Tobacco.org

• Cigarette butts toxic to fish, say researchers 

Cigarette butts are toxic to fish and should be labeled as toxic hazardous waste, U.S. researchers say.

Scientists at San Diego State University say that a single cigarette butt containing a small amount of unburnt tobacco is enough to contaminate a litre of water and kill half of the fish swimming in it.

"Based on this new research, we believe that cigarettes should be considered toxic waste and new requirements need to be established for how they are disposed," Tom Novotny, a public health professor at San Diego State University, said in a statement.

The researchers tested the toxicity of the tobacco on fresh and saltwater fish: fathead minnows and top smelt — two species that the U.S. Environmental Protection Agency typically uses in pollution studies.

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• Smoke Gets In Your Imac: Smoking Near Apple Computers Creates Biohazard, Voids Warranty 

Did you know, that smoking isn't good for your computer, either? It's true, at least according to Apple. Two readers in different parts of the country claim that their Applecare warranties were voided due to secondhand smoke. Both readers appealed their cases up to the office of God Steve Jobs himself. Both lost. . . .

Dena [from Jobs' office] did advise me that nicotine is on OSHA's list of hazardous substances and Apple would not require an employee to repair anything deemed hazardous to their health. However, OSHA also lists calcium carbonate (found in calcium tablets), isopropyl alcohol (used to clean wounds), chlorine (used in swimming pools), hydrogen peroxide (also used to clean wounds), sucrose (a sugar), talc (as in powder), etc... as hazardous substances.

...

Dena set up an appointment at the same Apple store. They told me that they would take pictures of the computer - both inside and out before determining whether to proceed and that if the only problem was the optical drive, they'd probably just replace it. Dena called me earlier this week to deliver the "bad news." She said that the computer is beyond economical repair due to tar from cigarette smoke! She said the hard drive is about to fail, the optical drive has failed and it isn't feasible to repair the computer under the warranty. This computer is less than 2 years old! Only one person in my household smokes - one 21 year old college student. She said that I can get it repaired elsewhere at my expense. I asked why my warranty didn't cover the repair and was told it's an OSHA violation.

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• Smoking can make H1N1 effects worse  

The U.S. Centers for Disease Control and Prevention (CDC) has named groups of people at a high risk of developing serious complications from H1N1 Influenza.

In keeping with the last two subpopulation releases which were focused on pregnant women and breastfeeding moms, the Sedgwick County Health Department will continue to send monthly releases focused on different subgroups.

Currently, one of the highest-priority groups consists of persons with chronic respiratory conditions.

These types of conditions, including asthma and heart disease, often arise from smoking.

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• Seventy per cent of Bulgarian smokers wanted to quit, survey says  

More than 70 per cent of smokers in Bulgaria wanted to give up smoking, Yulia Medichkova of the Greenwild Foundation was quoted by Bulgarian news agency BTA as saying on November 19 2009.

Medichkova presented the results of a one-year campaign entitled The Culture of Breathing. Over 50 per cent of Bulgarians approved of increased restrictions on smoking that will be introduced by mid-2010. Bulgaria ranks third in the world in terms of number of smokers, after Japan and Greece, Medichkova said.

What was more worrying, according to another survey released by the Health Ministry on November 17 2009, was that every second pregnant woman in Bulgaria smoked during pregnancy.

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• Secondhand smoke exposure worse for toddlers, obese children 

Toddlers and obese children suffer more than other youth when exposed to secondhand smoke, according to research presented at the American Heart Association's Scientific Sessions 2009.

"Secondhand smoke in children is not just bad for respiratory issues, as has been previously described by other researchers," said John Anthony Bauer, Ph.D., the study's senior co-author and principal investigator at Nationwide Children's Hospital & Research Institute at Ohio State University in Columbus. "Our data support the view that cardiovascular effects of secondhand smoke in children are important, particularly for the very young and those who are obese. We had not investigated the impact of obesity in previous studies."

Bauer and colleagues recruited American boys and girls, including 52 toddlers (ages 2 to 5 years) and 107 adolescents (ages 9 to 18 years). The study included black, white and Hispanic children, including obese toddlers and adolescents.

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• Exposure to secondhand smoke increases risk for Type 2 diabetes 

Chronic secondhand smoke exposure significantly increases the risk for Type 2 diabetes, show results from a study of Greek and Cypriot elderly men and women.

“While active smoking is strongly related to the development of diabetes mellitus, the role of exposure to secondhand smoke in the development of diabetes mellitus is unclear,” write Demosthenes Panagiotakos (Harokopio University, Athens, Greece) and colleagues in the journal Diabetic Medicine.

