Secondly, Thai people expect smoking that reduce stress, however that is the wrong concept for this reason. According to Derrer (n.d.), “In the vast majority of people, smoking is the cause of emphysema” (unpaged). Cigarettes have the chemicals that is harmful to bodies such as nicotine directly to the lung attack. In addition found that in people who have never smoked, who get the disease because people get the second-hand smoke that causes people more risk to this disease. The way to prevent the emphysema disease that is no smoking only.