboxes, cigarette holders, cigar holders, ashtrays, silent butlers, pipe cleaners, tobacco cutters, match stands, pipe tampers, cigarette companions and so on. Some examples of these have become valuable collector items and particularly ornate and antique items can fetch high prices. Health effects Smoking is one of the leading preventable causes of deaths globally and is the cause of over 8 million deaths annually, 1.2 million of which are non-smokers who die due to second-hand smoke.In the United States, about 500,000 deaths per year are attributed to smoking-related diseases and a recent study estimated that as much as 1/3 of China's male population will have significantly shortened life-spans due to smoking. Male and female smokers lose an average of 13.2 and 14.5 years of life, respectively. At least half of all lifelong smokers die earlier as a result of smoking. The risk of dying from lung cancer before age 85 is 22.1% for a male smoker and 11.9% for a female current smoker, in the absence of competing causes of death. The corresponding estimates for lifelong nonsmokers are a 1.1% probability of dying from lung cancer before age 85 for a man of European descent, and a 0.8% probability for a woman. Smoking just one cigarette