Boletins do ENSP

Boletim ENSP nº 11 PDF Versão para impressão Enviar por E-mail
Domingo, 20 Março 2011 11:45




Issue 11, 11-17 March 2011

· Foreword from ENSP Secretary General

· BELGIUM: General smoking ban in hospitality sector starting 30 June

· BELGIUM: expands smoking ban to all cafes, casinos

· HUNGARY’S smoking ban may be delayed

· IRELAND: 6,500 deaths every year linked to smoking

· MOLDOVA: „We’re fed up of fumes!!!” - Underwear for Moldovan deputies

· NORWAY: Tobacco display bans: Philip Morris vs Norway in front of the EFTA Court

· TURKEY: Cigarette consumption down in Turkey in 2010

· UK: Comprehensive tobacco plan a victory for public health, says heart charity

· UK: Tobacco industry still glamorising smoking, government warns

· STUDY: New ‘dissolvable tobacco’ products may increase risk of mouth disease

· STUDY: Emphysema found in blood may help you quit smoking

· EVENT : UN Summit on Non-Communicable Diseases (NCDs)

· Possible European-level initiative on the protection of workers' health from environmental tobacco smoke (ETS) at the workplace.

· European Parliament: Report on reducing health inequalities in the EU (2010/2089(INI))

· Pfizer Press Release : Governments need to improve smoking cessation services, smokers say

· RESEARCH: Secondhand smoke raises risk of delivering stillborn babies or babies with defects

· RESEARCH: Smoking and interstitial lung disease

· STUDY: Stopping smoking shortly before surgery is not associated with increased postoperative complications

· Launch 3rd European Tobacco Control Scale

· OLAF: Huge Illegal Cigarette Factory Raided in Poland

· STUDY: Found lung cancer genes, blood test may be next

Foreword from ENSP Secretary General

Dear Reader,

First of all, the ENSP Secretariat would like to express its thanks for the very positive comments we have received on the new format of the ENSP European News Bulletin and the new subscription procedure, which started on 1 March 2011.

The ENSP European News Bulletin features European tobacco control news, announcements, events, publications and other relevant topics. The ENSP Secretariat compiles the ENB for you on a weekly basis (whenever possible) and sends it directly to your mail box, thus saving you time for your direct tobacco control activism and keeping you informed about developments throughout Europe. The ENSP European News Bulletin is currently the only regular compilation of information specific to tobacco control in Europe.

We are eager to improve our services to tobacco control advocates and all your comments are welcome.

In return, as expressed in our motto Combining efforts for effective tobacco control in Europe, the ENSP Secretariat also needs your modest financial support to help maintain and develop our information services, for which we regrettably no longer receive co-funding from the European Commission.

Thus, should you wish to continue receiving the ENSP European News Bulletin, we invite you to consult our website ( without delay for more details and to renew your subscription by 1 April 2011.

Working together to save lives,

Francis Grogna

BELGIUM: General smoking ban in hospitality sector starting 30 June

The Constitutional Court annuls the exceptions to the smoking ban in the hospitality sector. Smoking will only be allowed in separate designated smoking rooms, as from June 30.

So far the smoking ban applied only to hospitality venues serving meals, such as restaurants, cafes and taverns.  

Cafes that sell only prepackaged foods (crisps, etc.), were exempted from the ban. For these venues, the smoking ban would become applicable only from 2014.

Both supporters and opponents of the smoking ban were dissatisfied with the legislation currently in force and the Flemish League against Cancer (VLK) asked the Constitutional Court to strike down the exceptions.

The Flemish League won as the Court considered that the current law is unconstitutional and now annuls all exceptions. A general smoking ban will be enforced in Belgium from June 30.

The Flemish League against Cancer and the National Coalition against Tobacco said they were pleased with the Court ruling.

Source: De Standaard, 15 March 2011

Related articles:

Algemeen rookverbod in horeca vanaf 30 juni, De Morgen, 15 March 2011

La clope au café, c’est terminé, Le Soir, 15 March 2011

La cigarette bannie des cafés, Le Soir, 16 March 2011

Tabac au café une loi stupide part en fumée, Le Soir, 16 March 2011

Des Mesures urgentes nécessaires, Le Soir, 15 March 2011

BELGIUM: expands smoking ban to all cafes, casinos

Belgium's top court decided Tuesday to widen the country's smoking ban in public spaces to cover all cafes and the kingdom's nine casinos from July 1.

Smoking has been banned in work places, restaurants and pubs that serve food since 2009, while temporary exemptions had been granted to casinos and cafes that only serve snacks such as crisps and peanuts.

The law had called for the exemptions to end sometime between January 1, 2012 and January 1, 2014, but the Flemish Anti-Cancer League asked Belgium's constitutional court to strike them down.

The court decided to lift the exemptions but gave establishments until June 30 to "adapt to the general smoking ban."

The judges ruled that the government failed to prove that pubs would be harmed by a general smoking ban, saying that drawing distinctions between establishments was actually harmful to competition.

The court also stated that the protection of the health of employees and non-smokers should apply to casinos even though they serve a "specific" clientele.

Source: AFP, 15 March 2011

HUNGARY’S smoking ban may be delayed

A proposal by governing party Fidesz to ban smoking in all closed public spaces from the middle of the year - including entertainment venues, restaurants and offices - was submitted at the end of last month. Over a dozen amendment motions have since been submitted.

According to Világgazdaság, one of the few amendment motions which have a chance is the one which would delay the introduction of the ban by half a year.

Source:, 10 March 2011

IRELAND: 6,500 deaths every year linked to smoking

This shocking comparison by the Irish Heart Foundation is a wake-up call to smokers wanting to quit today — Ash Wednesday and national No Smoking Day.

Smoking-related illness accounts for the loss of 6,500 lives every year — about 18 people dying every day.

"We know it is not easy to stop smoking. Nicotine is a highly addictive drug but our message is that it’s never too late to stop and it is about finding a way that suits you," said its chief executive, Michael O’Shea.

A recent survey of more than 13,000 people in Britain found that while over 60% want to quit, over half of them found it difficult to go a day without smoking.

Source: 9 March 2011

MOLDOVA: „We’re fed up of fumes!!!” - Underwear for Moldovan deputies

As the Moldova state institutions appear to be devoid of potency and of capacity to implement the Moldovan legislation on tobacco and smoking control, "Young and Free" decided to draw attention of the authorities, by offering to each Deputy in Parliament underwear. On the panties fabric the words "The impotence of the law no. 278 from 14.12.2007 gives us headaches. We’ve HAD ENOUGH!" are printed.

The underwear, which was made individually according the panties size of each Deputy, was offered to every lawmaker on 10 March 2011, just before the start of Parliament plenary session.

Each of the panties was accompanied by a set of leaflets containing provisions on tobacco control and smoking in public places that are not respected in Moldova, as well as a personal letter to Parliament in its quality of a body that can make inquiries to representatives of the executive, to seek explanation from the Government on compliance of the legislation in this area.

Since 2006 "Young and Free": Training Resource Centre, in partnership with colleagues from the Coalition of NGOs Promoting Tobacco Control Policies, are advocating for tobacco control in Moldova and for a state’s greater accountability for the citizens health.

Despite the fact that:

-       the Republic of Moldova has a Law on tobacco and tobacco products (last modification – on 14.12.2007),

-       since the moment that the WHO Framework Convention on Tobacco Control (FCTC) came into force (thanks’ to civil society involvement) in Moldova, two years have passed,

In almost all public places throughout Moldova people are smoking.

No resolute measures to establish a framework for compliance with the Law on tobacco, or the FCTC are taken by institutions responsible for the functioning of tobacco and smoking control legislation.

Therefore, "Young and Free", in collaboration with the Association "Youth for the right to live" decided to protest in an original way emphasizing that active and passive smoking affects reproductive health, births, child health and oncological disease.

For more info please visit:

NORWAY: Tobacco display bans: Philip Morris vs Norway in front of the EFTA Court

This is one of the first legal challenges brought against the most recent tobacco control policy: display ban of cigarettes. Its outcome is expected to indirectly determine also the legality of the first display ban adopted within the EU (in EIRE) and to shape the ongoing reform of the EU tobacco products directive.

In an attempt to cut impulse buys of tobacco products and to further reduce smoking rates, five countries (Australia, Canada, Iceland, Ireland and Norway) have recently banned the display of tobacco products at the point of sale.

As with many tobacco control policies, both the scientific basis and the legality of display bans are questioned today. This is certainly the case for plain packaging, as we have recently reported here and here.

A more detailed analysis of the pending EFTA case (E-16/2010) is forthcoming in issue 2 of the European Journal of Risk Regulation, which is expected by next June.

As the first empirical evidence about the public health effectiveness of display bans begins to emerge (the Icelandic measures dates back 2001), Philip Morris recently took the Norwegian state to court in an attempt to overturn the law banning the display of cigarettes in stores. In Norway, since January 2010, cigarettes have been banished to closed cases, while cigarette dispensers may no longer display brand labels.

Source Alberto Alemanno Blog, 6 March 2011

TURKEY: Cigarette consumption down in Turkey in 2010

The ban on smoking in indoors in Turkey began to have an impact on the consumption of cigarettes in Turkey.

The amount consumed in 2010 went below 100 billion cigarettes for the first time in many years in Turkey.

According to figures compiled by the Tobacco and Alcohol Market Regulatory Authority (TAPDK), Turks consumed 93.3 billion cigarettes in 2010. The amount of cigarettes consumed in Turkey in 2009 was 107.5 billion.

Source: World Bulletin, 16 March 2011

UK: Comprehensive tobacco plan a victory for public health, says heart charity

The Coalition Government has announced details of its new Tobacco Control Plan and the British Heart Foundation is pleased to see the plan includes a range of measures which will help protect people from the dangers of smoking.
The plan includes implementing important legislation prohibiting the display of tobacco in large shops in England from April next year and all other shops from April 2015.

The Coalition Government has also announced it will consult on plans to introduce plain packaging for cigarettes across the UK by the end of the year. Under the proposal, cigarette packaging would be plain-coloured and show simply the product name, brand and health warnings.

We're pleased to see the Government will defend the ban on cigarette vending machines due in October because we've been fighting hard to make sure this ban goes ahead.

Betty McBride, Director of Policy and Communications at the British Heart Foundation, said:
"The Coalition Government has been under enormous pressure from a tobacco industry hell-bent on derailing important legislation banning tobacco displays in shops. Today is a victory for health campaigners and show of strength from Health Secretary Andrew Lansley.

Source: Medical News Today, 10 March 2011

UK: Tobacco industry still glamorising smoking, government warns

Further curbs on TV, films and internet under consideration as promoters skirt advertising ban

Further curbs on the portrayal of smoking on television, in films and on the internet are to be considered by the government, which said the tobacco industry continued "to find ways" of promoting products despite legislation banning advertising.

The Department of Health in England promised to "continue to work" to reduce the depiction of smoking and tell regulators and the entertainment industry to consider what more could be done.

Guidelines produced by Ofcom, the UK communications regulator, say smoking should generally not be shown before the 9pm TV watershed and should never be glamorised or condoned.

Source: The Guardian, 10 March 2011

STUDY: New ‘dissolvable tobacco’ products may increase risk of mouth disease

The first study to analyze the complex ingredients in the new genre of dissolvable tobacco products has concluded that these pop-into-the-mouth replacements for cigarettes in places where smoking is banned have the potential to cause mouth diseases and other problems. The report appears in ACS's Journal of Agricultural and Food Chemistry.

John V. Goodpaster and colleagues point out that the first dissolvable tobacco products went on sale in 2009 in test markets in Indianapolis, Ind., Columbus, Ohio, and Portland, Oregon. The products contain finely-ground tobacco and other ingredients processed into pellet, stick, and strip forms that are advertised as smoke and spit-free. Health officials are concerned about whether the products, which dissolve inside the mouth near the lips and gums, are in fact a safer alternative to cigarette smoking. Goodpaster and colleagues note the possibility that children may be accidentally poisoned by the nicotine in these products. "The packaging and design of the dissolvables may also appeal to children, and some dissolvables, such as Orbs, may be mistaken for candy," the report states.

The researchers' analysis found that the products contain mainly nicotine and a variety of flavoring ingredients, sweeteners, and binders.

"The results presented here are the first to reveal the complexity of dissolvable tobacco products and may be used to assess potential health effects," said Goodpaster, noting that it is "therefore important to understand some of the potential toxicological effects of some of the ingredients of these products." Nicotine in particular, he noted, is a toxic substance linked to the development of oral cancers and gum disease.

Source: Eurekalert, 16 March 2011

STUDY: Emphysema found in blood may help you quit smoking

So you smoke cigarettes on a regular basis with no plans to quit.

Lung cancer and respiratory ailments could be looming, but how do you know? A new blood test is being developed that detects the early development of emphysema well before symptoms occur and provide some form of peace of mind. Not all smokers develop emphysema, but finding out far in advance may just be the wakeup call you need.

Dr. Ronald G. Crystal, chairman and professor of genetic medicine and the Bruce Webster Professor of Internal Medicine at Weill Cornell Medical College and chief of the Division of Pulmonary and Critical Care Medicine at New York-Presbyterian Hospital/Weill Cornell Medical Center says:

"We know, from other studies, that smokers who learn from objective evidence that their health is in danger are much more likely to quit. That is the only thing that will help them avoid this deadly disorder."

