Boletins do ENSP

Boletim ENSP nº 6 PDF Versão para impressão Enviar por E-mail
Domingo, 13 Fevereiro 2011 22:47



Issue 6, 4-10 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, which shares a dual objective of guaranteeing data protection and 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

CZECH REPUBLIC: Czech lawmakers pass higher tobacco taxes to boost state income

Czech lawmakers approved a government proposal to raise taxes on cigarettes and tobacco products as of January 2012 to boost state budget revenue, the lower house of parliament said today on its website.

The Prague-based Finance Ministry, which drafted the law amendment required to comply with European Union legislation, estimates the higher taxes to bring about 2.4 billion koruna ($136 million) in additional state-budget revenue in 2012. The taxes should rise again in 2014 to bring them in line with EU laws, the ministry said in an e-mailed statement.

Source: Bloomberg News, 4 February 2010

DENMARK: Housing association to build non-smoking flats

Ban reflects increasing focus on public health, experts say
No-smoking signs could soon become a fixture of some flats after a housing association announced it has plans to build 30 smoke-free units.

The flats, a part of the Frederikshavn Housing Association, would be the first of their kind in the country, but the trend toward non-smoking council housing seems to be spreading.

Two of the country’s largest housing associations, AAB and KAB, said they also expected to provide smoke-free accommodation in the near future.

Source: The Copenhagen Post, 1 February 2011

HUNGARY cancer-related mortality rate poorest in Europe

Hungary shows the poorest cancer-related mortality rate within Europe, World Health Organisation (WHO) data released in Geneva on Friday, on World Cancer Day, show.

In Hungary 458 people out of 100,000 die of cancer per year, compared with a rate of 347 cancer deaths per 100,000 in Russia and Ukraine, WHO said.

The major cause of these deaths is smoking, it said.

Source:, 7 February 2011

IRELAND: Quitlines don't give the poorly educated enough support

Poorly educated people, who generally have more difficulty quitting smoking, are not getting the level of counselling they need from phone quitlines, according to a new study.

Researchers looked at the experiences of smokers who rang quitlines in seven European countries, including Ireland.

The length of call for lower-educated smokers was shorter than for those with higher education levels.

"This finding is disappointing since quitlines, with their centralised experience in smoking cessation, are particularly well placed to deal with disadvantaged groups," the researchers from the Dutch Expert Centre on Tobacco Control in the Hague, in the Netherlands, found.

"When asked to explain these findings, quitline representatives justified the lengthier calls because it was their impression that highly educated smokers requested more specific and detailed guidance compared to the lower educated."

They canvassed the views of 3,585 callers to seven European quitlines in Ireland, Denmark, France, Italy, the Netherlands, Norway, and the United Kingdom.

The researchers said European quitlines need to improve their counsellor training and support systems so that counsellors are better equipped to communicate with smokers from lower-educated groups.

Source: Irish Independent, 7 February 2011

IRELAND: Authorities seize six million illegal cigarettes in Dublin

Six million contraband cigarettes have been seized after an international surveillance operation.

The haul was discovered by Customs officers in two commercial vehicles in Coolock, in north Dublin, earlier today.

Six suspects were interviewed by officials, but no arrests have been made.

It is estimated the cigarettes had a retail value of €2.5m and a potential loss to the exchequer of €2.1m.

The Revenue Commissioners said the consignment arrived into Dublin Port from China and was concealed in a shipment listed as glasswool insulation rolls.

Irish Examiner, 8 February 2011

ROMANIA: Romanian officials detained for tobacco smuggling

Anti-corruption prosecutors have detained dozens of customs officials and border police on suspicion of involvement in cigarette smuggling.
Prosecutors say the 77 officials detained Thursday in northern Romania are suspected of cigarette smuggling and taking bribes.
Mediafax and Agerpres news agencies quoted sources as saying that the officials had been under surveillance for six months.
Police say traffic at the Vama Siret border — the main crossing point from Romania to Ukraine — was at a standstill during the operation, with queues stretching back up to 3 miles (4.83 kilometers).
Cigarette smuggling has increased in recent years.

Romania, a European Union member, has borders with Ukraine and Moldova and cheaper cigarettes arrive in the country from these areas.

Source : Bloomberg, 4 February 2011

SPAIN: Banned Spanish smokers “smirting” under the heaters

Outdoor heater sales are soaring in Spain as pavement cafes become a winter phenomenon after one of Europe's toughest smoking laws came into effect.
Madrilenyos are famous for living in the street on spring and summer evenings, strolling and packing outdoor cafes.
But a month after the new ban on indoor smoking began this winter, the terraces are full of coffee, beer and wine drinkers even when temperatures approach freezing.
"It's the first time we've had the terrace open in winter.

We ordered six outdoor stoves but had to wait a month," said waiter Angel Sanchez at a cafe on a busy Madrid avenue.
On-line store said it can barely keep up with orders for the heaters.

And non-smokers are overjoyed.

"I'm loving going out at night now. I'm going to get back to the discos now. I'd stopped going because the smoke smell clung to my clothes, jacket, my hair," said Vilma, 21.
"I'm thinking of going out every night," said 46-year-old Claudio de Casas, who used to play guitar for popular rock group La Frontera. He had left his music career partly because smoke irritated him so much.

Source: Reuters, 4 February 2011

SPAIN: Sales of smoking cessation products soar in Spain

Sales of smoking cessation products have soared in Spain since a tough anti-tobacco law took effect last month.

Sales of the products jumped 599 percent in January from December, said the Federation of Pharmaceutical Distributors (Fedifar).

The most popular item being sold was the electric cigarette, sales of which rose 806 percent in the month.

Source: People’s Daily, 5 February 2011

UK: Tobacco taxes set to boost smuggling

Higher rates of duty raise amount of contraband / Treasury gets about 77% of pack price of cigarettes

Big tobacco groups are warning Treasury and Customs officials to brace themselves for a tsunami of smuggled cigarettes hitting Britain's pubs and streets this year as criminal gangs seek to cash in on the UK's exceptionally high tax rates on tobacco products.

Tobacco companies have told ministers that the "tax clouds are gathering" as George Osborne prepares to push through a second year of above-inflation excise duty rises next month, on top of the already increased rate of VAT.

The industry, dominated by Imperial Tobacco and Gallaher, claims the rate of smuggling and the volume of contraband sold on Britain's streets rockets when excise duty goes up. The tax on a packet of 20 cigarettes rose 34p last year and the budget is scheduled to bring the increase for 2011 to 39p a pack. This compares with the previous nine years of inflation-only duty rises, adding between six and 12 pence a year to the cost of a pack.

The average price of a pack of 20 cigarettes reached £6.29 in the UK last summer, compared with £2.80 in Spain and £1.57 in Poland, according to official European figures. While Customs officials have made good progress in curbing an explosion in smuggled tobacco sales in recent years, Chris Ogden, chief executive of the Tobacco Manufacturers' Association, warns their good work could be destroyed as organised criminal gangs target their tax evasion efforts on the UK.

Source: The Guardian, 6 February 2011

President Obama has quit smoking

President Barack Obama finally has kicked the habit, Michelle Obama said Tuesday.

"Yes, he has," the first lady told reporters at the White House when asked whether her husband had finally done what millions of Americans can't seem to do and quit smoking. "It's been almost a year."

She offered no details on when he quit or, more importantly, how he quit, "because he never smoked a lot" and she never saw him light up.

But Obama is known to have chewed nicotine gum to help.

Source: Associated Press, 8 February 2011

EVENT: World No Tobacco Day 2011

The theme for World No Tobacco Day 2011 to be celebrated on 31 May is "The WHO Framework Convention on Tobacco Control ".

The WHO Framework Convention on Tobacco Control (WHO FCTC) is the world's foremost tobacco control instrument. The first treaty ever negotiated under the auspices of WHO, it represents a signal achievement in the advancement of public health. In force only since 2005, it is already one of the most rapidly and widely embraced treaties in the history of the United Nations, with more than 170 Parties. An evidence-based treaty, it reaffirms the right of all people to the highest standard of health and provides new legal dimensions for cooperation in tobacco control.

World No Tobacco Day 2011 will be designed to highlight the treaty's overall importance, to stress Parties' obligations under the treaty and to promote the essential role of the Conference of the Parties and WHO in supporting countries' efforts to meet those obligations.

World No Tobacco Day 2011 campaign will focus on the following key message: that countries must fully implement the treaty to protect present and future generations from the devastating health, social, environmental and economic consequences of tobacco consumption and exposure to tobacco smoke. Other key messages will include:

  • The treaty embodies the desire and commitment of scores of governments and millions of people to have a tobacco-free world
  • The Parties to the treaty should fulfil their obligation to fully implement it
  • Individuals should encourage and help their governments to fulfil that obligation
  • The treaty should be duly appreciated by institutions and individuals alike as a landmark in the history of public health and the world's foremost tobacco control instrument
  • WHO and the Conference of the Parties stand ready to help countries meet their obligations under the treaty and its related guidelines.

The treaty has already proved its efficacy in the fight against tobacco. Nevertheless, as the Secretariat of the treaty explained in its recent Reports of the Parties and global progress in implementation of the Convention: key findings, "Implementation rates continue to vary substantially between different policy measures." More must be done for the treaty to reach its full potential, as the Parties themselves recognize.

