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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