Source: The American Journal Respiratory and Critical Care Medicine
Article: Medical News Today, 12 March 2011

EVENT : UN Summit on Non-Communicable Diseases (NCDs)

NCDs are chronic diseases that are not contagious. They account for 63% (35 million) of all deaths worldwide. These NCDs cause the highest number of deaths worldwide, and are the focus of the upcoming UN Summit:

  • heart disease and stroke;
  • cancer;
  • respiratory diseases, such as asthma and chronic obstructive pulmonary disease (COPD);
  • diabetes.

The top risk factors for NCDs are:

  • tobacco use (the leading risk factor for NCDs);
  • alcohol use;
  • inadequate or poor nutrition;
  • lack of exercise.

The UN Summit on Non-Communicable Diseases (NCDs) takes place at the UN headquarters in New York from 19 to 20 September 2011. The Summit is the biggest and best opportunity to put NCDs on the global agenda and to ask for:

  • a global commitment to prevent NCDs;
  • resources for NCD interventions;
  • governments to be accountable on NCD progress;
  • accelerated implementation of the Framework Convention on Tobacco Control;
  • inclusion of NCDs in the UN’s next Millennium Development Goals, slated for 2015.

We need advocacy now, in the months leading up to September. It is critical to ensure that NCDs receive the global attention and resources that they require.

Please use the resources available at to encourage your Head of State to attend the UN Summit on NCDs.

Possible European-level initiative on the protection of workers' health from environmental tobacco smoke (ETS) at the workplace.

The European Commission, responding to a resolution of the European Parliament, has developed draft options for new policies to protect workers from exposure to environmental tobacco smoke at the workplace.   

The Commission (DG for Employment, Social Affairs and Inclusion) has appointed GHK Consulting Ltd to assess the potential impacts of these options. 

The study, which will finish in summer 2011, will examine how the options interface with existing controls in Member States and the prospective health, economic and other impacts.  The final report will inform the Commission’s engagement with social partners.  

More details of the project are available at

European Parliament: Report on reducing health inequalities in the EU (2010/2089(INI))

The European Parliament has adopted a resolution where it says that everybody
should have access to healthcare systems and affordable healthcare. The specific needs of vulnerable groups such as women, older patients, undocumented migrants, ethnic minorities, need to be taken better into account. Life expectancy has been shown to vary across EU Member States by 14.2 years for men and 8.3 years for women, says the resolution. Also within countries, groups of different education levels and social situations have widely differing health prospects.

Source: European Parliament, February 2011
More info is available at

Pfizer Press Release : Governments need to improve smoking cessation services, smokers say

Healthcare professionals urge better education for Doctors to help smokers quit -

Embargoed until 15.00 hours Thursday 17 March 2011

Over 78 million smokers in Europe want to quit,1 but half (50%) of those surveyed who have tried to quit rate smoking cessation services as inadequate, poor or unacceptable, according to new research released today.1

Amongst healthcare professionals (HCPs) surveyed, 87% believe this support for smokers should be provided by primary care physicians.2 However, over half of physicians (55%) believe primary care HCPs lack the educational support to deliver these services effectively.2

These findings form part of research commissioned by Pfizer, which examines attitudes to smoking and smoking cessation amongst 2,482 HCPs, 20,010 smokers and 22,683 non-smokers across 20 European countries.1,2

Services and support are key to helping smokers quit and to helping governments who have signed up to the World Health Organization’s Framework Convention on Tobacco Control (FCTC) meet their commitments to drive tobacco use down.3 When it comes to investment in improving smoking cessation services there is strong support from HCPs, non-smokers and smokers alike. 68% of non-smokers and 51% of smokers surveyed across Europe believe governments should invest more in bringing smoker numbers down, rather than in treating the health problems resulting from smoking.1 This is echoed by HCPs surveyed, 88% of whom believe it is the government’s responsibility to improve infrastructure that supports smoking cessation.2

With just under half (48%) of smokers surveyed citing cost as the biggest barrier to seeking professional help to quit,1 funding for services and treatments is needed to encourage smokers to access the support available. Four out of 10 smokers say funding of smoking cessation treatments would encourage them to access support services.1 HCPs are also supportive of funding for smoking cessation treatments with over three quarters (77%) surveyed saying that smokers trying to quit should be reimbursed for clinically proven medications.2

Professor Luke Clancy, Chairman of the Tobacco Control Committee, European Respiratory Society (ERS) said: “Tobacco use is one of the biggest public health problems but stopping smoking is a significant challenge. Nicotine is highly addictive, similar to and in some ways more addictive than ‘hard’ drugs such as heroin or cocaine.4 However studies show that even a brief conversation with a clinician could double a smoker’s chances of quitting successfully.5 If we’re to drive down deaths from tobacco use we must respond to the call to action from HCPs for better education to improve the chances of a smoker quitting successfully when they utilise these services.”

In an effort to reduce tobacco use, the EU and its Member States have signed up to the WHO’s Framework Convention on Tobacco Control (FCTC).3 The FCTC’s Article 14, through its recently adopted guidelines, demands action to promote cessation of tobacco use and provide adequate treatment for tobacco dependence. Countries who have signed up to the FCTC therefore have a legal obligation to implement the recommendations of Article 14.

A landmark report, Europe Quitting: Progress and Pathways (EQUIPP) looks at how 20 countries across Europe are progressing in line with their Article 14 obligations.

It represents the views of over 60 European smoking cessation experts and is endorsed by the European Respiratory Society (ERS), the European Network for Smoking and Tobacco Prevention (ENSP), and The German Society for Pneumology. The report makes actionable recommendations at both an EU and country level for how improvements can be made.

Improved education for HCPs feature in the recommendations made by smoking cessation experts for every one of the 20 countries analysed, alongside other strategies to improve smoking cessation such as clinical guidelines, increased tobacco prices and reimbursement for interventions and treatment.

John Young, Regional President, EuCan Primary Care, Pfizer, who initiated and funded the EQUIPP report notes: “Europe has significant challenges to overcome to reduce the burden of sickness, premature death and the economic impact of smoking. In order to affect real change, policies that promote smoking cessation and provision of these services must be in place. The EQUIPP report provides evidence-based approaches from leading experts on how to tackle tobacco use.

We urge those who can effect policy change at a national level to implement the recommendations of the EQUIPP report and pave the way for progress in driving down tobacco dependence and use in Europe.”

For further enquiries or to request an interview with an EQUIPP spokesperson contact:

Pfizer Press Office

(+44) 845 300 8033

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The Red Consultancy

(+44) 207 025 6507

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Notes to Editors

About the EQUIPP report

Initiated and funded by Pfizer, the EQUIPP report has been written by Bridgehead International, an independent research agency which has developed the report through desk research and interviews with experts in the field of tobacco dependence, tobacco control and smoking cessation. Overseeing the structure and content of the report were four Editorial Partners – Prof Luke Clancy (BSc, MB, MD, PhD, FRCPI, FRCP(Edin), FFOMRCPI), Prof Witold Zatooski (MD, PhD), Dr Thomas Hering (MD) and Antonella Cardone, MS, MBA – four of Europe’s experts in smoking cessation and tobacco control.

In order to provide an up-to-date picture of the current status of smoking cessation services across Europe, as well as conducting desk research using PubMed, Cochrane reviews and various other internet resources, interviews were conducted with expert stakeholders in 20 countries. The countries were: Austria, Belgium, Czech Republic, Denmark, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Luxemburg, Netherlands, Norway, Poland, Portugal, Spain, Sweden, Switzerland and the United Kingdom. Interviews were conducted from June to October 2010 with a cross section of stakeholders, representing NGOs involved in smoking cessation, healthcare professionals, health policy makers and those advising national governments, utilising a structured interview guide. Some broader, free ranging qualitative questions were also included. In total, 57 experts were interviewed; generally three interviewees per country.

The Editorial Partners have reviewed and endorsed the content of the entire report and its recommendations. The opinions and recommendations contained within are those of the Editorial Partners and should not be attributed to Pfizer.

About the FCTC

The Framework Convention on Tobacco Control (FCTC) is the first international public health treaty and it has contributed to a change in public perceptions about the need for regulations, and given new impetus to efforts to control the harm caused by tobacco. The FCTC requires that signatories enact comprehensive legislation to, amongst other things, restrict exposure to second-hand smoke, raise tobacco taxes, reduce smuggling, restrict tobacco advertising, increase the health warnings on tobacco packaging, provide support for smokers who want to quit and make medications available to help them do so. The FCTC came into force in February 2005, and as of October 2010 it has been ratified by 172 countries.


1 This research was conducted by InSites Consulting in February 2011 and funded by Pfizer Ltd. Consumer research was conducted using an on-line quantitative survey in 20,010 smokers and 22,683 non-smokers across 20 European countries. The countries were: Austria, Belgium, Czech Republic, Denmark, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Luxemburg, Netherlands, Norway, Poland, Portugal, Spain, Sweden, Switzerland and the United Kingdom

2 This study was conducted by GfK NOP HealthCare between December 2010 and February 2011 and funded by Pfizer Ltd. This study was conducted using an on-line quantitative survey among 2,482 healthcare professionals across 20 European countries. The countries were: Austria, Belgium, Czech Republic, Denmark, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Luxemburg, Netherlands, Norway, Poland, Portugal, Spain, Sweden, Switzerland and the United Kingdom

3 World Health Organization. Conference of the Parties to the WHO Framework Convention on Tobacco Control. Fourth session Punta del Este, Uruguay, 15–20 November 2010. FCTC/COP/4/8

4 Nicotine Addiction in Britain – a Report of the Tobacco Advisory Group. London: Royal College of Physicians, 2000. Accessed online at: Last accessed July 2010

5 Hughes JR. New Treatments for Smoking Cessation. CA Cancer J Clin. 2000; 50: 143 – 151

RESEARCH: Secondhand smoke raises risk of delivering stillborn babies or babies with defects

A pregnant mother who does not smoke and breathes in secondhand smoke has a higher chance of delivering a stillborn baby or a baby with a defect, researchers from the University of Nottingham, England, revealed in the journal Pediatrics.

There is a 23% higher risk of delivering a stillborn baby and 13% higher chance of giving birth to a child with congenital birth defects.

It is important that expectant fathers who smoke either give up or smoke away from their pregnant partners, the researchers wrote. Researcher, Dr Jo Leonardi-Bee, said:

"Mothers' smoking during pregnancy is well-recognized as carrying a range of serious health risks for the unborn baby including fetal mortality, low birth weight, premature birth and a range of serious birth defects such as cleft palate, club foot and heart problems.

Dr Leonardi-Bee said: "What we still don't know is whether it is the effect of sidestream smoke that the woman inhales that increases these particular risks or whether it is the direct effect of mainstream smoke that the father inhales during smoking that affects sperm development, or possibly both. More research is needed into this issue although we already know that smoking does have an impact on sperm development, so it is very important that men quit smoking before trying for a baby.

Source: Medical News Today, 14 March 2011

RESEARCH: Smoking and interstitial lung disease

A team of researchers at Brigham and Women's Hospital (BWH) have found that approximately one out of every twelve adult smokers have abnormal lung densities present on chest computed tomography (CT) images suggestive of interstitial lung disease which is associated with substantial reductions in lung volumes. In addition, despite being positively associated with smoking, these lung densities were inversely not associated with emphysema. This research is published online on March 10th in the New England Journal of Medicine.

It is increasingly acknowledged that interstitial lung disease may evolve prior to the development of symptoms. Although it is known that smoking can cause some forms of interstitial lung disease, the prevalence of these chest CT scan abnormalities and their effect on lung volumes had been unclear. "This manuscript highlights the degree of lung volume reduction associated to previously unrecognized interstitial lung abnormalities in smokers," said Hiroto Hatabu, MD, and Ivan Rosas, MD of the Divisions of Radiology and Pulmonary/Critical Care Medicine at BWH.

Source: Medical News Today, 10 March 2011

STUDY: Stopping smoking shortly before surgery is not associated with increased postoperative complications

A meta-analysis of nine previous studies found that quitting smoking shortly before surgery was not associated with an increased risk of postoperative complications, according to a report that will appear in the July 11 print issue of Archives of Internal Medicine, one of the JAMA/Archives journals.

"Cigarette smoking has been implicated as a risk factor for postoperative complications across a spectrum of surgical specialties," the authors provide as background information. "Compared with nonsmokers, smokers who undergo surgery have longer hospital stays, higher risk of readmission, are more likely to be admitted to an intensive care unit, and have an increased risk of in-hospital mortality." They add that existing data do not provide clear advice on an optimal period for a patient to quit smoking before a surgical procedure.

In an accompanying editorial, Clara K. Chow, M.B.B.S., Ph.D., and P.J. Devereaux, M.D., Ph.D., from the Population Health Research Institute, McMaster University, Hamilton, Ontario, Canada, write that "while the review performed by Myers et al provides valuable information, it does not definitively answer the question raised."

'Physicians should ideally try to get their patients to stop smoking several months prior to their surgery. The appropriate advice regarding the optimal timing of smoking cessation for patients seen close to their scheduled surgery awaits further research. The magnitude of the problem (i.e., upwards of 70 million adult smokers worldwide undergo major surgery annually) highlights the need for large, high-quality, perioperative tobacco use studies."