On World No Tobacco Day 2011, and throughout the following year, WHO will urge countries to put the treaty at the heart of their efforts to control the global epidemic of tobacco use.

Information and materials will be increasingly made available in the coming months on the World No Tobacco Day page (see below) as well as the Regional Office is planning several related activities and more information will follow soon:

Source: Kristina Mauer-Stender, Tobacco Control Program, WHO Regional Office for Europe, 3 February 2011 - E-mail: Este endereço de e-mail está protegido de spam bots, pelo que necessita do Javascript activado para o visualizar

STUDY: Electronic cigarettes hold promise as aid to quitting

A study led by Boston University School of Public Health (BUSPH) researchers reports that electronic cigarettes are a promising tool to help smokers quit, producing six-month abstinence rates nearly double those for traditional nicotine replacement products.

In a study published online ahead of print in the American Journal of Preventive Medicine, researchers found that 31 percent of respondents reported having quit smoking six months after first purchasing an electronic cigarette, a battery-powered device providing tobacco-less doses of nicotine in a vaporized solution. The average six-month abstinence rate for traditional nicotine replacement products, such as nicotine patches or gum, is between 12 and 18 percent.

"This study suggests that electronic cigarettes are helping thousands of ex-smokers remain off cigarettes," said lead author Michael Siegel, professor of community health sciences.

Source: Eurekalert, 8 February 2011

Source: Tracking the Rise in Popularity of Electronic Nicotine Delivery Systems (“Electronic Cigarettes”) Using Search Query Surveillance
Am J Prev Med 2011. Online Early February 8, 2011

Electronic Cigarettes As a Smoking-Cessation Tool: Results from an Online Survey

EVENT: FP7 Health - Open Information Day & Brokerage event - 9-10 June 2011, Brussels

The European Commission (Research & Innovation DG - Directorate Health) is organizing an Open Information Day on FP7 Health research. The event aims to highlight the novelties in the planning of the 2012 Work Programme due to be published in July. It will provide guidance on proposal preparation and management.

Further information, including a draft programme and registration guidance for both the Open Information Day and the Brokerage event, will be available soon at

Source: EC DG Research, 9 February 2011

EC DG SANCO PUBLICATION: Dancing the tango - The experience and roles of the European Union in relation to the Framework Convention on Tobacco Control

EC DG SANCO PUBLICATION: Dancing the tango - The experience and roles of the European Union in relation to the Framework Convention on Tobacco Control

This new key document is available on the European Commission web site.

Source: EC DG Sanco, 4 February 2011

Boletim ENSP nº 5 - 28 de Janeiro de 2011 PDF Versão para impressão Enviar por E-mail
Domingo, 06 Fevereiro 2011 19:00



Issue 5, 28 January - 3 February 2011

FRANCE: Short film- Don't be duped by tobacco

The short film ‘Don't be duped by tobacco’ is part of a campaign by the Non-Smokers' Rights Association Droits des Non Fumeurs.
Reproduced with kind permission of Droits des Non Fumeurs.
27 January 2011

POLAND: Cigarette smugglers avoid Poland

The number of people stopped at the Polish border for smuggling cigarettes is dropping, reports Rzeczpospolita.
Customs officers explain that's because tobacco smugglers are looking for easier borders from where they can bring their contraband across. Since Poland ramped up the crack down on illegal cigarettes entering the country, smuggling cartels have been focusing on other countries.
Back in 2009, inspectors guarding the external EU border confiscated more than 606 million illegal cigarettes. Last year, they seized 563 million.

Source : Warsaw Business Journal, 28 January 2011

ROMANIA: Nearly 19 million cigarette packs are seized in 2010

Almost 19 million of cigarette packages were confiscated in Romania, in 2010, by round 56 percent more than over the previous year, reads the report the Romania's Supreme Council of National Defence (CSAT) members presented at the Cotroceni Palace.
The release the Presidential Administration issued at the end of the CSAT meeting assessing the results the state-run institutions obtained in fighting against the tax evasion reads that 'In accordance to the report drawn up by the inter-institutional working Group for prevention and combating tax evasion, there were identified tax evasion activities preponderantly with tobacco, agri-foodstuffs, wood, building materials and alcohol.'
According to the above-mentioned source, fines worth about 46 million euros were levied in 2010, whereas the Public Finance Ministry raised fines worth round 15 million euros. Likewise, the Finance Ministry specialized structures ceased the activity of 4,251 companies and raised additional taxes worth about 1.5 billion euros.

Source:Agerpres, 28 January 2011

UK: Ban fails to stop smokers

Heavy drinking is on the decline across the UK, but the ban on smoking in pubs and restaurants imposed three years ago has failed to have an impact on the country’s hard core of smokers, according to figures released on Thursday.

Some 21 per cent of UK adults said they were smokers in 2009, a proportion unchanged since 2007 when legislation came into force imposing the ban. The average number of cigarettes smoked also remained constant during the period, at 14 per day for men and 13 for women.

Smoking – the leading cause of preventable illness and premature death in the UK – remains twice as common among adults in routine and manual jobs.

The data, part of the general lifestyle survey conducted annually by the Office for National Statistics, show there has been a sharp long-term decline in smoking since 1974, when 45 per cent of adults had the habit. Since then anti-smoking health campaigns, advertising bans and bans on high-tar cigarettes have been introduced.

The figures point to the stalling of efforts among the residual population of smokers and will stoke fresh calls for new public health measures as the government prepares to launch a tobacco strategy.

Source: Financial Times, 27 January 2011

UKRAINE may have cigarette package pictorial health warnings by Euro Cup 2012

The Ukrainian government finally adopted the decree approving pictorial health warnings on cigarette packages. Prior to this, in June 2009, the Ukrainian parliament adopted this measure as part of other anti-tobacco legislation while the Cabinet of Ministers had been hampering signature of the further procedural decree since then. During last December 2010 Ukrainian NGOs, experts and pro-tobacco control Members of Parliament created heavy pressure on the Cabinet of Ministers by organising public actions, letter-writing campaigns and press conferences.

Source: Andriy Skipalskyi, 27 January 2011 contact Este endereço de e-mail está protegido de spam bots, pelo que necessita do Javascript activado para o visualizar
Read more:

STUDY: Brain fault link to smoking desire

A discovery that explains why some people cannot give up tobacco may lead to new anti-smoking treatments.

Scientists have identified a brain pathway which when defective leads to an uncontrollable desire to smoke.

It involves a component, or "subunit", of a receptor protein sensitive to nicotine.

Normally, the pathway dampens down the urge to consume more nicotine when levels of the drug reach a critical level. But in some people the mechanism is faulty, causing them to become hopelessly hooked on tobacco.

Lead researcher Dr Christie Fowler, from the Scripps Research Institute in Jupiter, Florida, US, said: "If the pathway isn't functioning properly, you simply take more. Our data may explain recent human data showing that individuals with genetic variation in the alpha5 nicotinic receptor subunit are far more vulnerable to the addictive properties of nicotine, and far more likely to develop smoking-associated diseases such as lung cancer and chronic obstructive pulmonary disease." The scientists, whose work is reported in an early online edition of the journal Nature, carried out tests on animals.

Source: The Press Association, 30 January 2011

STUDY: Smoking habits are transmitted from mother to daughter and father to son

A European research group has studied how smoking habits are transmitted within the home. The results show that, in homes where both parents are present, there is a significant degree of inter-generational transmission of smoking habits between parents and children, particularly between individuals of the same gender.

"Fathers transmit their smoking habits to a statistically significant level to their sons, and the same is true of mothers and daughters. However, if a mother smokes it does not seem to impact on the probability of her son smoking, and similarly a father that smokes does not affect his daughter", Loureiro, a researcher at the USC and co-author of the study, tells SINC.

The research, which has been published in the journal Oxford Bulletin of Economics and Statistics, is based on information from the British Household Panel Survey 1994-2002. "We selected this data source because it gives detailed information on the products consumed in households, including tobacco, making it possible to analyse the transmission of smoking habits between generations", the experts explain.

Source: AlphaGalileo Foundation (UK), 28 January 2011

STUDY: Cancer patients unlikely to seek help to quit smoking

Although most patients diagnosed with cancer report receiving advice to quit smoking, less than half of them actually express an interest in joining a smoking cessation program, according to a study published online Jan. 10 in Cancer.

Mary E. Cooley, R.N., Ph.D., of the Dana-Farber Cancer Institute in Boston, and colleagues investigated whether patients diagnosed with lung or head and neck cancer received advice and support from their health care providers to quit smoking, and their subsequent interest and preferences for participating in cessation programs. Data were collected from questionnaires and medical-record reviews from 160 smokers or recent quitters with lung or head and neck cancer.

Source: Doctors Lounge, 28 January 2011

STUDY: Secondhand smoke laws may reduce childhood ear infections

Harvard School of Public Health (HSPH) researchers and colleagues from Research Institute for a Tobacco Free Society have found that a reduction in secondhand smoking in American homes was associated with fewer cases of otitis media, the scientific name for middle ear infection. The study appears on January 26, 2011, as an online first article on the website of the journal Tobacco Control.

