It's always hard to move from association to causation. These diseases are most often found in smokers. Now it appears that they are most often found to have particular viruses present in the cancerous tissue. Could it be that smoking weakens the tissues making them more susceptible to virus attack. Or the virus weakens the tissues making them more susceptible to the known carcinogens in tobacco smoke. Or the virus just likes to live in already damaged tissue but has no role at all. I remember similar arguments about HIV, that one is settled now.
Maybe statistics can never get us to the answer. In the case of HIV they were able to identify the specific mechanism by which the virus operated. Has that step been completed in the case of these viruses.
I don't think it's unreasonable to be skeptical about this and look for a high standard of proof. After all tobacco smoke does contain quite a few chemicals that are know to be carcinogenic. I really want to know the truth about this, it seems kind of important.
One more question, for Carol I guess. I've seen cancer talked about a lot. Does this apply to COPD as well?
That stuff about smoking supposedly weakening the tissues is speculative, and the burden of proof is on the anti-smokers to show evidence of such things. It's basically their argument to make, so why would you embrace it, despite lack of evidence, unless you agree with them?
On each of my various pages, there is a section on mechanisms. And those viruses (HPV, HBV, HCV, EBV) have been declared human carcinogens by the IARC, while the NTP is dragging its feet about EBV, I think because so many of the diseases they blame on chemicals are also EBV-related (e.g. lymphomas) that they'd have to admit that a mountain of their work is junk.
Yes, it applies to COPD as well. They've been trying to blame smoking for COPD by implicating certain T-cells (CD4+CD28null), which just happen to be absolutely specific for cytomegalovirus infection! Nothing else causes those T-cells, they arise during primary infection, and they're not found in people who don't have CMV infection.
Cytomegalovirus Is Implicated in COPD