Source: Eurekalert, 14 March 2011

Launch 3rd European Tobacco Control Scale

Progress in tobacco control in 31 European countries 2007-2010

Who will take the lead in the 3rd ranking?

The results of the 3rd Tobacco Control Scale in Europe are being presented in a European press event on Wednesday 23 March 2011. The press event will take place in the International Press Centre Nieuwspoort in The Hague, the Netherlands, and can be viewed online. The press event is planned a few days prior to the 5th European Conference on Tobacco or Health, to be held in Amsterdam, the Netherlands, 28-30 March 2011. This conference will be hosted by the Dutch Cancer Society and has been organised in collaboration with STIVORO, under the auspices of the Association of European Cancer Leagues.

The report describes the results of a survey of tobacco control activity in 31 European countries in 2010, using the Tobacco Control Scale (TCS). Countries were judged according to a scale of measures considered to be essential components of a comprehensive tobacco control programme. The following six policy measures were described by the World Bank:

  1. price increases through higher taxes on cigarettes and other tobacco products;
  2. bans/restrictions on smoking in public and work places;
  3. better consumer information, including public information campaigns, media coverage, and publicising research findings;
  4. comprehensive bans on the advertising and promotion of all tobacco products, logos and brand names;
  5. large, direct health warning labels on cigarette boxes and other tobacco products;
  6. treatment to help dependent smokers stop, including increased access to medications.

The results will be presented by Luk Joossens, Advocacy Officer of the Association of European Cancer Leagues (ECL) and co-author of the Scale.

You are cordially invited to view the press conference online at the International Press Centre's website starting at 14.00h CET.

Visit the following link to download the invitation and programme : http:/

OLAF: Huge Illegal Cigarette Factory Raided in Poland

Plans by an international criminal gang to flood the EU market with millions of illegal cigarettes came to an abrupt end recently when Polish Police raided an illegal cigarette factory near to Warsaw, Poland. During the raid, the Polish Police arrested 32 people and seized cigarette making machinery and materials, including over 50 tonnes of cut tobacco. A consignment of nearly 5 million cigarettes, which had already been loaded on a lorry for distribution, was also seized.

The raid was the result of investigations in several countries which were coordinated by the European Anti-Fraud Office, OLAF. Shortly after the illegal production facility was seized in Poland, 4 people were arrested in Germany and over 70 tonnes of tobacco destined for the factory were seized in Lithuania as part of the same operation.

The Director-General of OLAF, Mr Giovanni Kessler, expressed his congratulations to the Polish Police and the Customs authorities in Germany and Lithuania for their achievements in this case. "This was an extensive criminal enterprise. The criminals could have produced around 120 million cigarettes with the tobacco which has been seized, representing potential losses to the EU taxpayer of €24 million, and there is no doubt that further deliveries of tobacco were planned. This operation clearly demonstrates the outstanding results that can be achieved through international cooperation". Mr Kessler went on to explain that the factory had been raided shortly after production had started. "This was a very large factory with considerable production capacity. If it had continued to run, losses to the EU and Member State budgets would potentially have been €6 million a week".

An estimated 10 billion euro in taxes and duties are lost to the budgets of the EU and Member States each year as a result of cigarette smuggling and counterfeiting.

For photos and video material courtesy of Polish police, please see:

Source: OLAF, 15 March 2011 

STUDY: Found lung cancer genes, blood test may be next

Norwegian researchers have discovered genes that increase not only one's risk of lung cancer, but perhaps one's urge to smoke as well. Now these researchers are working on developing a blood test for lung cancer.

"Smoking is by far the largest risk factor for developing lung cancer," says Professor Frank Skorpen of the Department of Laboratory Medicine, Children's and Women's Health at the Norwegian University of Science and Technology (NTNU) in Trondheim. Professor Skorpen is among the researchers in a project studying genetic factors and treatments for lung cancer. The project receives funding under the National Programme for Research in Functional Genomics in Norway (FUGE), one of the Research Council's seven Large-scale Programmes.

The risk of contracting lung cancer is relatively small for non-smokers. But the genetic factor for lung cancer found by the NTNU researchers nearly doubles that predisposition.

"This is a common genetic variant," explains the professor. "Roughly 10 per cent of the population has inherited this variant on both alleles, from mother and father, so there are many people with an increased risk of developing lung cancer."

Source: Medical News Today, 12 March 2011

Boletim ENSP nº 10 PDF Versão para impressão Enviar por E-mail
Segunda, 14 Março 2011 20:20


Issue 10, 4-10 March 2011

Foreword from ENSP Secretary General

Dear Reader,

As you will have noticed, the ENSP Secretariat continues to make considerable efforts to compile for you the ENSP European News Bulletin featuring European tobacco control news, announcements, events, publications and other relevant topics.

We are eager to improve our services continuously. Therefore, we recently established a new subscription procedure, with the objective of bringing a modest financial support to a pan-European publication, for which we regrettably no longer receive co-funding from the European Commission. This new procedure will commence on 1 March 2011. Please consult our website ( forthwith for more details.

Thank you for your continuous support and I wish you much success in your tobacco control actions.

Working together to save lives,

Francis Grogna

ENGLAND: Tobacco displays to be banned from shops

Cigarettes will disappear under the tobacconist's counter from 2012 under measures announced on Wednesday.

Only temporary displays in "certain limited circumstances" will be allowed under the plans, which will be phased in gradually to allow businesses to adapt.

The regulations will come into force for large stores on April 6 2012 and on April 6 2015 for all other shops, the Department of Health said.

A consultation on whether cigarettes should be sold in plain packaging, to make them less appealing to young people, will be launched by the end of the year, the ministry added.

"Smoking is undeniably one of the biggest and most stubborn challenges in public health," said Health Secretary Andrew Lansley. "Over eight million people in England still smoke and it causes more than 80,000 deaths each year.

“We want to do everything we can to help people to choose to stop smoking and encourage young people not to start smoking in the first place. We will help local communities to take a comprehensive approach to reducing smoking so we can change social attitudes to smoking”.

Retailers reacted angrily to the announcement, saying there was "simply no evidence" that keeping tobacco out of sight in shops will discourage young people from smoking.

"We are disappointed that government is pressing ahead with a tobacco display ban imposing £40 million of costs on small retailers," said James Lowman, chief executive of the Association of Convenience Stores.

"There simply isn't the evidence to suggest that the measure will reduce smoking amongst young people."

But anti-smoking groups said they were "delighted" with the announcement and urged the government to push ahead with proposals to impose plain packaging on tobacco companies.

"Although disappointed at the delay we're delighted that the government has refused to cave in to tobacco industry lobbying for the repeal of the tobacco display legislation," said Deborah Arnott, chief executive of Ash (Action on Smoking and Health).

Plain packaging and a ban on public display have both been under discussion for several years. The previous Labour government had planned to force tobacco products under the counter if reelected.

The UK will join several countries, including Canada, Ireland and Finland, in removing cigarettes from tobacconists' shelves.

But it will be the first in Europe to insist on plain packaging, if the proposal goes ahead. Australia is due to introduce the measure in 2012.

Source: London AFP, 9 March 2011

Related articles:

Lives are saved by stubbing out this addiction, The Independent, 10 March 2011

Public health: The fug of mixed messages, The Guardian, 10 March 2011

Anti-smoking plans: cigarettes will no longer be displayed in shops, The Telegraph, 9 March 2011

Tobacco displays to be banned from shops - BBC News Health, 9 March 2011:

Britain on track to be first European country to put tobacco products in plain packs, Medical News Today, 9 March 2011:

Government unveils new tobacco control plan, Cancer Research UK, 9 March 2011

VIDEO: Government to unveil anti-smoking plans, BBC Online, 9 March 2011

Government unveils cigarette branding curbs - The independent, 9 March 2011:

ENGLAND: Healthy lives, healthy people: a tobacco control plan for England (PDF)

This Tobacco Control Plan, published on 9 March 2011 sets out the key actions under each strand that the Government will take in order to support efforts to reduce tobacco use over the next five years, within the context of the new public health system.

These key actions are highlighted at the start of each chapter. The work we will undertake to maximise the use of information and intelligence to support comprehensive tobacco control, as well as the actions we will take to protect tobacco control from vested interests, is also set out.

Source: Department of Health (UK), 9 March 2011

FRANCE: Kate Moss uses No Smoking Day to illustrate what a fine role model she is

We're sure it's in the name of art or whatever, but what about the thousands of people who are using today as the opportunity to kick the habit and improve their chances at having a longer life that doesn't result in rasping into an oxygen machine while their family look on, helpless?

Source : 3AM (UK), 9 March 2011

JERSEY: Smoking could be banned in cars

Jersey's public health department is considering whether to ban smoking in cars.

It comes as a British Lung Foundation petition was presented to the UK Government calling for a smoking ban in cars carrying children.

Andrew Heaven, Jersey's head of health improvement, said officials were considering extending the smoke free legislation to all motor vehicles.

He said the public health advice was to encourage people not to smoke in cars.

As part of Jersey's smoking in the workplace ban since 2007, smoking has been banned in work vehicles that are used by more than one person.

Source: BBC, 3 March 2011

UK: National Non Smoking Day Wed 9th March

Established in 1983, No Smoking Day works to support smokers who want to quit. The charity does this by raising awareness the Day, which takes place on the second Wednesday in March every year, and highlighting the many sources of help available for quitters.

Every year over a million smokers will use No Smoking Day to try to quit.

There are many benefits to quitting

Source:, 9 March 2011

Visit the National non smoking day website at:

UK: Women’s lung cancers has doubled since 1970 in over-60s

Most lung cancers are linked to smoking

Lung cancer rates have more than doubled for women over 60 since the mid-1970s, figures show.

Cancer Research UK figures say the rate rose from 88 per 100,000 in 1975 to 190 per 100,000 in 2008, the latest year for which statistics are available.

Lung cancers in men fell, and CRUK say this is linked to smoking rates.

The proportion of male smokers peaked before 1960. But women had rising rates in the 1960s and 1970s, which would have an effect on those now over 60.

Overall, the number of women diagnosed with lung cancer has risen from around 7,800 cases in 1975 to more than 17,500 in 2008.

Figures for men went from 23,400 over-60s diagnosed in 1975, falling to 19,400 in 2008, with rates showing a similar large drop.

The charity said 5,700 women over 60 were diagnosed with lung cancer in 1975, compared with 15,100 in 2008.

Source: BBC Online, 6 March 2011

INDUSTRY WATCH: Philip Morris Norway AS buys services of renowned economist in lawsuit against Norway

Aftenposten newspaper reveals in today’s issue that Nobel Laureate in Economics for 2000, James Heckman, is hired by the tobacco manufacturer Philip Morris Norway AS (PMN) in the tobacco company’s efforts to force Norway to walk back on a major tobacco control legislation.

On March 9, 2010, PMN announced a lawsuit challenging Norway on its public health regulation which bans any form of display of tobacco products.

Heckman believes that the basis for the Norwegian ban on tobacco retail displays in commodity stores is too thin and does not have any effect on smoking in general. In addition, he argues that the ban is enforced in violation of a European Economic Area (EEA) Agreement because it imposes restrictions on competition.

The ban was introduced on January 1st last year as a measure to encourage people to smoke less and to prevent the youth from even starting to smoke.

Information is only available in Norwegian.
Source: Courtesy of Mr. Maxime N. Compaore, Norwegian Cancer Society, 9 March 2011

Contact: Este endereço de e-mail está protegido de spam bots, pelo que necessita do Javascript activado para o visualizar - Web site:

STUDY: Fewer smoke in Sweden, more men use snuff

Stockholm - The number of smokers in Sweden has dropped while use of moist tobacco, known as snus, appears to be increasing, according to a new study.

In 2009, 10.3 per cent of the country's men and women lit up, down one percentage point on 2008, researchers at Stockholm University said.

The survey of Swedish tobacco consumption began in June 2003 and is based on both official sales figures and information from respondents, the Centre for Social Research on Alcohol and Drugs (SoRAD) said.

The study was based on tobacco purchased in Sweden as well as imported into the country - both legally by private citizens in connection with trips abroad or smuggled in. Smokefree products like snus were also part of the survey.

Source: M&C, 7 March 2011

STUDY: Secondhand Smoke Risk Penetrates Womb

Nonsmoking women who breathe secondhand tobacco smoke during pregnancy increase their risk of stillbirth, major birth defects, and other harms to their babies, according to a meta-analysis.

The analysis of 19 observational studies found a 23% increased risk of stillbirth with tobacco smoke exposure during pregnancy (odds ratio 1.23, 95% confidence interval 1.09 to 1.38) in four of the studies, reported Jo Leonardi-Bee, PhD, MSc, of the University of Nottingham, England, and colleagues.

And seven of the studies found that pregnant women exposed to second hand smoke were also 13% more likely give birth to a child with congenital malformations (OR 1.13, 95% CI 1.01 to 1.26), Leonardi-Bee and co-authors wrote in the April issue of Pediatrics.

"Because the timing and mechanism of this effect is not clear, it is important to prevent secondhand smoke exposure in women before and during pregnancy," the group urged in their paper.