"Our study is the first to demonstrate the public health benefits to children of the increase in smoke-free homes across the nation. It also is the first study to quantify over the past 13 years a reversal in what had been a long-term increasing trend in middle ear infections among children," said lead author Hillel Alpert, research scientist in HSPH's Department of Society, Human Development, and Health. "If parents avoid smoking at home, they can protect their children from the disease that is the most common cause of visits to physicians and hospitals for medical care," he said.

Secondhand smoke (smoke from a burning cigarette combined with smoke exhaled by a smoker) has been shown to increase the level of unhealthy particles in the air, including nicotine and other toxins.

In 2006 the U.S. Surgeon General stated that enough evidence existed to suggest a link between parents' smoking and children's ear infections.

Source: ScienceDaily, 27 January 2011
Tob Control. Published Online First 26 January 2011

Author source: Smoke-free households with children and decreasing rates of paeditric clinical encounters for otitis media in the United States

REPORT: COUNTER MEASURES Preventing Youth Smoking in Scotland

ASH Scotland published Counter Measures, a report funded by Cancer Research UK that describes the passage of Scotland's 2010 Tobacco and Primary Medical Services (Scotland) Act, which introduced a range of youth smoking prevention measures including a ban on point of sale advertising and cigarette sales from vending machines, a register of retailers selling tobacco, and strong penalties for those selling tobacco unregistered.
The report charts the Scottish experience of the legislative passage of the Act, which was strongly resisted by the tobacco industry, and the lessons learned in creating effective youth smoking prevention legislation which we hope will be useful for other countries considering similar legislation.
Any feedback or comments, especially from countries moving towards a display ban or engaged in tobacco industry legal challenges to legislation, would be gratefully received.
The report is available on the ASH Scotland website at:
Source: Sheila Duffy, ASH Scotland, 27 January 2011 - contact: Este endereço de e-mail está protegido de spam bots, pelo que necessita do Javascript activado para o visualizar

CONFERENCE: 15th World Conference on Tobacco OR Health, Singapore, 21-24 March 2012

The World Conference on Tobacco OR Health (WCTOH) is the premier international conference on tobacco control. It is held once every three years, and attracts thousands of academics, public health practitioners, non-government organisations and public officials from more than 100 countries.

The Organising Committee invites you to submit proposals for sessions at the conference from now until 28 February 2011. Proposals are sought for plenaries, symposia, panel discussions and workshops.

This call for proposals aims to garner a wide spectrum of ideas to organise a scientific programme that comprehensively covers all aspects. You are encouraged to submit proposals that are relevant to tobacco control and/or the conference theme Toward a Tobacco-free World: Planning Globally, Acting Locally.

Information on submitting proposals is available at:

Additional information can be found at the conference website:

EVENT: World Cancer Day, the theme of which is cancer prevention, 4 February 2011

On the 4th of February, 2011 the UICC and its partner organisations will run campaigns all over the world to raise awareness for a disease that causes millions of deaths every year, many of which could have been prevented.

More than ever before there is a need for a concerted and coordinated fight against cancer, and we believe that World Cancer Day can play its part by providing an even bigger platform for your cancer messages.
Cancer and tobacco use:
For all details please go to:

CONFERENCE: ECToH Amsterdam 28-30 March 2011 Program details

Only 59 days before ECToH starts!

More details are now available:

Please see the website for more details:
- The three ECL Young Professional award nominees are known:

- all keynote speakers can be found here:
- program elements such as preconference workshops, satellite meetings, etc
- Don't forget to register and book a room in the conference hotel
- the conference program will be available online within the next two weeks

Conference website:
Message from Fleur van Bladeren on behalf of the Executive Committee of ECToH, 28 January 2011

CONFERENCE AND TRAINING: Smokefree Homes and Cars - Protecting Children and Families - 3 March 2011 - Dundee Hilton Hotel, Scotland

A conference to better equip communities to reduce exposure to second-hand tobacco smoke (SHS) in private homes and cars.

More than half of babies and young children from poorer backgrounds are regularly exposed to SHS in the home, compared with less than a fifth of UK children from families with a professional background.  Exposure to SHS in childhood is associated with reduced lung function, middle ear disease, an increased risk of respiratory symptoms and a higher incidence of respiratory tract infections.  SHS exposure has also been shown to be a cause of cot death.

Sharpen your knowledge of the issues around SHS and learn what people in health boards and local communities are doing to remove the danger.  You may even cultivate the skills to give sensitive advice to householders yourself by enrolling in on-the-day brief advice training.

This event is organised by the Scottish Tobacco Control Alliance (STCA)

More information is available at:,-3rd-march-2011

DG SANCO updated organisational chart

The newly updated DG SANCO organisational chart can be found at:

Source: EC DG SANCO Date published: 2 February 2011

UK EVENT: No Smoking Day – 9 March 2011

All details regarding this annual event can be found at:

Boletim ENSP nº 4 21-27 de Janeiro de 2011 PDF Versão para impressão Enviar por E-mail
Terça, 01 Fevereiro 2011 21:50

Boletim nº 4 21-27 de Janeiro de 2011 da ENSP. Leia noticias europeias sobre tabaco.




Issue 4, 21-27 January 2011

· REPORT: Smoking may be associated with increased risk of breast cancer

· BULGARIAN PM announces new smoking ban deadline

· FCTC COP grants ENSP observer status

· RESEARCH: Anti-estrogens linked to fewer lung cancer deaths

· PHILIP MORRIS up for a Public Eye Award - voting closes next week

· WHO FCTC Convention Secretariat Newsletter

· ESTONIA: Black market smokes on the rise

· JERSEY smokers to see graphic images on cigarette packs

· SPAIN: Smoking inspections to be intensified

· SPAIN: Spanish town rebels against anti-smoking law

· UK SCOTLAND: Legal appeal delays tobacco display ban in Scotland

· UK SCOTLAND: BBC exposes tobacco crime gangs in Scotland

· STUDY: Shock findings in Scotland's first smoking in cars study

· STUDY: Spanish heart risk study challenges image of healthy Mediterranean diet and lifestyle

· RESEARCH: Smoking warnings hit home as UK cancer rates drop

· STATISTICS Cancer rates: see how countries compare worldwide

REPORT: Smoking may be associated with increased risk of breast cancer

Smoking before menopause, especially prior to giving birth, may be associated with a modest increase in the risk of developing breast cancer, according to a report in the January 24 issue of Archives of Internal Medicine, one of the JAMA/Archives journals.
"Breast cancer is the most common cancer to affect women worldwide," according to background information in the article. "Tobacco smoke contains potential human breast carcinogens, including polycyclic aromatic hydrocarbons, aromatic amines and N-nitrosamines."
Using data collected from the Nurses' Health Study, Fei Xue, M.D., Sc.D., of Brigham and Woman's Hospital and Harvard Medical School, Boston, and colleagues examined the records of 111,140 women from 1976 to 2006 for active smoking and 36,017 women from 1982 to 2006 for passive (secondhand) smoking.
A total of 8,772 breast cancer cases developed during follow-up.
"Smoking before menopause was positively associated with breast cancer risk, and there were hints from our results that smoking after menopause might be associated with a slightly decreased breast cancer risk," the authors write.
Source: Eurekalert, 24 January 2011

Related article:Smoking raises breast cancer risk
Press Association, 24 January 2011

BULGARIAN PM announces new smoking ban deadline

The option to introduce a full smoking ban in establishments in Bulgaria in 2013 is on the table, Prime Minister, Boyko Borisov, informs.

Borisov, who is on an official visit to Japan, commented for the media from the Bulgarian Embassy in Tokyo, saying BGN 3 B a year go to health care and smoking is harmful for health. The PM stated he was convinced the ban must apply to even small establishments in Bulgaria.
Source: Novinite, 26 January 2011

FCTC COP grants ENSP observer status

During the fourth session of the FCTC Conference of the Parties in Punta del Este, Uruguay, from 15 to 20 November 2010 ENSP's application for observer status to the COP was approved, together with that of INWAT.
Source : ENSP

ENSP's application is enclosed below.
The COP decision is outlined on page 5 of the document below:
The Rules of Procedure of the FCTC COP are available at:
cf. Rule 29, page 7: Observers

RESEARCH: Anti-estrogens linked to fewer lung cancer deaths

Anti-estrogen drugs such as tamoxifen may reduce a woman's risk of dying from lung cancer, suggests a new study. The analysis included a very small number of women with lung cancer, however, and the findings do not mean that women should take these drugs to prevent or treat lung cancer, doctors say.

Lung cancer kills more people than any other type of cancer. In the United States, over 200,000 people are diagnosed with lung cancer every year, and more than 150,000 die from it.
Research suggests that some hormones, including estrogen, may play a role in the progression of the disease by interacting with lung cancer cells.
Source: Reuters, 24 January 2011

PHILIP MORRIS up for a Public Eye Award - voting closes next week

Philip Morris has been nominated for a Public Eye Award (for worst corporation of the year) for suing (under a bilateral investment treaty) the Uruguay government for its tobacco control measures.
Voting is at

This award tends to get quite a lot of media coverage.
Voting must close by about 27 Jan 2011, because the award is presented at the World Economic Forum at Davos on 28 Jan 2011.
Please circulate amongst your public health, tobacco control, investment treaty, free trade agreement etc networks.
Source: Sanya Reid Smith, Third World Network, 21 January 2011
Contact : Este endereço de e-mail está protegido de spam bots, pelo que necessita do Javascript activado para o visualizar

WHO FCTC Convention Secretariat Newsletter

The newsletter of the Secretariat to the WHO Framework Convention on Tobacco
Control appears every three months and examines developments in the
implementation of the Convention.