The researchers recruited 1190 elderly men and women aged 65 years or above from several Greek and Cypriot islands in the Mediterranean during 2005–2007.

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• Nonsmokers Top Smokers in Well-Being Across All Incomes 

Smokers trail nonsmokers in well-being, regardless of income bracket, according to Gallup-Healthways Well-Being Index data collected in 2008 and 2009. In every income group, smokers are less likely than nonsmokers to be "thriving" by at least 12 percentage points. . . .

In the case of emotional health, the connection between smoking and low well-being is especially pronounced for low-income respondents. While the emotional health gap between smokers and nonsmokers is 4 points for the highest income group, the gap for the lowest income group is 10 points.

The differences in the size of the smoking gap across income groups could mean that the emotional consequences of smoking are less pronounced for people in the higher income group. Another possibility is that people in different income groups smoke for different emotional reasons. . . .

Self-reported smoking status is, in fact, strongly linked to depression. . . .

Across all income groups, smokers also fare worse than nonsmokers in physical health as reflected in lower scores on the Physical Health Index. Consistent with medical research connecting smoking to premature mortality, people who are 85 years old or older are unlikely to be smokers.

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• Cigarettes harbor many pathogenic bacteria 

Cigarettes are "widely contaminated" with bacteria, including some known to cause disease in people, concludes a new international study conducted by a University of Maryland environmental health researcher and microbial ecologists at the Ecole Centrale de Lyon in France.

The research team describes the study as the first to show that "cigarettes themselves could be the direct source of exposure to a wide array of potentially pathogenic microbes among smokers and other people exposed to secondhand smoke." Still, the researchers caution that the public health implications are unclear and urge further research.

"We were quite surprised to identify such a wide variety of human bacterial pathogens in these products," says lead researcher Amy R. Sapkota, an assistant professor in the University of Maryland's School of Public Health.

"The commercially-available cigarettes that we tested were chock full of bacteria, as we had hypothesized, but we didn't think we'd find so many that are infectious in humans," explains Sapkota, who holds a joint appointment with the University's Maryland Institute for Applied Environmental Health and the department of epidemiology and biostatistics.

"If these organisms can survive the smoking process -- and we believe they can -- then they could possibly go on to contribute to both infectious and chronic illnesses in both smokers and individuals who are exposed to environmental tobacco smoke," . . .

The study will appear in an upcoming edition of the journal Environmental Health Perspectives. . . .

Sapkota's team took a more holistic approach using DNA microarray analysis to estimate the so-called bacterial metagenome, the totality of bacterial genetic material present in the tested cigarettes.

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The commercially-available cigarettes that we tested were chock full of bacteria, as we had hypothesized, but we didn't think we'd find so many that are infectious in humans. If these organisms can survive the smoking process -- and we believe they can -- then they could possibly go on to contribute to both infectious and chronic illnesses in both smokers and individuals who are exposed to environmental tobacco smoke.
Lead researcher Amy R. Sapkota, an assistant professor in the University of Maryland's School of Public Health, on the study that will appear in an upcoming edition of the journal Environmental Health Perspectives.

• The science behind moving smoking bans outside  

Reflecting on the existing scientific research on second hand smoke exposure outdoors, William Saletan of Slate.com sifts through the most relevant points from two major studies on the subject (the 2006 California Air Resources Board study, and a 2007 study from Stanford). Among the findings: outdoors, second hand smoke levels vary widely and quickly, depend on the individual's distance from a smoker (farther than 6.5 feet or 2 meters, generally reduces exposure to "background" levels), are influenced by how confined the outdoor space is (if there are walls or fences), and the concentration of smokers in a given area. The data, Saletan concludes, point to the need for a measured approach for crafting policy to reduce second hand smoke exposure outdoors. He writes:

"If you want to argue for parkwide smoking bans based on asthma or on an analogy to noise pollution, go ahead and make that case. But let's not cloud that debate by invoking the general harm of secondhand smoke. Studies of secondhand smoke have indeed moved outdoors. Their findings support restrictions on lighting up within a few feet of other people. But they don't warrant more than that."

A new study published in the November issue of the Journal of Occupational and Environmental Hygiene may contribute to the debate. Researchers from the University of Georgia measured second hand smoke exposure among people sitting in the outdoor areas of bars and restaurants where indoor smoking was banned in the city of Athens, Georgia. . . .

generally speaking, hanging out in an outdoor smoking area exposes you to less second hand smoke than being in an indoor, confined space with smokers, and the more space you have between yourself and smokers, the lower levels of exposure you will have. So, this particular study doesn't ring the death knell for outdoor smoking. But, the researchers point out, wielding the official trump card of the public health argument:

Although the increment in cotinine concentrations and, thus, the [second hand smoke] exposure levels were relatively low at the sites of interest, the current view is that there is no level of personal exposure to [second hand smoke] that can be regarded as safe. This study demonstrates the ongoing exposure of nonsmokers to [second hand smoke] outside restaurants and bars, and the limitations of indoor smoking bans alone in protecting the public from exposure to [second hand smoke] outside these establishments.