Primary source: Pediatrics Source reference: Leonardi-Bee J, et al "Secondhand Smoke and Adverse Fetal Outcomes in Nonsmoking Pregnant Women: A Meta-analysis"

Source: MedPage Today, 7 March 2011

WHO TFI: World No Tobacco Day 2011 Poster

The poster for World No Tobacco Day 2011 may now be viewed on the WHO Tobacco Free Initiative web site at:

Source: Timothy O'Leary, WHO Tobacco Free Initiative Geneva, Switzerland, 4 March 2011

Rango slammed by anti-smoking campaigners who say film encourages children to smoke

Anti-smoking campaigners have branded the animated film Rango a public health hazard for encouraging children to take up the habit.

A raft of groups said the PG feature, which opened last Friday, is setting a bad example by featuring more than 60 instances of characters puffing away.

The only other film which came close was 101 Dalmatians in which Cruella de Vil smoked all the time.

Even the lead character, Rango the chameleon, swallows a cigar and breathes fire in the face of an enemy at one point.

The campaigners said that research has shown that children in elementary school who are exposed to on-screen smoking are more likely to take up the habit as teens.

They are calling on film-makers to stop glamorising smoking and cut the cigarettes out of their productions or give the pictures an R rating so children cannot see them.

Source: Mail Online, 9 March 2011

STUDY: Smoking increases risk of breast cancer in postmenopausal women

Postmenopausal women who smoke or used to smoke have up to a 16% higher risk of developing breast cancer compared to women who have never smoked, finds research published in the British Medical Journal today.

The study also says that women who have had extensive exposure to passive smoking, either as children or in adulthood, may also have an excess risk of developing breast cancer.

While some previous studies have indicated that smoking increases the risk of breast cancer, the theory that passive smoking is also a risk factor, remains controversial.

The researchers, led by Dr Juhua Luo from West Virginia University and Dr Karen Margolis from the HealthPartners Research Foundation in Minneapolis, decided to carry out a large scale study following participants over a long period of time to investigate the issue further.

The research team used data from the 1993-98 Women's Health Initiative Observational study to determine links between smoking, passive smoking and breast cancer.

Source Physorg,1 March 2011

STUDY: Text messaging helps smokers break the habit

A pair of related studies on smoking cessation by researchers at the University of Oregon and other institutions have isolated the brain regions most active in controlling urges to smoke and demonstrated the effectiveness of text-messaging to measure and intervene in those urges.

Both projects used the same group of test subjects - 27 heavy smokers recruited from the American Lung Association's Freedom from Smoking program in Los Angeles.

The research showed that text messaging is at least as effective as more expensive and harder-to-use handheld data collection devices in the "brief interval assessment" of people in smoking cessation programs. The palmtop devices typically used for what smoking cessation researchers call "ecological momentary assessment" can cost more than $300 each, while 86 percent of U.S. residents already have cell phones and 91 percent of those are SMS-enabled.

"Text messaging may be an ideal delivery mechanism for tailored interventions because it is low-cost, most people already possess the existing hardware and the messages can be delivered near-instantaneously into real world situations," said the study, which is scheduled to appear this week in Health Psychology, the journal of the American Psychological Association.

Source Newswise, 8 March 2011

STUDY: Tobacco smoking impacts teens' brains

Tobacco smoking is the leading preventable cause of death and disease in the U.S., with more than 400,000 deaths each year attributable to smoking or its consequences. And yet teens still smoke. Indeed, smoking usually begins in the teen years, and approximately 80 percent of adult smokers became hooked by the time they were 18. Meanwhile, teens who don't take up smoking usually never do.

While studies have linked cigarette smoking to deficits in attention and memory in adults, UCLA researchers wanted to compare brain function in adolescent smokers and non-smokers, with a focus on the prefrontal cortex, the area of the brain that guides "executive functions" like decision-making and that is still developing structurally and functionally in adolescents.

They found a disturbing correlation: The greater a teen's addiction to nicotine, the less active the prefrontal cortex was, suggesting that smoking can affect brain function.

The research appears in the current online edition of the journal Neuropsychopharmacology.

The finding is obviously not good news for smokers, said the study's senior author, Edythe London, a professor of psychiatry at the Semel Institute for Neuroscience and Human Behavior at UCLA.

"As the prefrontal cortex continues to develop during the critical period of adolescence, smoking may influence the trajectory of brain development and affect the function of the prefrontal cortex," London said.

Source: Physorg, 2 March 2011

STUDY: Smoking abstinence found more effective with residential treatment than standard outpatient treatment

In the March issue of Mayo Clinic Proceedings, researchers report that residential treatment for tobacco dependence among heavy smokers greatly improves the odds of abstinence at six months compared with standard outpatient treatment. The study reports that 52 percent of the patients were still not smoking six months after residential treatment, compared with 26 percent in the outpatient treatment setting.
"This means there is hope for patients who are tobacco dependent and feel they have exhausted every other means of trying to quit smoking," says Taylor Hays, M.D., a Mayo Clinic nicotine dependence specialist and an author of this study.
Smoking relapse rates are the highest during the first weeks of an attempt to quit smoking. Effective treatment for tobacco dependence involves intensive behavioral and pharmacological treatments to achieve long-term smoking abstinence.

Source: Medical News Today, 8 March 2011

STUDY: Toenail Nicotine Test May Predict Lung Cancer

Toenail tests tell whether you're at high risk of getting lung cancer from cigarette smoke, even if you're not a smoker.

The finding comes from the toenails of 210 men with lung cancer and a comparison group of 630 men without lung cancer enrolled in the Health Professionals Follow-Up Study. Most of the 33,737 medical professionals in this long-term study donated toenail clippings in 1987.

The 20% of toenails containing the highest amounts of nicotine identified men at the highest risk of lung cancer. These men were 10.5 times more likely to have lung cancer than the 20% of men with the least nicotine in their toenails.

Even when taking into account reported smoking - that is, when comparing men at similar levels of cigarette use - men with the most nicotine in their toenails were over 3.5 times more likely to get lung cancer than those with the least toenail nicotine.

"Regardless of whether you are a smoker or a nonsmoker exposed to secondhand tobacco smoke, we can now better measure your exposure and predict your risk," study researcher Wael K. Al-Delaimy, MD, PhD, tells WebMD. Al-Delaimy is chief of the division of global health at the University of California, San Diego School of Medicine.

Source: WebMD Health, 7 March 2011

Boletim ENSP nº 9 PDF Versão para impressão Enviar por E-mail
Terça, 08 Março 2011 15:50



Issue 9, 25 February - 3 March 2011

Foreword from ENSP Secretary General

Dear Reader,

As you will have noticed, the ENSP Secretariat continues to make considerable efforts to compile for you the ENSP European News Bulletin featuring European tobacco control news, announcements, events, publications and other relevant topics. From your feedback, we know that its quality and its frequency are highly appreciated and we wish to take this opportunity of thanking you for your loyalty.

We are eager to improve our services continuously. Therefore, we recently established a new subscription procedure, with the objective of bringing a modest financial support to a pan-European publication, for which we regrettably no longer receive co-funding from the European Commission. This new procedure will commence on 1 March 2011. Please consult our website ( forthwith for more details.

Thank you for your continuous support and I wish you much success in your tobacco control actions.

Working together to save lives,

Francis Grogna

FRANCE: CNCT in ‘Envoyé Spécial’: How women are targeted and increasingly become the victims of tobacco consumption

The French investigation magazine ‘Envoyé Spécial’ broadcasted a tv documentary devoted to the tobacco scourge, whose main victims today are women.

The CNCT (National Committee Against Tobacco) shared their expertise with ‘Envoyé Spécial’ to reveal the deceitful practices used by the tobacco industry in inducing women to take up smoking.  

A video extract of the broadcast is available in French language at:

The full Envoyé Spécial report “Les femmes et le tabac” (Women and Tobacco) can be viewed at:

Source: Comité National contre le Tabagisme (CNCT), 25 February 2011

Contact : Annie Fraisse-Cenzano - Este endereço de e-mail está protegido de spam bots, pelo que necessita do Javascript activado para o visualizar

GERMANY: More German youths say no to cigarettes

German kids just don't think smoking is cool anymore. So said the German Center for Health Education, which reported smoking among youths has gone down by about half over the last decade.

Smoking is decidedly "out" among German youths, with just 13 percent of 12- to 17-year-olds in Germany starting the habit in 2010, according a study by the German Center for Health Education.

That is the lowest level since the organization started tracking youth smoking 30 years ago. The Center for Health Education also said about half as many German youths started smoking in 2010 as the same age group did in 2001, when 28 percent of youngsters smoked.

The Center for Health Education's Director, Elisabeth Pott, said the findings are part of a downward trend in smoking in Germany.

"For most young people, smoking today is totally 'out'," she said. "Not smoking has become mainstream in our society, especially among youths and adolescents."

Source: Deutsche Welle, 27 February 2011,,14875088,00.html

HUNGARY: WHO welcomes proposal for legislation for a smoke-free Hungary

On Friday 25 February 2011, a group of MPs of the Hungarian Parliament, with government support submitted a motion for legislation that would make public places, restaurants, bars and workplaces in Hungary smoke-free.

Debate on this proposal starts in Parliament on 28 February 2011.

WHO Regional Office for Europe welcomes this initiative.
“This is very good news for the health of the people of Hungary. Countries across the European Region are introducing smoke-free public places and workplaces, and the evidence is that it really works”, said Zsuzsanna Jakab, WHO Regional Director for Europe. “Not only does it have a major impact on the amount of smoke that people are exposed to, and their health, but people have accepted it. It has met with public support and positive impacts on business.”

Smoke-free initiatives are strongly supported by the WHO Framework Convention on Tobacco Control, which 45 countries in the European Region have ratified so far. Governments are finding that the health gains hugely outweigh the perceived political costs of taking action, and one country after another is introducing tough legislation to combat smoking.

For more information, please contact: Dr Zsofia Pusztai
WHO Country Office, Hungary, 28 February 2011

RUSSIA: Frightening images on cigarette packs?

Russia is ready to place frightening images on cigarette packets to clearly demonstrate the consequences of smoking. This was reported by Minister of Health and Social Development of Russia Tatiana Golikova at a meeting with EU Commissioner for Health John Dalli.

Source: RUVR Voice of Russia, 25 February 2011

UK: EDITORIAL - Displaying tobacco in shops should be consigned to history

The government will soon decide whether cigarette displays in shops should be banned. Health campaigners insist they should, believing this will reduce the number of young people smoking, while those who run convenience shops oppose the move, saying it will cost up to £1,000 to remove the displays and to fit under-the-counter trays to hold tobacco products. This, they warn, will increase queues in shops, levels of theft and smuggling.

Whether a ban deters young people from smoking is fiercely contested.

Perhaps the most useful exercise for the UK government is to look to Ireland, which introduced a similar ban in 2009. Independent research confirmed that the ban did not result in a loss of income for Irish retailers, while there was a dramatic decline in children's awareness that tobacco was sold in shops. Support for the ban also rose among the general population after it was introduced.

The researchers concluded the ban helped to "de-normalise" tobacco in the minds of children. The truth, long recognised by the tobacco industry, is that these displays are just another form of advertising and so, in the case of cigarettes, should be consigned to history.

Source: The Guardian, 27 February 2011

UK: Claire Beale on Advertising: The fag end of anti-smoking campaigns

The advertising industry always said that the Government's decision to reduce spending on advertising would be a false economy.
Now there's early evidence it was right. According to figures from the Department for Health, the number of people who have quit smoking has fallen by a third since the government culled its anti-smoking advertising.
A time of savage cuts might not be conducive to abstaining from life's remaining pleasures but there's clear evidence of the damage done by pulling anti-smoking ads. Take last year's figures as a benchmark. In the first quarter of 2010 the Government spent £860,000 on advertising; 125,000 people kicked the habit. But when the ad budget dropped to £26,000 in the second quarter, only 86,000 smokers quit. New Year is by far the most popular time to try to quit, but the trend is clear. By the autumn, when anti-smoking ads had stopped altogether, the numbers giving up their nicotine fix were 38 per cent down on the first quarter of the year.

Source: The Independent, 28 February 2011

UK WALES: Bold plans to slash number of Welsh smokers by a third

Ambitious plans will today be published to slash the number of smokers in Wales by a third in just 10 years.

If successful Wales would be comparable to California, which has taken an aggressive stand against smoking in a bid to drastically cut its smoking rates.

The Assembly Government will also today propose extending the current smoking ban legislation to outlaw smoking on all NHS property.

And it also wants local councils to introduce bans on smoking in and around children's playgrounds to minimise the impact on children's health.

But the Assembly Government's tobacco control action plan stops short of calling for a ban on smoking in private cars carrying children. Instead it called on councils to lead a debate about the issue.

Dr Tony Jewell, Wales' chief medical officer, said: "Just as Wales took a bold step in creating smoke-free environments in public places, we recognise the time is right to champion new approaches to further protect children from the harms of second-hand smoke."

Source: WalesOnline, 24 February 2011

US - NYC: Next Smoking Ban Target: Bus Stops

A bus stop in the Bronx. Mayor Bloomberg, after signing a law banning smoking at city parks and plazas, said he would support a ban at bus stops as well.

First New York City banned smoking at bars and restaurants. This week, Mayor Michael Bloomberg signed a no-smoking law covering city parks, beaches and pedestrian plazas like Times Square. The next place where the mayor supports a smoking ban: bus stops.
On his weekly radio show, Bloomberg responded affirmatively when a caller asked whether he’d consider expanding the ban to include bus stops.
“Well, personally, I couldn’t agree with you more,” the mayor, a former smoker, told the caller. “I don’t want to stand down wind of somebody smoking because the smoke kills you.” Bloomberg said if the public demands a ban on smoking at bus stops, city government may take up the cause, as he said it did when New Yorkers urged the newly passed ban on beaches and parks. That law, signed by the mayor on Tuesday, will take effect May 23.