Please see article:
Convention News is available at:

ESTONIA: Black market smokes on the rise

As the Tax and Customs Board has made its battle with the black market for cigarettes this year's priority operation, many otherwise jobless citizens in the border town of Narva have turned smuggling into a life source.
The expanding black market is a result of raising the excise tax to the EU minimum, a 20 percent increase implemented in two annual increments beginning in 2011.

The recession and the fact that cigarettes are three times cheaper in Russia has also invigorated illegal sales to a 10-year high, Marje Josing, director of the Institute of Economic Research, told ETV. In 2008, authorities seized 1.5 million illegal cigarettes in Narva, Estonia's busiest border point with Russia. By 2010, confiscated contraband tripled to 5 million in the town, as well as another 5 million in the rest of Estonia.
Source: Eesti Rahvusringhääling, 21 January 2011

JERSEY smokers to see graphic images on cigarette packs

Jersey politicians have voted in favour of putting graphic images on cigarette packets in the island. It is hoped the graphic images will help the two thirds of smokers who say they want to quit to do so.
Smoking is thought to be the greatest single cause of preventable illness and early death in Jersey, health officials say it kills about 150 people annually.
Cigarette packets will include images of throat cancer, blackened lungs and ageing skin.
Andrew Heaven, head of health improvement, said he also hoped the images will stop young people taking up the habit.
"It is just one of a number of measures we are putting in place to try and persuade people not to take up the habit and encourage smokers to quit.
"These messages and pictures are showing the harm caused by tobacco and encouraging smokers to have a go and quit," he said.
The decision to put graphic warnings on cigarette packets in Jersey has been described as a "welcome step" towards reducing the number of people smoking.
Mr Heaven said he was committed to cutting tobacco use.
He said: "We have over the past ten years done very well and this is all about momentum and making sure we continue to ensure we give every opportunity for those smokers to quit."
Source : BBC News, 24 January 2011

SPAIN: Smoking inspections to be intensified

Spain’s regional governments are recruiting more inspectors to police the new anti-smoking laws. Meanwhile, the legislation introduced on January 2 continues to produce side-effects.

The director general of Public Health, Ildefonso Hernández Aguado, said last week that sanctions were already underway and activity would be increased this month. He said that all the country's regions were following procedures properly and that fines would be issued promptly.

He also claimed that those complaining about the new legislation are just making a noise. In a radio interview on Wednesday, he said that, "There are those who have an interest in concealing the true situation, which is quite normal."
Source: Costa News, 25 January 2011

SPAIN: Spanish town rebels against anti-smoking law

Hotels and restaurants in the northern Spanish town of Palencia closed on Wednesday to protest the country's tough anti-smoking law which took effect this year.
About 100 professionals from the sector also staged a demonstration, some carrying banners saying "If you don't smoke, we don't get paid. Let us live" and "Total ban, sector ruined."

Another said "Zapatero, you should have been a hotelier," referring to Socialist Prime Minister Jose Luis Rodriguez Zapatero.
Trade associations said 60 to 70 percent of the hotels and restaurants in the town of around 80,000 people closed for the day.
It was the first major demonstration against the anti-smoking law, one of the strictest in Europe, since it was introduced on January 2.
Source: Agence France Presse (AFP), 26 January 2011

UK SCOTLAND: Legal appeal delays tobacco display ban in Scotland

A ban on tobacco displays in shops has been delayed because of an ongoing legal challenge, the Scottish government has said.
The new law, voted in by MSPs at the start of 2010, was due to begin for larger retailers in October this year.
But Imperial Tobacco is appealing against a decision dismissing its original challenge in 2010, meaning the legislation cannot be used.
Ministers say they will announce an implementation date when possible.
The Tobacco and Primary Medical Services Act aims to discourage young people from taking up smoking by banning shops from displaying cigarettes and other tobacco products and restrict cigarette vending machines.
The legislation, which also brought in a tobacco retailers registration scheme, was backed by anti-smoking groups, but criticised by shop owners and the tobacco industry.
Imperial Tobacco's legal challenge on the grounds that the ban was outside the scope of Holyrood's powers was dismissed at the Court of Session in Edinburgh, although the appeal is now expected to be held later this year.
BBC News Scotland, 25 January 2011
Related article: Ban on tobacco displays delayed
Source: Free Scotland on Sunday, Southern Reporter, 25 January 2011

UK SCOTLAND: BBC exposes tobacco crime gangs in Scotland

A BBC investigation has exposed the organised crime groups controlling Scotland's illegal tobacco trade. Illegal products being sold by crime gangs were bought by a BBC Scotland undercover team, who secretly filmed the supply chain.
Half of all hand-rolled tobacco smoked in the UK is now counterfeit, as is one in every five cigarettes.
The illegal trade is estimated to cost the Treasury billions of pounds in lost taxes.
Black market tobacco products, which use the branding of famous names, do not adhere to levels of tar, nicotine and carbon monoxide set out for legitimate products.
Products bought by the BBC team were tested and shown to have the highest levels of toxins recorded in the UK. The results prompted one health expert to warn of a "health timebomb" waiting to explode.
Source: BBC Online 20 January 2011

STUDY: Shock findings in Scotland's first smoking in cars study

Risk factors were similar to those found in the US and UK
Smoking in a car exposes a child passenger to dangerous levels of poisonous particles … and even opening a window doesn't protect them.

These are the stark findings of a study commissioned by leading NHS Greater Glasgow and Clyde (NHSGGC) health experts, in collaboration with researchers from the University of Aberdeen.
The findings are so stark that NHSGGC has launched a high profile campaign to persuade the thousands of Scots motorists who continue to smoke and endanger non-smoking passengers to make their cars "smoke free".

The study involved a child sized doll child being fitted in a car seat with the very latest smoke monitoring equipment attached at the doll’s mouth so that precise measurements could be taken. The particles of tobacco poison were so high that they compared with the levels you would expect after being exposed to secondhand smoke in a busy smoke filled pub before the smoking ban.
Source: PhysOrg, 20 January 2011

STUDY: Spanish heart risk study challenges image of healthy Mediterranean diet and lifestyle

A Spanish study has challenged the long-held belief that people in the Mediterranean all enjoy more healthy diets and lifestyles, after discovering alarmingly high cardiovascular risk factors similar to those found in the UK and USA.
Research published in the January issue of IJCP, the International Journal of Clinical Practice, also found strong links between low levels of education and increased risk.
"Cardiovascular diseases account for 33 per cent of deaths in Spain, making it the main cause of mortality in the country" says Dr Ricardo Gómez-Huelgas from the Internal Medicine Department at Hospital Carlos Haya, Malaga.
The study was carried out on a random selection of 2,270 adults attending a healthcare centre in Malaga, Andalucia, a region with one of the highest rates of cardiovascular disease in Spain. The participants ranged from 18 to 80, with an average of just under 44 years, 50.3 per cent were female and 58 per cent had low educational levels.
More than 60 per cent were overweight or obese and 77 per cent did not get enough exercise.
The researchers also found that 28 per cent smoked, 33 per cent had high blood pressure, seven per cent had diabetes and 65 per cent had high cholesterol levels.
Just under 30 per cent of the patients had three or more cardiovascular risk factors that could be modified by changes to their lifestyle or diet.
"Most of the cardiovascular risk factors increased with age, with the exception of smoking and low levels of 'good' cholestererol, and we noted some differences between the sexes" says Dr Gómez-Huelgas.
"We also found that a low education level was associated with a high prevalence of cardiovascular risk factors and this association was significant when it came to smoking, obesity, abdominal obesity and high levels of fatty molecules.
Source: EurekAlert, 24 January 2011
Author Source: Prevalence of cardiovascular risk factors in an urban adult population from southern Spain.

RESEARCH: Smoking warnings hit home as UK cancer rates drop

Britain has done better than many countries at tackling its 'tobacco epidemic', says government cancer adviser
Around 10 million adults in the UK are smokers: 22% of men and 21% of women, compared with 51% of men and 41% of women in 1974.
Decades of warnings about the dangers of smoking appear to be having an effect, with the UK placed a relatively low 22nd in a world league of highest cancer rates.
The rate for men, 280 cases per 100,000 people, is 33rd in the world, with France the highest.
The rate for British women, however, is 260.5 per 100,000 – the world's 12th highest, with Denmark top.
The UK breast cancer rate for women, just over 89, ranks 11th.