In other words, the movement to ban smoking in outdoor spaces is here to stay.

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• Internet Cigarette Sales--an Illegal Rip-off of Our Nation / It's Time for the Feds to Act! (PDF) 

• Intent on determining whether progress has been made in curbing the illegal Internet sale of tobacco products, an American Wholesale Marketers Association (AWMA) researcher selected 27 Internet sites at random and purchased 22 cartons of cigarettes using a Visa card and a prepaid Visa card. Of the 27 random sites selected using the Internet search engine Google, 74% allowed the use of a credit card—Visa, Diners Club, MasterCard, and/or American Express.

• None of the cigarettes purchased carried U.S. state tax stamps, and in no case were taxes collected at the time of purchase.

• The American Wholesale Marketers Association will notify proper state authorities of the purchases and pay the appropriate amount of tax to comply with the law.

• Age verification was virtually nonexistent. Most sites simply had a statement on the home page, or hidden in a disclaimer or under Frequently Asked Questions, stating that a purchaser must be a certain age to buy cigarettes. Some asked for a simple check-off that the buyer was over 18.

• This study clearly demonstrates that efforts to restrict illegal cigarette sales via the Internet are ineffective, that billions of dollars in taxes are going uncollected, and that legitimate sellers of tobacco products in the U.S. face unfair competition from unscrupulous online purveyors who are scoffing at U.S. laws and tax requirements.

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• Clearing air on cigarette ads  

There seem to be two Dr. Alan Blums.

One is a tweedy academic — the family medicine professor and director of the Center for the Study of Tobacco and Society at the University of Alabama who has devoted his dead-serious career to the prevention of tobacco-induced illnesses.

The other is the self-described “Bart Simpson of the anti-smoking movement” — the alter ago who donned a fake pharmacist’s lab coat Wednesday to help set up “Your Cancer and Drug Store,” an exhibition on tobacco advertising that opens today in the Buffalo Museum of Science. . . .

The approach reflects a lesson learned in 1977 when Blum, then a Miami hospital intern and nascent anti-smoking crusader, lost a contentious radio talk show debate with a tobacco industry spokesman while the host, Larry King, blew smoke in Blum’s face.

Ever since, “I’ve tried to bring some humor and satire to a depressing issue that many people take very seriously,” Blum said. The strategy has included “house calls” to tobacco festivals and “anything else we could do to ridicule the brand names.”

Satirical references abound in “Your Cancer and Drug Store,” which was gleaned from a trove of tobacco advertising and promotional materials that Blum started collecting 15 years ago and now fills 2,500 boxes in his Alabama center.

He started by buying items distributed by cigarette companies that a Connecticut store owner had accumulated over two decades. “He must’ve thought it had collectible value, but it cost more to ship it [to Alabama] than I paid for it,” Blum said.

From the outset his goal was to mount an exhibition that underscored the everyday irony of seeing tobacco products on the shelves of pharmacies that dispense drugs prescribed to combat cancer, heart disease, hypertension and other diseases linked to smoking.

“I wanted to do an over-the-top, walk-through exhibit,” he said, citing the role that drugstores have played in keeping America smoking. “I’m not going after individual pharmacies as much as the chains that own them.” . . .

By touring “Your Cancer and Drug Store,” he said, “you are looking at origins of cancer just as much as you would by looking through a microscope.”

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I wanted to do an over-the-top, walk-through exhibit. I’m not going after individual pharmacies as much as the chains that own them.
Prof. Alan Blum, on his Buffalo, NY, ad exhibit that explores the role that drugstores have played in keeping America smoking.

Your Cancer and Drug Store: One-stop shopping: prescriptions, cigarettes, urgent care and chemo.
Alan Blum's mock-drug store: an exhibition on tobacco advertising that opens today in the Buffalo Museum of Science.

• UF study finds more teens smoke hookah 

Danielle Lee won’t touch a cigarette, but she’ll pass a hookah pipe around a circle of friends any day.

And, according to a recent UF study, an increasing number of middle school- and high school-aged children share Lee’s fondness for the alternative form of tobacco.