Source: The Wall Street Journal, 28 February 2011

STUDY: Rising status of women linked to more smoking

Millions of women in developing countries risk disease and early death in the coming decades as their rising economic and political status leads them to smoke more, researchers said on Tuesday.

An analysis in 74 countries found that men are five times more likely to smoke than women in countries with lower rates of female empowerment, such as China, Indonesia, Pakistan, Saudi Arabia and Uganda.

In countries with relatively high female empowerment, such as Australia, Canada, Norway, Sweden and the United States, this gap is small and women smoke almost as much as men do.

Douglas Bettcher, director of the World Health Organization (WHO) tobacco free initiative, said the findings showed the need for authorities to act quickly to curb smoking rates among women, particularly in poorer countries.

"The tobacco epidemic is still in its early stages in many countries but is expected to worsen," he said in a statement with the study, which was published in the WHO Bulletin.

"Strong tobacco control measures such as bans on tobacco advertising are needed to prevent the tobacco industry from targeting women."

Tobacco kills up to half its users and is described by the WHO as "one of the biggest public health threats the world has ever faced." The annual death toll linked to tobacco is more than five million, experts say, and could rise beyond eight million by 2030 unless action is taken to control smoking.

The study estimated that men smoke nearly five times as much as women worldwide, but the ratios of female-to-male smoking prevalence rates vary dramatically.

In China, for example, 61 percent of men are reported to be current smokers, compared with 4.2 percent of women, while in many rich nations roughly equal numbers of men and women smoke.

Women's empowerment is measured by the United Nations Development Program using data such as representation in parliament, voting rights and comparisons of male and female income.

"Our study makes a strong case for implementing gender-specific tobacco control activities ... such as more higher tobacco taxes, more prominent graphic health warnings, smoke-free laws, and advertising and promotion bans," said Geoffrey Fong from the University of Waterloo in Ontario, Canada, who led Tuesday's study.

His coauthor Sara Hitchman said authorities should look closely at "the ways in which the tobacco industry is capitalizing on societal changes to target women, such as marketing cigarettes to women as a symbol of emancipation."

Source: Reuters, 1 March 2011

World Health Organization Bulletin, online 28 February 2011

INDUSTRY: Are underage smokers influenced most by movies?

Cigarette companies are not allowed to market directly to the youth of America. The companies are also banned from advertising on television, radio and in newspapers.The only mainstream advertising they can pay for is in magazines catered toward adults. Somehow, though, four million underage Americans smoke, begging the question: what influences their decision to smoke?It's a question without a definite answer.

Do images in movies influence kids? How about all the stars in Hollywood smoking cigarettes and drinking coffee to curb hunger and keep the weight off? Perhaps, it's the old fashioned peer influence route."It's addictive, it's incredibly addictive and I need a couple a day, I just have to have them," Matt Critchlow told CNBC for the upcoming documentary Cigarette Wars. . . ."There's a tremendous body of scientific evidence from all over the world that shows the more kids see people smoking on screen, the more likely they are to smoke," Glantz said.

Source: CNBC, 1 March 2011

WHO FCTC - The FCTC Secretariat has launched its WHO FCTC Implementation Database

The FCTC Secretariat has launched its WHO FCTC Implementation Database at

The database reflects Parties’ responses to the official questionnaires developed by the Secretariat for two years (phase 1) and five years (phase 2) after the FCTC came into force for a particular Party. 135 Parties have responded to at least one of these questionnaires and are reflected in the database. Updates will be added as additional reports are received. The database is searchable by Party or FCTC Article, and employs a fairly simple interface. Charts can be generated by Article to compare Parties.

Note that this data is based solely on government responses and does not include any independent verification or information on enforcement and compliance. For data on how the FCTC is being implemented “on the ground” by the first Parties to ratify, see FCA’s report Tobacco Watch at .

As you look through the FCS database, please let me know any thoughts or ideas on its strengths and weaknesses. I will be sure to pass them along to the Secretariat.

Source: Chris A Bostic, Project Manager, FCA FCTC Shadow Reporting, 28 February 2011


CONFERENCE: 15th WCTOH March 2012, Singapore - Extension of Call for Proposals

The deadline of the call for proposals for the 15th World Conference on Tobacco or Health (WCTOH) has been extended to 6 March 2011.

Kindly submit your proposals at:

If you need any more information please visit our website at

You are encouraged to circulate this call to people and/or organizations who are interested to submit proposals for this conference.
Thank you in advance for your contributions to the Conference

Source: 15th WCTOH Organising Committee, 25 February 2011
Ms Vasuki Utravathy – contact: Este endereço de e-mail está protegido de spam bots, pelo que necessita do Javascript activado para o visualizar

INDUSTRY: Tobacco firms accused of funding campaign to keep cigarettes on display

A shopkeepers' trade body that has helped to persuade scores of MPs to oppose a ban on cigarette displays has been accused by its members of being a puppet of the tobacco industry.

The National Federation of Retail Newsagents, which represents 16,500 shopkeepers, has emerged as an important player in the debate over whether "power walls" – behind-the-counter displays of cigarettes – should be banned.

Health campaigners claim that banning the displays would benefit the nation's health because it would cut the number of young people who take up smoking.

But the federation, which disputes evidence for the claim and warns that the move would be bad for business, has hired a lobbying company to make its case with MPs. Emails sent to MPs by account executives at Hume Brophy, which also lobbies on behalf of British American Tobacco, suggest the federation's campaign has been a success.

One email, sent to all MPs this month, said: "The campaign has more than 78 supporters [MPs] … on this very important issue which would have a devastating effect on the small business sector in your constituency."

The campaign has been so successful that the government is considering a compromise that could see small shops exempted from the ban, a move that would be supported by the majority of federation members but not health experts and cancer charities. But there are now increasing concerns within the federation that its campaign is being directed by the tobacco companies.

"The federation is a puppet of the tobacco industry," said Colin Finch, its president in 2001 and 2007, who accuses tobacco companies of using "retailers to legitimise their campaign".

He said tobacco money flowed into the federation "discreetly" via sponsorship of trade events, annual conferences, seminars, meetings and dinners.

"The whole situation with the federation and the tobacco industry is out of kilter," said Finch, who opposes the display ban, arguing it is unfair and will not work. "The federation's code of ethics has been poisoned by the tobacco industry."

Allegations that a trade body that has lobbied MPs has been influenced by tobacco firms will be seized on by health campaigners. The UK is a party to the World Health Organisation convention on tobacco control, which compels governments to ensure the drafting of policies is free "from vested interests of the tobacco industry".

"The government is required to protect its public health policies with respect to tobacco from the commercial and vested interests of the industry," said Deborah Arnott, director of the anti-smoking campaign group, Ash. "If the government repeals or significantly delays the display ban it will have utterly failed to live up to its international treaty obligations."

Source: The Guardian, 26 February 2011

STATUS REPORT: Canadian Cancer Society Releases Updated Status Report on Pack Warning Labels

The Canadian Cancer Society released a report titled "Cigarette Package Health Warnings: International Status Report" in Punta del Este, Uruguay during the World Health Organization's (WHO) Framework Convention on Tobacco Control (FCTC) fourth Conference of the Parties.

The report summarizes international cigarette package health warning requirements by country/jurisdiction, including both Parties and Non-Parties to the WHO FCTC.  The report is an update of a 2008 report which ranked 140 countries based on the size of the  warnings on cigarette packages. The updated 2010 report ranks 175 countries/jurisdictions based on warning size, and lists countries/jurisdictions that require picture-based warnings.

To read the report [English, Arabic, Chinese, French, Portuguese, Russian and Spanish], visit:

Additional Resources:

Source: Campaign for Tobacco-Free Kids, Contact: Hema Khanchandani - Este endereço de e-mail está protegido de spam bots, pelo que necessita do Javascript activado para o visualizar ,  25 February 2011

Web site:

Web site:

STUDY: Spontaneous smoking cessation may be an early symptom of lung cancer, research suggests

48 percent of patients in study quit before diagnosis, most before onset of symptoms
Many longtime smokers quit spontaneously with little effort shortly before their lung cancer is diagnosed, leading some researchers to speculate that sudden cessation may be a symptom of lung cancer.

Most patients who quit did so before noticing any symptoms of cancer, according to the study, which was published in the March issue of the Journal of Thoracic Oncology (JTO), the official monthly journal of the International Association for the Study of Lung Cancer (IASLC).

Source: Eurekalert, 1 March 2011

EC Announcement: Call for applications ‘Health 2011’ published today

A call for applications ‘Health — 2011’ is launched today within the framework of the Second Programme of Community action in the field of Health (2008-2013).

This call for applications consists of the following parts:

  • a call for proposals for the award of a financial contribution to specific actions in the form of projects,
  • a call for proposals for the award of a financial contribution to specific actions in the form of conferences,
  • a call for proposals for the award of a financial contribution to the functioning of non-governmental bodies and specialised networks (operating grants),
  • an invitation to Member States and participating countries for submission of joint actions.

The deadline for submissions of the proposals under each call is 27 May 2011.

All the information, including the Commission Decision of 22 February 2011* on the adoption of the work plan for 2011 for the implementation of the second programme of Community action in the field of health (2008-2013), and on the selection, award and other criteria for financial contributions to the actions of this programme, are available on the website of the Executive Agency for Health and Consumers at the following address:

Source: European Commission, published: 3 March 2011

* Commission Decision of 22 February 2011 can also be found at:

Source: European Commission, published: 3 March 2011

STUDY: More self-aware people quit smoking easier

How your brain responds to anti-smoking messages may be useful in helping to kick the habit, a new study in the journal Nature Neuroscience reports.

"People who are more likely to potentially see the messages as relevant to them, they are more likely to quit," said lead author Hannah Faye Chua of the University of Michigan, Ann Arbor. "They could feel like, 'This is me, this is how I am right now, this is how I would like to change.'"

The study looked at 91 participants who were interested in quitting smoking, and who were smoking about 17 cigarettes a day on average. They answered questions about their health, demographic and habits and attitudes relevant to smoking and the reasons preventing them from quitting.

Researchers then used the answers to create tailored smoking cessation messages. These would target the individual's personal obstacles that make it harder to quit, as well as the person's sex and other life characteristics. The study authors exposed participants to the tailored messages as well as broader statements about smoking in general and "neutral" messages not related to smoking cessation.

Source: CNN Health, 27 February 2011

Self-related neural response to tailored smoking-cessation messages predicts quitting
Nature Neuroscience. Received 4 October 2010; accepted 19 January 2011; published online 28 February 2011.

INDUSTRY US: Tobacco industry sues FDA on proposed menthol cigarette ban

Lorillard Inc and R.J. Reynolds Tobacco Co have filed a lawsuit against the FDA (Food and Drug Administration) saying there were conflicts of interest and bias among members of an advisory panel which may recommend banning menthol cigarettes.

The FDA advisory panel's recommendations are not binding, however the agency usually goes along with its advice. Panel members are expected to put forward their recommendations regarding menthol-flavored cigarettes on 23rd March this year.

Nearly 1 in every 3 cigarettes sold in the USA is mentholated. R. J. Reynolds sells a menthol Camel version as well as the Kool brand, while Lorillard's Newport brand is the number one menthol cigarette seller in the country.

Source: Medical News Today, 27 February 2011

STUDY: Smoking linked to infant heart defects

A pregnant woman who smokes in her first trimester is much more likely to have an infant with a congenital heart defect, U.S. health officials say.

A study by the Centers for Disease Control and Prevention in Atlanta found tobacco exposure is associated with a 20 percent to 70 percent increased risk of certain types of defects such as those that obstruct the flow of blood from the right side of the heart into the lungs and openings between the upper chambers of the heart.

"Women who smoke and are thinking about becoming pregnant need to quit smoking and, if they're already pregnant, they need to stop," Dr. Thomas R. Frieden, director of the CDC, says in a statement.

"Quitting is the single most important thing a woman can do to improve her health as well as the health of her baby."

The findings, published in the journal Pediatrics, are based on a large U.S. population-based case-control study of congenital heart defects involving 2,525 case and 3,435 control infants born from 1981 to 1989.