The research, which names Denmark as the world's "cancer capital", was compiled by the World Cancer Research Fund, (WCRF), a London-based charity. The figures are based on analysis of World Health Organisation data.
The government's cancer adviser, Professor Mike Richards, attributes Britain's relatively good position in the table to its early tackling of its "tobacco epidemic" compared with other countries.
While in the past about half Britain's cancer deaths were linked to smoking, now fewer than a third were, he said.
Source: The Guardian, 24 January 2011

STATISTICS Cancer rates: see how countries compare worldwide

Recently we published mortality statistics for England and Wales including figures for cancer. How do they compare with these latest statistics?
We have put together the rankings into a spreadsheet to download along with the rankings of female breast cancer worldwide.
Denmark has topped the highest overall cancer rate in a world ranking of cancer cases by the World Cancer Research Foundation (WCRF).
Source : The Guardian, 24 January 2011

Leia o Boletim da ENSP nº 3 de 2011. Fique actualizado PDF Versão para impressão Enviar por E-mail
Sexta, 28 Janeiro 2011 20:39

Issue 3, 14-20 January 2011

BHUTAN: The world’s first smoke-free country?

The tiny South Asian country of Bhutan has taken anti-smoking regulations to a new level, reports Reuters. Bhutan banned the sale of tobacco in 2005, but cigarettes remained widely available on the black market. So, at the start of 2011, the country began enforcing the Tobacco Control Act, passed overwhelmingly in June, which allows agents of the Bhutan Narcotic Control Agency to raid the homes and businesses of those suspected of possessing or selling smuggled tobacco.

Online forums are full of grumbling about the logic and logistics of the law, and the country's biggest newspaper, Kuensel, recently weighed in with a strongly worded editorial, saying that the penalties in the Tobacco Control Act are, "in every sense of the word, draconian." Prime Minister Jigmi Y. Thinley defended the rules. Tobacco is "cancerous to society and to the individual," Thinley said, "and in many ways it is no different from psychotropic drugs, for which the penalty in certain countries is death."

Could this realistically work? Illegal cigarette sales at small shops have dropped precipitously since the law went into effect, and the smoking rate in Bhutan is thought to be about 12 percent, compared to 23 percent in the United States.

Source: The Week, 14 January 2011

BULGARIA: Ex Bulgarian customs official warns staggering contraband

There is a strong increase of cigarette and other excise goods contraband in Bulgaria, the former Deputy Director of the Customs Agency, Antoniy Strandzhev, warns.

Strandzhev spoke Sunday in an interview for the Bulgarian National Radio, BNR, saying the State has been deprived of significant cash amounts, but below the sum of BGN 2-3 B, as the former special agent of the State Agency for National Security, DANS, Aleksei Petrov, claims.

Strandzhev explained he had resigned from the Customs Agency to alleviate tensions and the pressure on its leadership.

Source: (bg), 16 January 2011

FRANCE: French politicians give Sartre back his cigarette

French politicians on Wednesday voted to overturn rules that saw iconic comedian Jacques Tati lose his beloved pipe and existentialist writer Jean-Paul Sartre ditch his trademark cigarette.

On Wednesday the cultural affairs committee almost unanimously backed the new bill - which must now go before parliament - that would exclude cultural heritage from the anti-smoking law. "The falsifications of history, the censorship of works of the mind, the denial of reality... should remain the ignominious mark of totalitarian regimes," said the bill proposed by the opposition Socialists.

Source: Agence France Presse (AFP), 19 January 2011


The tobacco lobby in France is very close to winning a success in allowing a "cultural exception" for the presentation of cigarettes and tobacco products in "works of art", in derogation of the ban on advertising. Ad hoc committees of the French parliament have not issued an unfavourable opinion to the project presented as a defense of culture.

Support from European colleagues could help open the eyes of parliament members and avoid what would be a setback for France.

More likely the target of the tobacco industry is to export this "cultural exception" in neighbouring countries legislation.

It would be helpful if you would send the following mail to: Este endereço de e-mail está protegido de spam bots, pelo que necessita do Javascript activado para o visualizar ; Este endereço de e-mail está protegido de spam bots, pelo que necessita do Javascript activado para o visualizar ; Este endereço de e-mail está protegido de spam bots, pelo que necessita do Javascript activado para o visualizar ; Este endereço de e-mail está protegido de spam bots, pelo que necessita do Javascript activado para o visualizar ; Este endereço de e-mail está protegido de spam bots, pelo que necessita do Javascript activado para o visualizar ; Este endereço de e-mail está protegido de spam bots, pelo que necessita do Javascript activado para o visualizar (with your name country and responsibility)

“I am concerned about the developments proposed by Bill 2972 promoted by the tobacco industry to introduce a so called “cultural exception” in the alleged ban on tobacco promotion in France.

Tobacco is a product that the industry tries to present as a social norm, while this product kills 500,000 Europeans a year and while most smokers would like to quit but fail to succeed because of the alienation of freedom induced by tobacco dependence. I would not be happy for my country to receive such a negative message from France”.
Source: Bertrand Dautzenberg, Clémence Cagnat-Lardeau, French Alliance against Tobacco, 20 January 2011
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ESTONIA: Recent Publication and Actions

Our Estonian colleagues have prepared a new anti-smoking brochure entitled “Don’t Smoke, Lung Cancer Kills” which is available on the ENSP website (

Please find the link to the latest Estonian anti-smoking TV Commercial, with English subtitles.
Source: Hanno Egipt, Estonian Cancer Society, 14 January 2011
Contact: Este endereço de e-mail está protegido de spam bots, pelo que necessita do Javascript activado para o visualizar

GREECE: Greece to police ignored smoking ban more strictly

Greece said on Tuesday it will enforce a largely ignored smoking ban with hundreds more inspectors, the third time in recent years it has tried and failed to stop the EU's heaviest smokers flouting the ban.

"The Greek state cannot continue to be made a laughing stock," Health Minister Andreas Loverdos told reporters. "We are starting tomorrow - the ban will be fully implemented."

Loverdos said the government would launch a fresh campaign against smoking and hire hundreds of additional inspectors to slap fines on business owners and smokers.

Source: Reuters, 18 January 2011

IRELAND: Seven held as eight million cigarettes seized

Seven men were arrested after eight million counterfeit cigarettes were seized near the Irish border today.

The tobacco, worth an estimated £2.4m (€2.85m), was discovered hidden in a shipment of under-floor heating pipes. Five of the men are from Co Louth, one from Co Limerick and one from Co Armagh.

The cigarettes, thought to have originated in China, were recovered inside a 40ft container in Forkhill, south Armagh where commercial premises were raided by customers officers and police.

John Whiting, assistant director of criminal investigation with HM Revenue and Customs, said: "Tobacco smuggling is organised crime on a global scale with huge profits ploughed straight back into the criminal underworld, feeding activities like drug dealing, people smuggling and fraud.

Source: The Independent, 18 January 2011

IRELAND: Tobacco smuggler gangs fined an average of only €527, finds study

Crime gangs smuggling tonnes of illegal tobacco into the country are facing fines on average of just €527, shocking new figures have shown.

Last year alone, Customs officers intercepted a staggering 3.4 tonnes of tobacco and 178.3 million cigarettes worth €76.5 million.

It is estimated the illegal trade is depriving retailers of more than €500m of income per annum.

Despite the size of the problem only 94 people were prosecuted during 2010 for smuggling and fined a total of €49,630 with 13 being sent to jail.

Customs and Gardaí also managed to prosecute 40 people for selling illegal tobacco with six prison terms handed down along with fines of just €99,250.

Fine Gael’s Alan Shatter said the current legislation was inadequate at dealing with the threat.

Source: Irish Examiner, 17 January 2011

MALTA: More public scrutiny of tobacco industry

It is a sad fact that smoking among young people is again increasing and many doctors have publicly expressed particular concern about the increasing habit of smoking among young female teenagers who are tomorrow’s mothers. Anti-smoking educational campaigns are always an important tool in convincing young people about the importance of taking good care of their health, even at a time when they feel invincible with the vigour of youth.

The justification of a total ban on tobacco advertising will be more convincing if it is based on the positive argument of protecting the health of present and future generations on whom the prosperity of society depends. This consideration is perhaps far more impressive than the narrower argument of the excessive cost of treating those who ruin their health after years of smoking, even if this argument is a perfectly valid one.

By adopting the WHO directive on a total ban on tobacco advertising Malta has shown it is willing to be among the first to endorse best practice to protect the health of its people.

Source: Times of Malta, 18 January 2011

NORWAY: Do smoke-free laws affect revenues in pubs and restaurants?

In the debate about laws regulating smoking in restaurants and pubs, there has been some controversy as to whether smoke-free laws would reduce revenues in the hospitality industry.

Norway presents an interesting case for three reasons. First, it was among the first countries to implement smoke-free laws, so it is possible to assess the long-term effects. Second, it has a cold climate so if there is a negative effect on revenue one would expect to find it in Norway. Third, the data from Norway are detailed enough to distinguish between revenue from pubs and restaurants. Autoregressive integrated moving average (ARIMA) intervention analysis of bi-monthly observations of revenues in restaurants and pubs show that the law did not have a statistically significant long-term effect on revenue in restaurants or on restaurant revenue as a share of personal consumption. Similar analysis for pubs shows that there was no significant long-run effect on pub revenue.

Source: European Journal of Health Economics, 20 November 2010
The full text is available at:

EC Health Programme: 2010 Work plan for the implementation of the Community action in the field of health (2008-2013)

The European Commission published amendments of Decision 2009/964/EU on the adoption of the Work plan for 2010 for the implementation of the second programme of Community action in the field of health (2008-2013), on the selection, award and other criteria for financial contributions to the actions of this programme and Community payment to the WHO Framework Convention on Tobacco Control.

