A dangerous lack of awareness about smoking cannabis could be putting millions of people at risk, a charity has warned.

Most people (88%) believe smoking cigarettes is worse than cannabis but in fact the risk of developing lung cancer is 20 times greater from a cannabis joint than a legal tobacco cigarette.

A new report from the British Lung Foundation (BLF) claims there is an alarming chasm between the public perception of cannabis as a relatively safe drug, and the serious, even fatal impact it can have on the lungs of people who smoke it.

BLF chief executive Dame Helena Shovelton said: "It is alarming that, while new research continues to reveal the multiple health consequences of smoking cannabis, there is still a dangerous lack of public awareness of quite how harmful this drug can be.

"Young people in particular are smoking cannabis unaware that each cannabis cigarette they smoke increases their chances of developing lung cancer by as much as an entire packet of 20 tobacco cigarettes."

According to the BLF survey, 6.8% of 16 to 59-year-olds in England and Wales have used cannabis in the past year – approximately 2.2 million people. This makes it the most commonly used illicit drug in the UK.

Dame Helena added: "This is not a niche problem – cannabis is one of the most widely used recreational drugs in the UK, with almost one-third of the population having tried it.

"We therefore need a serious public health campaign – of the kind that has helped raise awareness of the dangers of eating fatty foods or smoking tobacco – to finally dispel the myth that smoking cannabis is somehow a safe pastime."

The BLF said its report is the most comprehensive review of research data yet compiled on the subject of cannabis use.

The survey was carried out by TNS, on behalf of the charity, among a representative sample of 1045 people across Britain.

The average puff on a cannabis cigarette is two-thirds larger and is held for four times longer than a tobacco cigarette. As a result, someone smoking a cannabis cigarette inhales four times as much tar as from a tobacco cigarette, and five times as much carbon monoxide.