Source: UPI, 28 February 2011

Maternal Smoking and Congenital Heart Defects in the Baltimore-Washington Infant Study
Pediatrics, Published online 28 February 2011

Boletim ENSP nº 8 PDF Versão para impressão Enviar por E-mail
Segunda, 28 Fevereiro 2011 21:43


Issue 8, 18-24 February 2011

· Foreword from ENSP Secretary General

· AUSTRIA - Survey: 91% feel bothered by cigarette smoke

· CZECH REPUBLIC: Petition pushes for Czech smoking ban

· IRELAND: Smokers spend €1,500 more a year on cigarettes

· ROMANIA: MP seeks to ban smoking in all enclosed public spaces

· RUSSIA: Scary pictures to appear on cigarette packs in Russia

· SLOVENIA: Update on recent work accomplished by the Slovenian Coalition for Tobacco Control and Public Health (SCTC) in the field of tobacco control legislation

· SPAIN: Restaurant shut down over smoking ban to reopen – smoke-free

· UK: It is a myth that high duties on tobacco lead to increased smuggling

· UK SCOTLAND: 10,000 stub out smoking in Lothians

· STUDY: Smoking during radiation treatments reduces chance of overall survival

· NEW YORK CITY: VIDEO: Mayor Bloomberg signs legislation expanding smoking ban

· RESEARCH: Smoking can damage teenage brains permanently: VU research

· CONFERENCE: ECToH program is now available

· EVENT: Mass Media Campaign Development Workshop alongside ECToH

· STUDY: Payment, shipping bans stub out cigarette – selling Websites

· SURVEY: Tobacco sales and promotion, in bars, cafes and nightclubs from large cities around the world

· STUDY: Vitamin E may increase or decrease the risk of pneumonia depending on smoking and exercise

· CONFERENCE: Tobacco and Alcohol: Learning from each other

· STUDY: Cigarette smoking increases production of mucus in patients with bronchitis

Foreword from ENSP Secretary General

Dear Reader,

As you will have noticed, the ENSP Secretariat continues to make considerable efforts to compile for you the ENSP European News Bulletin featuring European tobacco control news, announcements, events, publications and other relevant topics. From your feedback, we know that its quality and its frequency are highly appreciated and we wish to take this opportunity of thanking you for your loyalty.

We are eager to improve our services continuously. Therefore, we recently established a new subscription procedure, with the objective of bringing a modest financial support to a pan-European publication, for which we regrettably no longer receive co-funding from the European Commission. This new procedure will commence on 1 March 2011. Please consult our website ( forthwith for more details.

Thank you for your continuous support and I wish you much success in your tobacco control actions.

Working together to save lives,

Francis Grogna

AUSTRIA - Survey: 91% feel bothered by cigarette smoke

The majority of the customers polled in Viennese restaurants support a general smoking ban in enclosed areas. In smoking rooms extremely high concentrations of fine dust were compared. “More than 90 per cent of the persons polled feel disheartened by smoke in any form. 

In non smokers this is also the case for nearly hundred per cent and in smokers for over 80 per cent.  Maria Anna Gasser summarized the main results of an extensive survey on Monday during a press conference in the context of her work at the Institute for Environmental Hygiene of the University of Vienna.

“Altogether at present the majority of the persons surveyed declare themselves in favour of a general smoking ban (in enclosed areas), as well as 70 per cent of the nonsmokers, 47 per cent of occasional smokers and 25 per cent of daily smokers” thus Gasser. And 58 per cent of the persons interviewed are dissatisfied with the current smoking regulations in Austria.

Source:, 21 February 2011

CZECH REPUBLIC: Petition pushes for Czech smoking ban

Expert says MPs who vote against anti-smoking laws are either 'stupid or corrupt'
About 300 benches around Prague are displaying posters in support of a campaign for smoke-free restaurants, a petition that has attracted more than 115,000 signatures to date.

Campaigner Dr. Eva Králíková of the Center for Treatment of Tobacco Dependence at General Teaching Hospital said organizers of the "Stop kouření" (Stop Smoking) campaign were ready to bring the petition to Parliament "to officially present our demands as soon as possible."

She told The Prague Post that campaigners were waiting for a resolution to the doctors' pay dispute to ensure their petition gets as much attention as possible.

Králíková said the new poster drive came after Dušan Harok, owner of outdoor advertising firm AD-Net, offered 300 spaces on tram and bus stop benches free of charge.

"I find this very encouraging that people spontaneously support activities leading to smoke-free restaurants," Králíková said.

Králíková, who is also a member of the Charles University Faculty of Medicine, insisted the health benefits of public smoking bans were "clearly proven," adding she believed "any MP who votes against smoke-free legislation is either totally stupid or corrupt."

Prague Post (CZ), 16 February 2011

IRELAND: Smokers spend €1,500 more a year on cigarettes

New research has claimed that Irish smokers will spend €1,500 more this year on cigarettes than they did last year.

According to Aviva Health Insurance, almost a quarter of those who filled out an online health check are smokers.  The research also showed there was a higher percentage of Irish females (24%) than males (22%) smoking.

Furthermore, Irish smokers consume an average of 23 cigarettes every day, ten more than research revealed last year.

This will cost smokers approximately €293.25 each month and €3,519 per year.

Regionally, County Longford has the highest number of smokers in the country, with 30% of respondents reporting to smoke, while County Monaghan reported the lowest number of smokers for the second year in a row with only 16%.

Women in Ireland are smoking double the amount of cigarettes compared to men, an average of 12 more than men – highlighting that the trend of women smoking more than men remains the same.

Source:, 16 February 2011

ROMANIA: MP seeks to ban smoking in all enclosed public spaces

Social-Democrat Deputy Manuela Mitrea filed a legal initiative aimed at completely banning smoking in all enclosed public spaces, including bars, restaurants, clubs and discos, Mediafax reports. The ban would also be applied to all public institutions and academic and education units. In her initiative, Mitrea details similar measures taken against smoking in other European Union states. The MP says that such a law is necessary in Romania, given that one person is killed by smoking every four hours and passive smokers face a 30 per cent higher risk of becoming sick.

At the moment there are 13 other European states banning smoking in enclosed public environments, according to ‘Romania libera’ online. The first country to enforce such an interdiction was Ireland, followed by France, several German lands, Spain, Belgium, Bulgaria, Estonia, Finland, Latvia, Lithuania, Luxemburg, United Kingdom and Poland. In the Czech Republic, a similar law failed to garner enough Parliament support, while Greece and Austria still allow smoking in several public places. New York officials also recently moved to ban smoking in all covered public spaces.

As for the chances of success of such a law in Romania, Doctor Florin Mihaltan, head of the Network for Smoking Prevention in Romania, told the newspaper that passage depends on absolutely subjective reasons. “It depends a great deal on whether the prime minister or the president is a smoker. For instance, in the Czech Republic, the president is a smoker. He even underwent lung cancer surgery, but he continued to be against legislation banning smoking. Then, the political environment, the tobacco industry lobby and what influence it has on politicians, matter a lot too,” Mihaltan said.

Source: Nine oClock, 22 February 2011

RUSSIA: Scary pictures to appear on cigarette packs in Russia

The World Health Organization (WHO) has suggested Russia place frightening images on cigarette packs, WHO's spokesman in Russia Luigi Migliorini said on Wednesday at a press conference in Moscow.
The scary images will illustrate smoking consequences on human health. WHO hopes that the scary cigarette pack pictures will shock people into quitting the habit or not starting altogether.  Migliorini said a scary picture of a smoker with missing or yellowing teeth could serve as an example on the cigarette packs.
Specialists say that the experience of other countries shows the effectiveness of such images, which encourage smokers to kick the bad habit.

Source: RIA Novosti, 16 February 2011

SLOVENIA: Update on recent work accomplished by the Slovenian Coalition for Tobacco Control and Public Health (SCTC) in the field of tobacco control legislation

The Slovenian Coalition for Tobacco Control and Public Health (SCTC) prepared initiatives and proposals for legal and executive changes and amendments to the acts in the field of health already last year.

In the framework of its project “NGOs Protect Our Health” SCTC continues this work with some minor adjustments.

Slovenian NGOs are characterized by a low level of financial stability and low government funding. The main difficulty for the NGO sector in Slovenia presents financial costs of implementing their programs and projects, which prevent sustainable functioning of organizations. Since the state annually receives more than 300 million EUR solely from excise taxes on tobacco products, we believe it would be appropriate that some of these resources are assigned to NGOs, which work on health promotion.

The first initiative includes the establishment of the NGOs Protect Our Health foundation. The main activity of the foundation will be funding and co-funding of health NGO programmes for the protection and promotion of health and for health-educational work for the prevention of chronic transmittable diseases and risk factors. The foundation will be funded by the Tobacco Euro and by the Alcohol Euro and will be established as an entity under public law. The initiative includes (a) the introduction of the Tobacco Euro (i.e. a new excise duty on tobacco products) as part of the proposed amendment to the Restriction of the use of Tobacco Products Act and (b) the introduction of the Alcohol Euro (i.e. a new excise duty on alcohol products) as part of the proposed amendment to the Act Restricting the Use of Alcohol.

The second initiative includes the introduction of specialized convenience stores and the establishment of the Office for Tobacco Control (OTC) as part of the proposed amendment to the Restriction of the use of Tobacco Products Act.

Modelled on the example of the Republic of Ireland and with the objective to reduce the use of tobacco products in mind, SCTC proposes the introduction of registered specialized convenience stores for tobacco products, which, according to the survey data is supported by 47% of the Slovenian population.

In retail outlets, a complete ban on the display of tobacco products and all kinds of tobacco advertising will be imposed, while partial advertising will be allowed at the business premises of the companies engaged in tobacco production.

Specialized convenience stores will have to pay royalties, which will contribute to funding the OTC.

The OTC as an expert body will maintain control over the implementation of the Restriction of the use of the Tobacco Products Act.

The remaining royalties will be put into the Tobacco Euro fund. Since the EU directives require transfer of certain public tasks from the state to NGOs, the establishment of the OTC will relieve health government departments.

In collaboration with the Health Council with the Government of the Republic of Slovenia, the OTC will hold consultations with national and international bodies, keep a register of specialized convenience stores, conduct testing on tobacco products and disseminate results.

At the moment, the Slovenian Coalition for Tobacco Control and Public Health (SCTC) is seeking a reconciliation of viewpoints of member NGOs.

Information received from the Slovenian Coalition for Tobacco Control - NGOs Protect our Health (SCTC) on behalf of Mihaela Lovse, 21 February 2011
Contact: Este endereço de e-mail está protegido de spam bots, pelo que necessita do Javascript activado para o visualizar
Web site:

SPAIN: Restaurant shut down over smoking ban to reopen – smoke-free

Spain banned smoking in all bars, restaurants and public places on 2 January 2011.
A restaurant shut down by police last week for repeatedly violating Spain's tough new anti-smoking law will reopen next month smoke-free, the owner of the establishment said Thursday.

Jose Antonio Arias, the owner of El Asador Guadalmina, defiantly vowed a week ago that no one would close his business.

But Thursday he said he had decided to obey the law out of concern for his 16 employees and their families.

"I have decided to accept the law," Arias told reporters at a news conference at his restaurant, hours after regional health authorities said he had written to them, agreeing to adhere to the law that prohibits smoking in all indoor bars and restaurants.

Authorities said he still faces a nearly $200,000 fine for allowing smokers in his locale for nearly six weeks after the new law took effect January 2.

Arias last week told Spanish media he would never pay the fine, and health officials sent police on February 10 to close his restaurant, located near the popular southern Mediterranean resort of Marbella.

The closure of the restaurant was believed to be the first nationwide since the law went into effect, a Spanish health ministry spokesman said last week.

Source: CNN, 17 February 2011

UK: It is a myth that high duties on tobacco lead to increased smuggling

Response from D. Arnott to article published on 6 February 2011 in the Guardian‘Tobacco taxes set to boost smuggling’

There are effective controls to police contraband; the priority should be public health

Your article reported the tobacco industry's assertion that "Treasury and Customs officials [need] to brace themselves for a tsunami of smuggled cigarettes", as "criminal gangs seek to cash in on the UK's exceptionally high tax rates on tobacco products" (Tobacco tax rise 'a gift to smugglers', 7 February). This is an old argument wheeled out every year in advance of the budget.

As evidence the industry cites the 1990s, when tax increases were followed by tobacco smuggling ballooning out of control. Smuggling certainly did go up, due to a vast expansion in British cigarettes being sold overseas, destined to be smuggled straight back to the UK – with tobacco manufacturers benefiting from the increase in sales of their products at a cheaper tax-free price.

George Osborne, sitting on the public accounts committee at the time, asked the manufacturers:How can you possibly have sold cigarettes to Latvia, Kaliningrad, Afghanistan and Moldova in the expectation that those were just going to be used by the indigenous population … and not in the expectation they would be smuggled? You must know ... these are places which are linked to organised crime."

Scandalised by the behaviour of the tobacco industry, government put in place a tough anti-smuggling strategy, including fines of up to £5m for manufacturers who fail to control overseas sales. Following legal action, the major international manufacturers have all signed legally binding agreements to control smuggling and pay millions of euros to the EU and member states. The payments aren't called compensation, but it's clear the industry is being forced to pay for its past misbehaviour.

So it wasn't disparities in tax that led to the growth in smuggling. And though you report that HM Revenue and Customs officials "admit that widening disparities between European tobacco tax rates are likely to be pounced on by industrial-scale tax evasion gangs", due to changes in tax and exchange-rates in Europe, the disparities are likely to decrease, not increase, over time.

And now strong enforcement is in place there's no reason why, as the industry argues, "the volume of contraband sold on Britain's streets will rocket when excise duty goes up". Cracking down on smuggling, not cutting taxes, has brought tobacco tax fraud under control.

As your article pointed out, since the anti-smuggling strategy started there has been a fall in smuggled cigarettes from over 20% of all smoked in the UK (and rising) to 11%. The benefit to government revenues is dramatic, with the annual tax take increasing by £1.7bn, and no evidence in the last two years – when taxes rose above inflation – that smuggling has started to go up again.