Source: European Commission, DG SANCO, 22 December 2010
The amendments can be viewed at:

UK: The NHS ‘should pay’ patients to become healthy

We all know what we should be doing to be healthy. But that doesn't mean that we actually do it. In this week's "Scrubbing Up" health researchers Becky Brown and Marianne Promberger say the NHS should pay people if it stops them pursuing unhealthy behaviour.

Schemes that offer financial reward for healthy behaviour are being tried out across the UK. Rewards have been seen to work well in drug treatment programmes and in helping pregnant women stop smoking. Even so, where the financial rewards work should we use them?

Source: BBC Online, 14 January 2011

CONFERENCE : ECTOH 2011 Preliminary Programme

The ECToH 2011 conference consists of a variety of interesting sessions: from plenary keynote speakers to symposia, oral presentations, practical workshops, poster presentations and ‘meet the experts’ sessions.

Each of the three conference days has a special focus

  • Monday 28 March: Tobacco industry
  • Tuesday 29 March: Disadvantaged groups
  • Wednesday 30 March: Innovation & future

Four main tracks will run parallel throughout the three-day programme. They will ensure continuity and will enable participants to find interesting sessions on a single topic during each day of the conference.

1. Policy measures

2. Industry strategies & tactics and advocacy

3. Treatment

4. Health education & communication

View the preliminary programme on the ECToH Website:

STUDY: Smokers’ brains light up during smoking scenes in movies and on TV

Brain areas associated with smoking a cigarette are activated when smokers watch an actor light up on screen

If your New Year's resolutions include a plan to give up smoking, you might want to avoid the TV and steer clear of movies for a while, too.

Scientists have found that simply watching movie stars take a drag on a cigarette is enough to spark a pattern of activity in smokers' brains that mirrors the act of lighting up.

This response to seeing smoking on screen is thought to make cravings more intense for those who are trying to quit a habit that kills 5 million people worldwide each year.

Source: The Guardian, 19 January 2011

STUDY: 'Thirdhand smoke' may be bigger health hazard than previously believed

Scientists are reporting that so-called "thirdhand smoke" - the invisible remains of cigarette smoke that deposits on carpeting, clothing, furniture and other surfaces - may be even more of a health hazard than previously believed.

The study, published in ACS' journal, Environmental Science & Technology, extends the known health risks of tobacco among people who do not smoke but encounter the smoke exhaled by smokers or released by smoldering cigarette butts.

Source: ScienceDaily, 12 January 2011
When smokers move out and non-smokers move in: residential thirdhand smoke pollution and exposure
Source: Tobacco Control, published online first 30 October 2010
Thirdhand Smoke: Heterogeneous Oxidation of Nicotine and Secondary Aerosol Formation in the Indoor Environment

Source: Environmental Science & Technology. 2010 Dec 8. [Epub ahead of print]


RESEARCH Paper: Electronic nicotine delivery systems: is there a need for regulation?


Purpose: Electronic nicotine delivery systems (ENDS) purport to deliver nicotine to the lungs of smokers. Five brands of ENDS were evaluated for design features, accuracy and clarity of labelling and quality of instruction manuals and associated print material supplied with products or on manufacturers' websites.

Methods: ENDS were purchased from online vendors and analysed for various parameters.

Results: While the basic design of ENDS was similar across brands, specific design features varied significantly. Fluid contained in cartridge reservoirs readily leaked out of most brands, and it was difficult to assemble or disassemble ENDS without touching nicotine-containing fluid. Two brands had designs that helped lessen this problem. Labelling of cartridges was very poor; labelling of some cartridge wrappers was better than labelling of cartridges. In general, packs of replacement cartridges were better labelled than the wrappers or cartridges, but most packs lacked cartridge content and warning information, and sometimes packs had confusing information. Used cartridges contained fluid, and disposal of nicotine-containing cartridges was not adequately addressed on websites or in manuals. Orders were sometimes filled incorrectly, and safety features did not always function properly. Print and internet material often contained information or made claims for which there is currently no scientific support.

Conclusions Design flaws, lack of adequate labelling and concerns about quality control and health issues indicate that regulators should consider removing ENDS from the market until their safety can be adequately evaluated.

Source: Tobacco Control doi:10.1136/tc.2010.037259
Published Online First 7 December 2010

RESEARCH: Lower male life expectancy mainly caused by smoking in Europe

In up to 60% of cases, females have been outliving males across Europe because of smoking, researchers revealed in the journal Tobacco Control. For the last couple of hundred years experts have been arguing about why women have been surviving for longer than men in Europe.

Some say females are biologically designed to live longer, while others suggest that as women go to the doctors more they probably get treated or cured from diseases more often. However, the authors found that trends vary too widely throughout the continent for such a simple picture - the variables are far more complex.

Scientists from the MRC/CSO Social and Public Health Sciences Unit, Glasgow, UK, aimed to find out what drove these gender gaps in deaths in more detail.

They gathered data from WHO (World Health Organization) on male and female death rates around the year 2005 in 30 European nations and focused on fatalities linked to smoking, drinking, and all causes.

Deaths associated with regular smoking included stroke, COPD (chronic obstructive pulmonary disease), respiratory tract cancer and coronary artery disease. Alcohol-linked deaths included chronic liver disease, alcohol psychosis and violence, and throat and gullet cancers.

A good spread of 30 European countries were covered in the study, including several nations in Western and Eastern Europe, Cyprus, Malta, Greece, Iceland, and Scandinavia (not Russia).

Source: Medical News Today (UK), 18 January 2011
Related articles:
Smoking accounts for up to 60% of gender gap in deaths across Europe
Source: Physorg, 17 January 2011
Smoking accounts for up to 60% of gender gap in deaths across Europe, research finds
Source: Sciencedaily, 17 January 2011

STUDY: Advertising tied to teen smoking initiation

Adolescents who don't smoke appear more likely to take up the habit over a nine-month period when they report greater exposure to cigarette advertisements, a large German study showed.

The longitudinal study, conducted among more than 2,100 students ages 10 to 17, found that 13% of the teens started smoking during the study, according to Reiner Hanewinkel, PhD, of the Institute for Therapy and Health Research in Kiel, Germany, and colleagues.

The rate of smoking initiation increased with exposure to cigarette advertisements, from 10% in the low-exposure group to 19% in the high-exposure group, the researchers reported online ahead of the February issue of Pediatrics.

Source: Pediatrics, January 2011
Related articles:
Advertising Tied to Teen Smoking Initiation
Source: MedPage Today, 17 January 2011
Teens Highly Susceptible To Tobacco Promotion, Advertising
Source: Medical News Today, 18 January 2011
Holy Smoke! New study says kids smoke because of ads
Source: Brandchannel, 18 January 2011

STUDY: Tobacco-smoke exposure in children who live in multiunit housing

OBJECTIVE: There is no safe level of secondhand tobacco-smoke exposure,and no previous studies have explored multiunit housing as apotential contributor to secondhand tobacco-smoke exposure inchildren. We hypothesized that children who live in apartmentshave higher cotinine levels than those who live in detachedhomes, when controlling for demographics
CONCLUSIONS: Most children without known secondhand tobacco-smoke exposure inside the home still showed evidence of tobacco-smoke exposure. Children in apartments had higher mean cotinine levels than children in detached houses. Potential causes for this result could be seepage through walls or shared ventilation systems. Smoking bans in multiunit housing may reduce children's exposure to tobacco smoke.

Source: Pediatrics, 1 January 2011

RESEARCH: Smoking causes cancer linked DNA damage within minutes

Within minutes of inhaling the contents of a lit cigarette, genetic damage starts to occur - it does not take days or years, researchers from the University of Minnesota revealed in Chemical Research in Toxicology. The authors say that their study is the first to explain how specific substances in tobacco smoke cause cancer-associated DNA damage.

Stephen S. Hecht, Ph.D., and team explain that lung cancer kills approximately 3,000 people daily. The vast majority of them die prematurely because of smoking, which is also linked to several additional cancers, as well as cardiovascular and respiratory diseases, erectile dysfunction and other illnesses.

Previous studies have shown that PAHs (polycyclic aromatic hydrocarbons), which are present in tobacco smoke, are key triggers in the development of lung cancer. However, until this latest study, nobody could define exactly how these PAHs damage human genes.

The researchers added phenanthrene - a labeled PAH - to cigarettes and tracked its path with the help of 12 volunteer smokers.

Source: Medical News Today (UK), 16 January 2011

WNTD 2011: The World Health Organization (WHO) selects "The WHO Framework Convention on Tobacco Control" as the theme of the next World No Tobacco Day, which will take place on Tuesday, 31 May 2011.

World No Tobacco Day 2011 will be designed to highlight the treaty's overall importance, to stress Parties' obligations under the treaty and to promote the essential role of the Conference of the Parties and WHO in supporting countries' efforts to meet those obligations. The Conference of the Parties is the treaty's central organ and governing body.

The campaign will focus on the following key message: that countries must fully implement the treaty to protect present and future generations from the devastating health, social, environmental and economic consequences of tobacco consumption and exposure to tobacco smoke

Other key messages will include:

The treaty embodies the desire and commitment of scores of governments and millions of people to have a tobacco-free world.