The study, presented on Nov. 9 at the American Public Health Association’s annual meeting in Philadelphia, found that 11 percent of Florida high school students and 4 percent of Florida middle school students had smoked hookah at least once.

Hookah burns charcoal and tobacco. Air is first drawn through the tobacco and then into the pipe, where it passes through water, which leads many smokers to believe hookah smoking is safer than cigarette or cigar smoking.

Maureen Miller, alcohol and other drug prevention specialist with UF’s GatorWell Health Promotion Services, was quick to point out hookah’s potentially dangerous effects.

“This isn’t harmless,” Miller said of hookah. “There certainly are some serious health concerns here.” The World Health Organization reported a typical 20- to 80-minute hookah session is the equivalent of smoking about 100 cigarettes and can deliver 11 times more carbon monoxide than a cigarette.

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• Study raises concerns about outdoor second-hand smoke 

Indoor smoking bans have forced smokers at bars and restaurants onto outdoor patios, but a new University of Georgia study in collaboration with the Centers for Disease Control and Prevention suggests that these outdoor smoking areas might be creating a new health hazard.

The study, thought to be the first to assess levels of a nicotine byproduct known as cotinine in nonsmokers exposed to second-hand smoke outdoors, found levels up to 162 percent greater than in the control group. The results appear in the November issue of the Journal of Occupational and Environmental Hygiene.

"Indoor smoking bans have helped to create more of these outdoor environments where people are exposed to secondhand smoke," said study co-author Luke Naeher, associate professor in the UGA College of Public Health. "We know from our previous study that there are measurable airborne levels of secondhand smoke in these environments, and we know from this study that we can measure internal exposure.

"Secondhand smoke contains several known carcinogens and the current thinking is that there is no safe level of exposure," he added. "So the levels that we are seeing are a potential public health issue."

Athens-Clarke County, Ga., enacted an indoor smoking ban in 2005, providing Naeher and his colleagues and ideal environment for their study.

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• Massachusetts' 'Model' Tobacco Cessation Benefit Spurs Unprecedented Drop in Smoking Rates, Heart Attacks, Asthma, and Birth Complications 

A "model" tobacco cessation benefit offered to Massachusetts' Medicaid participants has produced an astounding 26% drop in smoking rates in only two and a half years, and has already been linked to decreases in heart attacks, hospitalizations for asthma and COPD, and a significant decrease in birth complications.

Researchers from the Massachusetts Tobacco Cessation and Prevention Program (MTCP) found that up to 38% fewer MassHealth cessation benefit users were hospitalized for heart attacks in the first year after using the benefit, and that 18% fewer benefit users visited the emergency room for asthma symptoms in the first year after using the benefit. Researchers also found that there were 12% fewer claims for adverse maternal birth complications since the benefit was implemented.

The Massachusetts Executive Office of Health and Human Services said more than 75,000 people -- a full 40% of MassHealth members who smoke -- have used the benefit to try to quit smoking. Cost savings are being studied, and all indications suggest they will be significant.

"It is clear from these latest findings that the Commonwealth's efforts to help people quit smoking is a sound investment," Executive Office of Health and Human Services Secretary JudyAnn Bigby said. . . .

"As the nation debates the future of its health care system, the national significance of this research cannot be understated," said Robert J. Gould, PhD, President and CEO of Partnership for Prevention, a national organization that advances policies and practices to prevent disease and improve the health of all Americans. "These findings demonstrate that prudent investments in preventive health today will have a dramatic and positive effect on our health care system tomorrow."

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• Study raises concerns about outdoor second-hand smoke 

Indoor smoking bans have forced smokers at bars and restaurants onto outdoor patios, but a new University of Georgia study in collaboration with the Centers for Disease Control and Prevention suggests that these outdoor smoking areas might be creating a new health hazard.

The study, thought to be the first to assess levels of a nicotine byproduct known as cotinine in nonsmokers exposed to second-hand smoke outdoors, found levels up to 162 percent greater than in the control group. The results appear in the November issue of the Journal of Occupational and Environmental Hygiene.

"Indoor smoking bans have helped to create more of these outdoor environments where people are exposed to secondhand smoke," said study co-author Luke Naeher, associate professor in the UGA College of Public Health. "We know from our previous study that there are measurable airborne levels of secondhand smoke in these environments, and we know from this study that we can measure internal exposure.

"Secondhand smoke contains several known carcinogens and the current thinking is that there is no safe level of exposure," he added. "So the levels that we are seeing are a potential public health issue."

Athens-Clarke County, Ga., enacted an indoor smoking ban in 2005, providing Naeher and his colleagues and ideal environment for their study.

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