The article states: "In 1993 the then chancellor Ken Clarke introduced a duty escalator to shore up hard-hit public finances." This is true but it was also introduced as a public health measure. Clarke said this approach "is the most effective way to reduce smoking". This view is supported by not just Action on Smoking and Health but also the World Bank and the World Health Organisation.

That is why we and 60 other health organisations believe the government should increase the tax escalator from 2% to 5% above inflation in the upcoming budget – a move which will both increase government revenues and reduce smoking.

Source: The Guardian, 24 February 2011

UK SCOTLAND: 10,000 stub out smoking in Lothians

A two-year drive to stop people smoking has helped more than 10,000 people quit in the Lothians.
NHS Lothian upped its smoking cessation programme in 2009 with increased investment and public health focus on the issue.
Around 40 per cent of those signing up for help are managing to stay smoke-free.
Other health boards are now looking at how staff here managed to convince so many people to finally ditch the habit.
Rates here compare favourably to other areas of Scotland, some of which have used cash incentives.
Helena Connelly, smoking cessation co-ordinator for NHS Lothian, said: "We are delighted to see this increase in people choosing to quit.
Source : Edinburgh Evening News, 16 February 2011

STUDY: Smoking during radiation treatments reduces chance of overall survival

Smokers who continue to smoke while undergoing radiation treatments for head and neck cancer fare significantly worse than those who quit smoking before therapy, according to a study in the February issue of the International Journal of Radiation Oncology, Biology, Physics, an official journal of the American Society for Radiation Oncology (ASTRO).

Although the association between tobacco smoking and head and neck cancers has long been established, there had been little data until now showing whether continued smoking during treatment affects prognosis.

"I've always told patients, 'You should really stop smoking,' but I had no tangible evidence to use to convince them that they would be worse off if they continued to smoke," Allen Chen, M.D., lead author of the study and residency training program director at the University of California, Davis, School of Medicine in Sacramento, Calif., said. "I wanted concrete data to see if smoking was detrimental in terms of curability, overall survival and tolerability of treatment.

We showed continued smoking contributed to negative outcomes with regard to all of those."

Source: Medical News Today, 17 February 2011

NEW YORK CITY: VIDEO: Mayor Bloomberg signs legislation expanding smoking ban

New York City Mayor Michael Bloomberg signed legislation into law today that bans smoking in many public spaces around the five boroughs.

Under the new law, smoking will be banned in the city’s 1,700 parks and 14 miles of public beaches and. City pools and recreation centers will also be smoke free.

The bill also bans smoking in city pedestrian plazas, where people congregate.

No opponents of the measure spoke at the bill signing.

The City Council overwhelmingly approved the measure earlier this month.

Smokers will still be able to light up on sidewalks next to parks, squares or public places. Parking lots are also okay.

Source: NY1 (Time Warner Cable), 22 February 2011

RESEARCH: Smoking can damage teenage brains permanently: VU research

Smoking can cause permanent damage to adolescent’s developing brains, according to VU university researchers in the latest issue of Nature Neuroscience magazine.

It is the first time that the effect of nicotine on adolescent brains has been researched and the results show smoking can ‘lead to cognitive impairments in later life’.

This could mean that people who start smoking at a young age could have ‘lasting attentional disturbances’, the researchers said.

Source: Nature Neuroscience, published online 20 February 2011

CONFERENCE: ECToH program is now available

The European Conference Tobacco or Health (ECTOH) provides an opportunity for tobacco control professionals, researchers, policy makers, advocates, and other interested colleagues to meet, develop their knowledge and skills and enable sharing of best practices in Amsterdam. The conference should inspire and empower professionals across Europe in tobacco control. It will create new horizons and new fundaments for cooperation. East and West can learn from each other and can help overcome barriers in their country, with special emphasis on how EC-policies, FCTC and good practices can support national tobacco control.

The program of the European Conference on Tobacco or Health (ECToH), to be held in Amsterdam the Netherlands March 28-30, is now available online:

Source: Ms Fleur van Bladeren, STIVORO, 21 February 2011 - contact: Este endereço de e-mail está protegido de spam bots, pelo que necessita do Javascript activado para o visualizar

EVENT: Mass Media Campaign Development Workshop alongside ECToH

A Campaign Development Workshop will be held just prior to the European Conference on Tobacco or Health (ECToH) on Sunday 27 March 2011 from 8:00 to 15:45 at the Krasnapolsky Hotel in Amsterdam. The workshop is being co-sponsored by Global Dialogue for Effective Stop-Smoking Campaigns and the Association of European Cancer Leagues (ECL). Its goal is to provide campaign planners and researchers with the information and resources needed to develop effective tobacco control public education, mass media campaigns.

See ENSP web site:
Full details are available on ECL's website

STUDY: Payment, shipping bans stub out cigarette – selling Websites

Bans on using credit cards to pay for cigarettes bought on Internet sites – combined with bans on commercial shippers delivering the products – appear to have effectively reduced the size and reach of the online cigarette sales industry, a new University of North Carolina at Chapel Hill study shows.

The study, published in the journal PLoS One, found that such bans lowered the number of vendors offering cigarettes online and reduced consumer traffic to the most popular cigarette-selling websites.

“Most Internet vendors offer tax-free cigarettes, making them cheaper than those sold at stores,” said Kurt Ribisl, Ph.D., lead author of the study and associate professor of health behavior and health education in the UNC Gillings School of Global Public Health. “This undermines the impact that higher prices have on reducing smoking.”

Ribisl said that aside from violating tax laws, most online cigarette vendors have weak age verification and sell to minors. This led to landmark voluntary agreements in 2005 with major credit card companies and private shippers to ban payment transactions and bar commercial shippers from transporting all Internet cigarette sales.

The study is believed to be the first such research examining the impact of those agreements.

Source: Newswise, 21 February 2011

Effectiveness of State and Federal Government Agreements with Major Credit Card and Shipping Companies to Block Illegal Internet Cigarette Sales
PLoS ONE 6(2): e16754. Received: September 24, 2010; Accepted: January 10, 2011; Published: February 14, 2011

SURVEY: Tobacco sales and promotion, in bars, cafes and nightclubs from large cities around the world


Little is known about tobacco promotion activities in low and middle-income countries. Information on tobacco sales, advertisement and promotion in bars, cafes and nightclubs is needed to develop interventions to reduce smoking initiation and relapse, particularly among youths and young adults.


To evaluate cigarette sales and tobacco advertisement and promotion in bars, cafes and nightclubs using a volunteer survey approach in large cities throughout the world.


Between 2007 and 2009, we administered an interview-based survey to 231 bar/cafe/nightclub owners/managers in 24 large cities in Africa, the Americas, Asia and Eastern Europe.


Cigarette sales and tobacco advertisement and promotions were found in bars/cafes/nightclubs in most cities. Examples of promotions included cigarette giveaways and event sponsorship. Establishments that allowed smoking were more likely to sell cigarettes compared to smoke-free establishments (OR 8.67, 95% CI 3.25 to 23.1). Larger establishments (maximum occupancy ≥100 vs <100 customers) were more likely to have tobacco advertising (OR 4.35, 95% CI 2.04 to 9.24) and to receive promotional items from tobacco companies (OR 3.18, 95% CI 1.41 to 7.17).


Cigarette sales and tobacco promotions were common in bars, cafes and nightclubs in the majority of cities. Socialising and hospitality venues must be covered by legislation banning tobacco sales and promotions to limit exposure among populations at high risk of tobacco initiation and relapse from quitting.

Source: Tobacco Control, 18 February 2011 Published Online First: 17 February 2011 doi:10.1136/tc.2010.040220

STUDY: Vitamin E may increase or decrease the risk of pneumonia depending on smoking and exercise

Depending on the level of smoking and leisure time exercise, vitamin E supplementation may decrease or increase, or may have no effect, on the risk of pneumonia, according to a study published in Clinical Epidemiology.
Dr. Harri Hemila and Professor Jaakko Kaprio, of the University of Helsinki, Finland, studied the effect of vitamin E on the risk of pneumonia in the large randomized trial (Alpha-Tocopherol Beta-Carotene Cancer Prevention Study) which was conducted in Finland between 1985-1993. There were 898 cases of pneumonia among 29,133 participants of the study.
Vitamin E had no overall effect on pneumonia risk. However, vitamin E decreased pneumonia risk by 69% among participants who had the least exposure to smoking and exercised during leisure time. In contrast, vitamin E increased pneumonia risk by 79% among those who had the highest exposure to smoking and did not exercise. Over half of the participants were outside of these two subgroups and vitamin E did not affect their risk of pneumonia. Thus, the beneficial and harmful effects of vitamin E are restricted to fairly small parts of the population.

The researchers concluded the role of vitamin E in susceptibility to pneumonia in physically active nonsmokers warrants further study.

Source:Subgroup analysis of large trials can guide further research: a case study of vitamin E and pneumonia
Clinical Epidemiology. Published Date February 201 , Volume 2011:3 Pages 51 - 59
Source : Medical News Today, 18 February 2011

CONFERENCE: Tobacco and Alcohol: Learning from each other

ASH Wales announces its annual conference will be held this year in partnership with Alcohol Concern Cymru. The theme for this year’s conference is Tobacco and Alcohol: Learning from Each Other. The conference will be held on the 12th and 13th October 2011 at the Parc Thistle Hotel in Cardiff.

Confirmed speakers include Associate Professor Renee Bittoun, Professor
Gerard Hastings, Professor Anna Gilmore and Professor Linda Bauld.

Source: ASH Wales, Tanya Buchanan, 23 February 2011, contact: Este endereço de e-mail está protegido de spam bots, pelo que necessita do Javascript activado para o visualizar
ENSP web site:
For full details, please consult the ASH Wales website

STUDY: Cigarette smoking increases production of mucus in patients with bronchitis

Cigarette smoking has been linked with overproduction of mucus associated with chronic bronchitis, according to a study conducted by researchers in New Mexico. The study indicates cigarette smoke suppresses a protein that causes the natural death of mucus-producing cells in the airways of bronchitis patients.

The findings were published online ahead of the print edition of the American Thoracic Society's American Journal of Respiratory and Critical Care Medicine.

"Although it is known that chronic mucus secretion is a hallmark of chronic bronchitis, the mechanisms underlying this condition are largely unknown," said Yohannes Tesfaigzi, PhD, director of the COPD Program at Lovelace Respiratory Research Institute in Albuquerque.

"This study shows that the airway cells that secrete mucus are sustained by cigarette smoke, which suppresses a cell death-inducing protein called Bik."

Source: Eurekalert, 17 February 2011

Boletim ENSP nº 7 PDF Versão para impressão Enviar por E-mail
Sábado, 19 Fevereiro 2011 19:16

ATENÇÃO – Novo Boletim do Tabaco Europa (ENSP, nº 7, 10-17 Fevereiro 2011). FRANÇA em Abril começa com imagens nos maços. Cigarros electrónicos proibidos nos voos americanos. Estas e outras notícias. Mantenha-se informado.



Issue 7, 10-17 February 2011

Foreword from ENSP Secretary General

Dear Reader,

As you will have noticed, the ENSP Secretariat continues to make considerable efforts to compile for you the ENSP European News Bulletin featuring European tobacco control news, announcements, events, publications and other relevant topics. From your feedback, we know that its quality and its frequency are highly appreciated and we wish to take this opportunity of thanking you for your loyalty.

We are eager to improve our services continuously. Therefore, we recently established a new subscription procedure, with the objective of bringing a modest financial support to a pan-European publication, for which we regrettably no longer receive co-funding from the European Commission. This new procedure will commence on 1 March 2011. Please consult our website ( forthwith for more details.

Thank you for your continuous support and I wish you much success in your tobacco control actions.

Working together to save lives,

Francis Grogna

CNCT PRESS RELEASE 17/02/11: Pictorial warnings on tobacco products are an effective measure in alerting and discouraging from tobacco consumption

The CNCT (French National Committee against Smoking) welcomes the introduction of the first cigarette packs carrying pictorial health warnings which will effectively inform and alert about the health risks related to tobacco consumption.

Pictorial health warnings on tobacco products have already proven their efficacy in numerous countries such as Belgium, U.K., Canada, Australia or Singapore. France will follow from 20 April 2011 onwards.

View press release published (in French) by CNCT on 17 February 2011

SPAIN: Shutting down restaurant for defying smoking ban

Authorities on Thursday ordered the closure of a restaurant for repeatedly violating the nation's tough new anti-smoking law, the first such shutdown in Spain, officials told CNN.

The owner of the restaurant - El Asador Guadalmina near the popular southern Mediterranean resort of Marbella - earlier this week defiantly told Spanish media he would not pay a nearly $200,000 fine for allowing clients to smoke in his locale, despite the new law which prohibits smoking in all indoor bars and restaurants.

"This restaurant has been in non-compliance since the law began," said a spokesman for Spain's national health ministry. "From what we know, this is the first case in the country" of a restaurant closure order.

Source: CNN World, 10 February 2011

SPAIN: Actors smoking on stage prompt complaint in Spain

A Barcelona theater putting on an adaptation of the American musical "Hair" has received a warning because actors in it smoke on stage, an official said Monday.
A new Spanish law that took effect January 2 bans smoking tobacco in all enclosed public places.
An official with the Health Department of Barcelona’s city government said the warning stems from a complaint filed by someone who saw the play.
The play’s director, Roger Pena, is quoted in the Spanish newspaper El Mundo as saying the actors smoke herbs like basil, not tobacco, and called the complaint far-fetched and ridiculous.
The official said town hall is waiting to hear back from the theater before deciding to whether to proceed with the complaint, which could ultimately lead to a €10,000 ($13,500) fine if it is found the actors are in fact smoking tobacco. The official spoke on condition of anonymity in line with department rules.
The Spanish Health Department said that if the actors are in fact smoking herbs, no law is being violated because the new legislation refers only to tobacco.