The Parties to the treaty should fulfil their obligation to fully implement it.

Individuals should encourage and help their governments to fulfil that obligation.

The treaty should be duly appreciated by institutions and individuals alike as a landmark in the history of public health and the world's foremost tobacco control instrument.

WHO and the Conference of the Parties stand ready to help countries meet their obligations under the treaty and its related guidelines.

The treaty has already proved its efficacy in the fight against tobacco.

Nevertheless, as the Secretariat of the treaty explained in its recent Reports of the Parties and global progress in implementation of the Convention: key findings, "Implementation rates continue to vary substantially between different policy measures."

More must be done for the treaty to reach its full potential, as the Parties themselves recognize. At their recent meeting in Punta del Este, Uruguay, they urged all countries to ratify the treaty, to fully implement its provisions and to adopt its guidelines. Furthermore, they reaffirmed their commitment to prioritize the implementation of health measures designed to control tobacco consumption.

On World No Tobacco Day 2011, and throughout the following year, WHO will urge countries to put the treaty at the heart of their efforts to control the global epidemic of tobacco use.

By heeding WHO's call, countries will enhance their ability to significantly reduce the toll of tobacco-related diseases and deaths in line with their treaty obligations.

Source: Timothy O'Leary, Communications Officer, WHO Tobacco Free Initiative
Geneva, Switzerland, 13 January 2011



Estonian anti- smoking brochure.pdf

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BOLETIM nº 2 da ENSP PDF Versão para impressão Enviar por E-mail
Sábado, 15 Janeiro 2011 23:00


LEIA O BOLETIM nº 2 da ENSP. Actualize-se e mantenha-se informado com as notícias da Europa.



Issue 2, 7-13 January 2011

· FRANCE: Sales of electronic cigarettes rise, as does criticism

· IRELAND: Cigarette smugglers will have assets seized and cars crushed

· MALTA: Total ban on cigarette and tobacco adverts as from 1 January 2011

· NETHERLANDS: Dutch tobacco industry lobby highly effective

· SWITZERLAND: Anti-smoking campaign draws on cigarette ads

· UK: Imperial Tobacco and BAT fall as Citigroup says smoking could disappear by 2050

· PRESS CONFERENCE: Press conference on plain packaging

· WHO MONOGRAPH: ‘Empower Women - Combating Tobacco Industry Marketing in the WHO European Region’

· WHO TFI MONOGRAPH: ‘Gender, Women, and the Tobacco Epidemic’

· STUDY: More signs lung cancer screening could save lives

· STUDY: Passive and direct smoking linked to asthma in teenagers

· STUDY: Smoking around your kindergartner could raise their blood pressure

· STUDY: The dangers to children of second-hand smoke



FRANCE: Sales of electronic cigarettes rise, as does criticism

Makers of electronic cigarettes are reporting strong growth in sales as anti-tobacco laws force European smokers into the cold streets, but campaigners say the device is undercutting health efforts.

Professor Yves Martinet, head of the French National Committee Against Tobacco, said the electronic cigarette was a rip-off.

"This product offers no medical support for quitting smoking, there are some countries that have banned it," he said.

"For the moment, this product has not been evaluated in a scientific way," he said.

The French National Office for Smoking Prevention said the purpose of the electronic cigarette was "ambiguous", and condemned its sale in pharmacies.

Source: AFP, 3 January 2011

IRELAND: Cigarette smugglers will have assets seized and cars crushed

Cigarette smugglers will have their assets seized and cars crushed, as customs officials target the multi-million euro illicit trade.

Seizures of untaxed cigarettes have increased fourfold in the past five years amid a massive crackdown on ports and a blitz on shops and markets.

More than 200 million untaxed cigarettes destined for the black market - which would have sold at an estimated loss to the Exchequer of close to € 65 m - are expected to be seized by the end of this year.

A new three-year strategic plan targeting untaxed cigarettes will see a doubling in the number of customs operations targeting flights and people selling cigarettes in markets, housing estates and under the counter in shops.

Source: Irish Independent, 27 December 2010

MALTA: Total ban on cigarette and tobacco adverts as from 1 January 2011

The government has banned adverts of cigarettes and all tobacco products from appearing anywhere, even in places where tobacco products are sold such as vending machines, as from 1 January, 2011.

In a statement, the Health Department said that according to legal notice 344 (2010), “no person may advertise or allow to be advertised on any object whether moveable or not any cigarettes, cigars, tobacco or tobacco products.”

According to the same legal notice, the department added, “No person may sell or permit to be sold any other product except cigarettes and tobacco products from those automatic sales machines which are used to dispense cigarettes and tobacco products. In addition the sale from such machines is permitted only when these are continually supervised.”

The Department also said that according to a second legal notice – also coming into force on 24 April 2011 – cigarette packets are now required by law to carry pictorial warnings of the health consequences of smoking.

“All cigarettes packets which are placed on the market are to conform with the provisions of Legal Notice 302 of 2009 - that is all cigarette packets are to contain a pictorial warning,” the department said, adding that retailers should ensure that their tobacco product wholesalers supply them with the correct packaging.

The Department also reminded the public that those responsible for any public-access premises ensure that nobody smokes any tobacco product in enclosed areas therein, in accordance with Legal Notice 23 of 2010.

Source: Malta Today, 6 January 2011

Source: Di-ve, 7 January 2011

NETHERLANDS: Dutch tobacco industry lobby highly effective

Professor Marc Willemsen argues for confrontational campaigns which clearly show the damage smoking causes to the body. He also favours higher duties on tobacco and a less prominent location for tobacco products in supermarkets. "Suppose a harmful product that made people sick were introduced and put on sale at supermarkets? It would be totally unthinkable, but tobacco is exactly that product, and yet it is completely legal.”

Dutch Professor Marc Willemsen says the lobby of the Dutch tobacco industry, one of the world's biggest, has been extremely effective in influencing government policy. He said lobbyists "probably popped a few bottles of champagne when the new CDA-VVD cabinet with Edith Schippers as Health Minister took office." And Defence Minister Hans Hillen used to work as a lobbyist for the tobacco industry.

Professor Willemsen made his statements in his address delivered upon his appointment as the endowed professor for Tobacco Control Research at CAPHRI, the School for Public Health and Primary Care at the University of Maastricht. He says there has always been opposition to tobacco discouragement in the Netherlands, while at the same time the country is not making much headway compared to countries such as the United Kingdom and Canada. Professor Willemsen says the opposition against effective tobacco discouragement has only grown stronger since the new cabinet took office. He pointed to a speech by Health Minister Edith Schippers in which she stated her opposition to photographs of lungs damaged by smoking on packs of cigarettes.

Perverted situation

Professor Willemsen argues that the medical costs associated with smoking amount to about € 2.4 billion a year. "No society can afford a financial loss of this magnitude." On the other hand, the government rakes in € 1.8 billion in tobacco duties a year. However, "Not a penny of this money is being spent directly on reducing the misery caused by tobacco addiction; a perverted situation, and untenable in the long run"

The professor argues that the tobacco industry has strategic connections in government circles. "The Netherlands is a signatory to the Framework Convention on Tobacco Control, an international treaty which stipulates that national governments should not communicate with the industry about tobacco policies. And that, if inevitable, such contacts should be made public. However, in the Netherlands this appears to be a taboo which should be investigated."

Source: Radio Netherlands Worldwide, 12 January 2011

SWITZERLAND: Anti-smoking campaign draws on cigarette ads

The Swiss health authorities have launched their latest anti-smoking campaign which imitates the visual language of the tobacco industry.

The three-year campaign, Stop smoking - Change to SmokeFree, is aimed at encouraging consumers to kick the habit, according to Ursula Koch, head of the prevention unit of the Federal Health Office.

The number of smokers had dropped to 23% of the population by 2007 but is now stagnating, according to Koch, putting Switzerland among the top third in Europe. The campaigners are using advertisements, leaflets in several languages targeting the immigrant population, trailers in cinemas and on television and information on the internet to spread their message against tobacco use.

Source: Swissinfo, 10 January 2011

UK: Imperial Tobacco and BAT fall as Citigroup says smoking could disappear by 2050

Could the last cigarette smoker have quit by 2050 and if so, what would this mean for the tobacco companies?

This is the question tackled today in a 72 page report by Citigroup analysts, who believe they have found evidence that smoking could virtually disappear. They say:

We think this evidence is credible and new to the investment debate, and has important implications for the next few years. However, these trends are extremely long-term in nature, and don't on their own justify any particular action now, in our view, as opposed to in January 2009 or January 2013.

Taking the very long view, it's hard to ignore 50 years of data. Smoking rates appear to be falling in a series of straight lines. If this continues, and it has for 50 years, then it means that the percentage declines in volumes will gradually accelerate. This seems to have been what is happening.

If this continues then eventually price rises won't be able to drive profit growth. However, we continue to see decent earnings growth for many years, as we believe the UK profit pool can probably continue growing until 2020-25. Most terminal values model a constant percentage decline that never gets to zero. But if volumes were to disappear, that would have very different implications.

