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Increasingly evidence suggests that lifestyles affect the risk of getting cancer. Many cancers are associated with lifestyles. A 2011 World Bank Report stressed the importance of controlling of tobacco use, harmful alcohol use, unhealthy diet and lack of physical activity, which all contribute to the cause cancer. Dealing with these four causes could substantially the human and economic burden that cancer imposes. The greatest impact would be made by the further extension of anti-tobacco measures. Michael Bloomberg, the mayor of New York City has overseen aggressive and effective measures to help reduce smoking and the consumption of unhealthy food and drink and to promote exercise.