Source: Boston Herald, 16 February 2011

UK: Recent developments regarding vending machines

Machine provider Sinclair Collis, part of Imperial Tobacco, has been granted leave to appeal the High Court's decision to reject its judicial review of the ban.

A hearing at the Court of Appeal is scheduled for 7 or 8 March and due to last one and a half days.

The ban is due to go live on 1 October England and Wales, with bans in Scotland and Northern Ireland also expected this year.

Source: Morning Advertiser, 14 February 2011

UK: TV advert in south west to 'dispel myths' of roll-ups

Anti-smoking campaigners have begun a television advertising campaign in the south west of England to highlight the risks of smoking hand-rolled tobacco.
Smokefree South West wants to "dispel the myths" which they say have built up around roll-up cigarettes.
Findings from the organisation's research showed that smokers of hand-rolled tobacco believed it was "more natural" and a "real art form".
Smokefree South West is funded by the Department of Health and 14 local PCTs.
Regional director of public health Gabriel Scally, who is also the spokesman for Smokefree South West said: "The majority of hand-rolling tobacco smokers believe that 'rollies' represent a healthier option.

'Impotence and stroke'

"They have a strong belief that they contain fewer additives and are grown from an organic source. This is simply not the case.
"In fact, the same manufacturers who make cigarettes such as the west country's own Imperial Tobacco also produce pouches of rolling tobacco.
"Hand-rolled cigarettes present the same kinds of health risks to smokers as manufactured cigarettes, such as cancer, impotence, stroke and lung disease."
Jean King, from Cancer Research UK, said: "This campaign dispels the dangerous myth, believed by many smokers, that hand-rolled cigarettes are more 'natural' and so less harmful than manufactured ones.
Source: BBC News, 16 February 2011

UK NORTHERN IRELAND: Smoking ban challenger fails

A pro-smoking campaigner has failed in a new legal challenge against Northern Ireland's ban on lighting up in public.
Senior judges threw out a bid by north Down man Chris Carter to quash his conviction for smoking at the front of Bangor Town Hall.
Mr Carter claimed his rights to privacy and freedom from torture and discrimination were breached by the prohibition.
He alleged that the ban was comparable to restrictions imposed by the Third Reich in Hitler's Germany.
But his case was dismissed because he was not held to have the status of a victim and as no breach of his human rights was established.
Lord Justice Coghlin said: "Furthermore, if such a breach had been established, we are satisfied that the ban on smoking restricted to public places falls within the margin of appreciation of the State being lawful and necessary in a democratic society."

Source: UTV (Ulster Television) News, 16 February 2011

UKRAINE: Tobacco advertising ban coming soon, says lawmaker

The Verkhovna Rada, Ukraine's parliament, will soon pass a law banning the advertising, sponsorship and promotion of tobacco products, Chairman of the Verkhovna Rada Committee on Freedom of Speech and Information, BYT-Batkivschyna MP Andriy Shevchenko has forecasted.
"The anti-tobacco bill should become a law as soon as possible," he said during a panel discussion in Kyiv on February 14.
In turn, Regions Party MP Yuriy Miroshnychenko, who is one of the initiators of the document, said: "A number of people's deputies will adhere to the principle of striving to stop any promotion of smoking in Ukraine. Our intention is a principled and consistent one." He also said that passing the bill at second reading would be difficult.
MP Shevchenko said that 303 MPs voted for the document in first reading and after that some 60 amendments were registered. The Verkhovna Rada Committee on Freedom of Speech and Information will consider these amendments during its meeting on Wednesday. In addition, the people's deputy said that he was planning to form a working group in charge of preparing the document for second reading.
According to Shevchenko, the final version of the bill should not affect journalists' rights to report on the tobacco market.

Source : Kyiv Post, 16 February 2011

PUBLICATION: Spain’s tougher line on smoking in public places spreads to other countries

Greece and the domino effect of smoke free legislation in Europe

Tobacco control activities of country member states of the European Union are strongly intertwined. They are bound by common EU directives, the Framework Convention on Tobacco Control (FCTC) and by close economic and social ties. All act as models and vehicles of communication. Although changes in legislation by one member state, are often followed by changes in others as previously mentioned in the BMJ these may not be always the cause.

Greece, through September 2009 until September 2010, following the instance of Spain had enacted the so called "Spanish model", regulating smoking in public venues based on the floor area of each venue, with those above 70m2 pronounced smoke free while those below 70m2 were allowed to choose to allow smoking indoors or not. However, despite this regulation, enforcement was inexistent. More, recently, in September 2010, Greece adopted a comprehensive smoke free legislation, with a phase in period of 9 months, by the end of which all venues will become smoke free including large music halls and casinos.

Although enforcement of the new smoke free legislation has not been optimal, preliminary research has indicated that there has been a significant reduction in levels of indoor air pollution attributable to secondhand smoke (SHS) by approximately 40%, following the Greek smoking ban. This reduction in indoor air quality was attributable to the fact that the limited number of venues that did implement successfully the legislation had noted reductions in indoor air pollution attributable to SHS that reached and in some cases exceeded 90%. Such reductions in indoor pollution not only protect the workforce and the general population from exposure to SHS, but also reduce the visibility and social acceptability of smoking, which can lead to a reduction in smoking prevalence.

Despite the eminent economical and health related gains of smoke free legislations, a notion that has been brought forward by members opposing smoke free legislations is that they have an impact on the economy and may affect the revenue of the hospitality industry. Countries which economies are under financial strain, such as those of Greece and Spain are vulnerable to such pressure, and efforts should be made to stress that smoke free legislations have no effect on hospitality revenue.

Moreover, actions such as those noticed in Greece, Cyprus and the Netherlands to place pressure on governments to lighten smoking legislations due to financial implications are not reflective of regional peculiarities but are well organized campaigns by the tobacco industry that know no borders.

Source: BMJ 2011;342:doi:10.1136/bmj.d617 (Published 28 January 2011)
Constantine I. Vardavas, Panagiotis K. Behrakis and Gregory N. Connolly
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ARTICLE: Pediatricians’s key role in curbing tobacco use

Nicotine addiction usually begins during the critical teenage years, and pediatric healthcare professionals can play a prominent role in promoting a tobacco-free lifestyle among children and adolescents, as described in an article published online ahead of print in Pediatric Allergy, Immunology, & Pulmonology, a peer-reviewed journal published by Mary Ann Liebert, Inc. The article is available free online.

Denormalization is a strategy for changing social norms and reinforcing a public perception of tobacco use as a health-compromising, socially unacceptable behavior. Karen Calabro, DrPH, Ramara Costello, and Alexander Prokhorov, MD, PhD, from M.D. Anderson Cancer Center (Houston, Texas), describe several ways pediatricians and other medical professionals can help their patients and their communities to see tobacco use as undesirable: through direct communication with patients and their families; by providing information and referrals for tobacco prevention and cessation programs; by setting personal examples of a tobacco-free lifestyle; and by advocating for stronger public policies aimed at reducing tobacco use and exposure.

In the article entitled, "Denormalization of Tobacco Use and the Role of the Pediatric Health-Care Provider," the authors assert that healthcare professionals can have a significant, positive impact on children's health by working to denormalize tobacco use.

Source: Medical News Today, 10 February 2011

STUDY: Cigarette smoking associated with increased risk of developing ALS

Cigarette smoking may be associated with an increased risk of developing the muscle-wasting disease amyotrophic lateral sclerosis (ALS), according to a report in the February issue of Archives of Neurology, one of the JAMA/Archives journals.
"Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disorder of motor neurons affecting more than 5,500 newly diagnosed patients every year in the United States," according to background information in the article. "There is no cure for ALS, and the few available treatments have limited efficacy. About 90 percent of ALS cases are sporadic and of unknown, possibly environmental, origin."
To examine the association between cigarette smoking and ALS, Hao Wang, M.D., Ph.D., of the Harvard School of Public Health, Boston, and colleagues analyzed data from five different long-term studies involving a total of more than 1.1 million participants, of whom 832 had ALS. Follow-up ranged from seven to 28 years.
The rates of ALS in the five studies combined increased with age, and were higher in men than women for all age groups.

Source: Medical News Today, 16 February 2011

RESEARCH: Smoking linked to increased severity of new-onset asthma

Smoking is associated with increased severity of new-onset asthma in allergic adults, research shows.

Writing in the journal Respiratory Research, Riccardo Polosa (University of Catania, Italy) and colleagues observe: "Although factors such as gender, atopy, duration of asthma, bronchial hyperresponsiveness, and frequent asthma exacerbations appear to be important determinants of the severe asthma phenotype, the association between common modifiable risk factors such as cigarette smoking and asthma severity has received surprisingly little attention."

For the current study, the researchers examined the influence of smoking on the severity of new-onset asthma among 371 adults with allergic rhinitis who were followed up for 10 years.

Of the 152 patients who developed asthma during follow up, 74 (48.7%) were current smokers, 17 (11.2%) were former smokers, and 61 (40.1%) had never smoked.

Source: Medwire News (UK), 14 February 2011

INDUSTRY: Use of e-cigs not allowed on US flights

The U.S. Department of Transportation says the use of smokeless electronic cigarettes on airplanes is prohibited and plans to issue an official ban this spring, according to a letter from Transportation Secretary Ray LaHood obtained by The Associated Press.

In the letter to Sen. Frank Lautenberg of New Jersey, LaHood said the department has been informing airlines and the public that it interprets smoking regulations to include e-cigarettes. Lautenberg, who wrote the 1987 law that banned smoking on airplanes, had asked transportation officials to clarify the rule.

Many airlines already have begun informing passengers that the devices are not allowed on flights, but Lautenberg said there had been confusion over their use and wanted to make sure officials were solidly opposed to opening the door to e-smoking on planes. Some e-cigarette distributors have touted their convenience because they can be "smoked" anywhere traditional cigarettes are not allowed.

Source: Associated Press (AP), 11 February 2011

INDUSTRY: Japan Tobacco aims to boost profit in Russia, Eastern Europe

Japan Tobacco, the world’s third-largest publicly traded cigarette maker, aims to boost overseas profit by at least 10 percent as a tax increase reduces demand in the domestic market.

Japan Tobacco plans to increase sales in countries including Russia, Yasushi Shingai, executive vice president of the JT International SA unit, said in an interview on Feb. 10 in Tokyo, where the company is based. The cigarette maker will focus on its more profitable brands including Mild Seven and Winston, he said.

The company is targeting profit growth in Russia even as the country seeks to crack down on smoking through an advertising ban and higher taxes. Eastern Europe including Russia is the biggest overseas market for Japan Tobacco, accounting for 48 percent of its international unit’s sales volume in 2010, the company said.

Source : Bloomberg News, 14 February 2011

INDUSTRY: Tobacco companies expand their epidemic of death

On Feb 10, Philip Morris International will report their 2010 full-year results. We guess that they will make much of their claim to sell their products in 160 countries worldwide. Tobacco is a good global business to be in. Last week saw Imperial Tobacco report increases in sales of cigarettes to Africa, the Middle East, and Asia Pacific. The company's share price rose steeply. One newspaper reported that “Imperial declared it was increasing the [share] dividend on the back of its strengthening position”. Analysts said forecasts that smoking was on the decline had been “overdone”.

Go to Imperial Tobacco's website and you will find boasts that sales are up 10% in Saudi Arabia, Ukraine, and Russia. New markets are opening up—in South Korea, for example. Sales are on the rise in Laos and Vietnam. And across Africa, the Middle East, eastern Europe, and Asia Pacific, revenues increased to £2·34 billion last year.

For companies like Philip Morris and Imperial Tobacco—selling, addicting, and killing, surely the most cruel and corrupt business model human beings could have invented—it is not surprising that they see “many opportunities for us to develop our business” in vulnerable low-income and middle-income countries. Without a trace of irony or shame, Imperial's management team reported to investors last week that the company won a Gold Award rating in a 2009 corporate responsibility index.

The Lancet, Online publication, 11 February 2011

STUDY: Smoking harms mental health but quitters arrest decline

Smoking accelerates mental decline and damages parts of the brain linked to dementia, an Australian study has found.
But there is good news for long-term smokers: quitting reverses the harmful effects on the brain.
The study assessed brain function using standard performance tests, matching the results to brain scans in 229 elderly smokers who were trying to give up and 98 non-smokers.
The research, repeated at six-monthly intervals for two years, was the first in the world to track changes in smokers' mental performance over a lengthy period.
It found the smokers, who were aged 68 and over, lost a disproportionate number of brain cells in regions important for memory and active thinking.
"For the first time it shows what we see with our memory tests is confirmed by changes in the brain," said Osvaldo Almeida, professor of geriatric psychiatry at the University of Western Australia.
The smokers who failed to quit slid into mental decline twice as fast as non-smokers, but "those who quit, don't decline faster than those who never smoked", said Professor Almeida, a consultant at the Royal Perth Hospital where the patients were recruited.

Source: The Sydney Morning Herald, 11 February, 2011

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