No-one can be certain how smoking rates will play out in the distant future. [There are] three broad possibilities: Scenario A just extends the existing trend line until it hits zero. In Scenario B gradually fewer people quit, as we approach some sort of hard core of smokers, but in Scenario C smoking gets to a tipping point, as it becomes increasingly unacceptable and hence easier to regulate against. Possibly it may be (eventually) banned.

We are certainly not saying that we know which is right; plainly we don't. We think that each scenario is quite plausible. [But] it is quite possible that there will be no smokers left in Britain or many other developed countries in about 30-50 years.

It is interesting to note that Finland passed an anti-tobacco law in September that declared its aim "is "to end the use of tobacco" in Finland. As far as we know this is the first example of a country putting such an aim in law. No target date was given, but the ASH Finland says 2040 should be the target. For us, 2060-80 seems a more realistic target to us, judging by the trends in the last 20 years in Finland.

Source: The Guardian, 7 January 2011

Smoking could almost vanish in Britain by 2050
Daily Mail, 8 January 2011

Smoking Could Disappear by 2010 Says Citigroup
The Telegraph, 8 January 2011

PRESS CONFERENCE: Press conference on plain packaging

On 12 January 2011 the Belgian Foundation against Cancer and the Association of European Cancer Leagues (ECL) held a press conference in Brussels to convince the European Union to make plain packaging mandatory on all tobacco products in all EU countries, because of the devastating effect of appealing packaging on young people.

Except for the brand name (which would be presented in a standardised way), all other trademarks, logos, colour schemes or graphics would be prohibited. The package itself would be required to be plain coloured and to display only information (such as health warnings) required by law.

Six research projects, conducted by university teams in three EU countries using different methodologies with young and adult people, smokers and non-smokers all came to the same convincing findings:

  • plain cigarette packs are less attractive than the current ones;
  • plain cigarette packs reduce the promotional appeal of the packs;
  • plain cigarette packs enhance the visibility of the health warnings.

Luk Joossens, ECL tobacco control expert stated: “It is unacceptable that a carcinogenic product, such as tobacco, is still sold in such an appealing package. Plain packaging would mean an enormous step forward in our fight against smoking.”

View the press release, fact sheets and presentations from the press conference on the ECL web site:

WHO MONOGRAPH: ‘Empower Women - Combating Tobacco Industry Marketing in the WHO European Region’

This European Region Monograph was published in December 2010 to support World No Tobacco Day 2010.

Over the last two decades, smoking by women and girls in many parts of the WHO European Region has increased, largely owing to skilful and successful marketing by the tobacco industry. It has tailored campaigns to target women and girls, and the tobacco control community needs to do the same. The WHO Framework Convention on Tobacco Control (FCTC) expresses alarm at the increase in women and girls’ use of tobacco.

This monograph uses examples of action taken in the Region to provide countries with a guide and ideas about what action could and should be taken, in the context of the WHO FCTC’s articles and guidelines.

Source: World Health Organization (WHO) Regional Office for Europe, December 2010

A PDF version may be downloaded from the WHO website:

WHO TFI MONOGRAPH: ‘Gender, Women, and the Tobacco Epidemic’

The World Health Organization (WHO) monograph “Gender, Women, and the Tobacco Epidemic” (2010) provides an overview of research on women and tobacco and highlights the need to address tobacco use among women through policy, education, and additional research.

Key findings:

  • Tobacco use among women is rising in many parts of the world. Increased use poses a growing problem in terms of reproductive health, infant health, children’s exposure to second-hand smoke, and health issues specific to women.
  • Tobacco companies are increasingly targeting women through marketing campaigns that associate tobacco use with independence, beauty, femininity, and sex appeal.
  • Many women are unaware of the health risks of tobacco use and believe that use relieves tension and facilitates weight loss.
  • Women seem to be less successful than men at quitting smoking. More effort is needed to understand and support women’s quit attempts and, in particular, pregnancy and post-partum quit attempts.

View the full text at:

Source: World Health Organization (WHO) Tobacco Free Initiative, 2010

STUDY: More signs lung cancer screening could save lives

More research is suggesting that heavy smokers may benefit from screening for lung cancer, to detect tumours in their earliest stages.

A new study finds that regular smokers who received three-dimensional X-rays to look for the presence of early tumours had a significantly lower risk of dying over a 10-year period.

The results are in keeping with those of a much larger study published last month, which showed that these 3-D X-rays, or CT scans, reduced the death rate among 53,000 current and former heavy smokers by 20% compared with screening using regular chest X-rays. That previous finding was "very good news in the field," said Dr. Bruce Johnson of the Dana Farber Cancer Institute, who treats lung cancer patients and reviewed the results for Reuters Health.

This latest study, published in the journal Lung Cancer, looked at death rates in a different, smaller population of heavy smokers, and estimated that those who received up to two CT scans would have between a 36% and 64% lower risk of dying, compared to those who went unscreened.

Source: Reuters, 28 December 2010

STUDY: Passive and direct smoking linked to asthma in teenagers

Results from a Swedish study show that exposure to environmental tobacco smoke (ETS) and personal smoking are both associated with an increased risk for asthma and wheezing in teenagers.

Writing in the journal Thorax, Linnéa Hedman (Sunderby Central Hospital of Norrbotten, Luleå) and team explain: "ETS has been reported as a significant risk factor for childhood asthma [and], among adults, personal smoking is a major cause of respiratory symptoms and diseases."

But they add: "The effects of these exposures on the prevalence of asthma and wheeze among teenagers are less well known."

To investigate further, the team studied data from a longitudinal study of 3430 Swedish schoolchildren that started in 1996 when they were aged 7-8 years.

The children completed annual questionnaires on asthma and allergies, parental smoking habits, and personal experiences of smoking until the age of 16-17 years in 2005.

At the age of 16-17 years, 13.6% of boys and 13.0% of girls had doctor-diagnosed asthma, 21.9% and 26.1%, respectively, reported having wheezed at some point in their lives (ever wheeze), and 16.5% and 24.8%, respectively, had current wheeze.

The researchers found that the prevalence of doctor-diagnosed asthma, ever wheeze, and current wheeze was significantly higher among those exposed to maternal ETS and daily smokers than among other participants.

Indeed, after accounting for confounding factors, such as a family history of asthma and allergies, the 538 participants exposed to maternal ETS were a significant 1.3 times more likely to have doctor-diagnosed asthma, and 1.5 times more likely to have suffered from wheezing than unexposed individuals.

Individuals who were daily smokers at the age of 16-17 years (n=123) were 2.0 times more likely to have current wheeze than non-smokers.

Daily smokers who were also exposed to maternal ETS (n=111) had the greatest risk for asthma and wheeze, at odds ratios of 1.7 and 2.5, respectively.

Exposure to paternal ETS was not associated with asthma or wheeze among the teenagers, the researchers note.

Hedman and team conclude: "We found that both exposure to maternal ETS and personal smoking were independently related to asthma and wheeze among teenagers."

Source: Medwire News, 12 January 2011
Thorax 2011; 66:20–25

STUDY: Smoking around your kindergartner could raise their blood pressure

Kindergartners whose parents smoke have higher blood pressure than those with non-smoking parents.

The study of more than 4,000 pre-school children in Germany is the first to show that exposure to nicotine increases the blood pressure of children as young as 4 or 5.

If you smoke around your children, they could have high blood pressure or be headed in an unhealthy direction before learning their ABCs, according to research reported in Circulation: Journal of the American Heart Association.

The study is the first to show that breathing tobacco smoke increases the blood pressure of children as young as 4 or 5 years old.

"The prevention of adult diseases like stroke or heart attack begins during childhood," said Giacomo D. Simonetti, M.D., first author of the study at the University of Heidelberg in Germany and currently assistant professor of paediatrics at the Children's Hospital of the University of Berne in Switzerland. "Parental smoking is not only negative for children's lung function, but poses a risk for their future cardiovascular health".

Source: PR Newswire, 10 January 2011

Alternative source: American Heart Association:

STUDY: The dangers to children of second-hand smoke

Two studies show the particular risks of passive smoking to children. Researchers believe smoking in a car which is also carrying children should be made illegal.

The risks of second-hand smoke aren’t 100% known, but a study has found that there’s enough evidence to support new laws banning people from travelling with children while smoking.

Professor Ray Pawson from the University of Leeds and a team of co-authors analysed the risks, and their findings are published in the Canadian Medical Association Journal.

The authors first looked at the mixture of chemicals that make up second-hand smoke and its concentration in cars under different conditions such as volume, speed and ventilation. They then looked at how long a person would be in the car and how long they would be exposed to the second-hand smoke.

A simple conclusion:

The extent of difference between how second-hand smoke affects children compared to adults was added to the risk equation, and finally the authors looked at the health impact - which is hard to determine because of the different chemicals and toxins a person is exposed to in their lifetime.

Pawson writes, “We hope to show that, though the relevant data is rich and complex, a simple conclusion is possible”.

“The evidence permits us to say that smoking in cars generates fine particulate concentrations that are very rarely experienced in the realm of air-quality studies, and that will thus constitute a significant health risk because exposure to smoking in cars is still commonplace, and children are particularly susceptible and are open to further contamination if their parents are smokers.”

Source: WebMD, 11 January 2011

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