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• Edinburgh University students stub out plan to ban cigarettes sales on campus 

STUDENTS at Edinburgh University have voted to keep cigarettes on sale on campus.

A motion was put before the annual general meeting of Edinburgh University Students Association which would have stopped EUSA shops from selling cigarettes and remove all cigarette machines on campus.

The motion, put forward by a fourth year medical student, argued that EUSA should not profit from, promote or help facilitate smoking. It would also have required the students association to promote services which provide support and advice to students who wished to give up smoking.

More than 700 students turned out for the AGM – the largest number for several years – filling the university's George Square lecture theatre and forcing organisers to set up a video link to another venue.

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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.

• 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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• Ban On Cigarette Sponsorship For Sports To Stay 

The ban on cigarette sponsorship for sports activities, especially football, will not be withdrawn by the government, deputy minister of Youth and Sports Datuk Razali Ibrahim told the Dewan Rakyat Thursday.

Razali said there will be no change in the government's commitment to support the World Health Organisation's (WHO) global ban on cigarette companies sponsoring any kind of sports activities under the Framework Convention on Tobacco Control (FCTC).

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• With aid, Mass. poor cut smoking  

Lower income Massachusetts smokers have dramatically abandoned their habit amid a major state campaign that vigorously promotes and pays for tobacco addiction treatment, according to a report scheduled to be released this morning.

Smoking rates among the poor plummeted 26 percent in the first two years of the ongoing state program, a striking result that is already drawing national attention to the effort. Officials targeted a population that historically had the highest smoking rates in Massachusetts.

The study, issued by the Department of Public Health, found early indications that the tobacco cessation efforts - aimed at patients enrolled in the state’s medical insurance for the poor, MassHealth - are reaping immediate health benefits.

Once patients began receiving counseling and medications to help snuff out their habits, they made fewer trips to emergency rooms because of wheezing bouts of asthma, and there was a trend toward fewer life-threatening heart attacks.

The stop-smoking initiative, which covers virtually all the costs of cessation counseling and drugs, was ordered by the Legislature as part of the landmark health care overhaul in 2006 with a dual purpose: saving lives and money. National health leaders plan to point to the Massachusetts experiment to bolster efforts to expand tobacco cessation services as part of federal health care legislation.

“These findings are extraordinary - they have major public health implications as Congress is debating health care reform,’’ said Matthew Myers . . .

The expectation, based on the experience of other states and health plans, was that 5 to 10 percent of MassHealth patients who smoked might seek help in the first couple of years, Keithly said.

Instead, from July 2006 to May of this year, about 75,000 patients had used the services - two of every five MassHealth smokers.

“We wondered if this population would be interested in cessation,’’ said Dr. Nancy Rigotti, director of the Tobacco Research and Treatment Center at Massachusetts General Hospital. “It turns out they were interested - they just couldn’t afford it.’’

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• CORCORAN: Ottawa's fruit-flavoured tobacco bomb 

The result was Bill C-32, officially titled The Cracking Down on Tobacco Marketing Aimed at Youth Act -- a misnomer if ever there was one. Today, a year later, what Mr. Harper's Conservatives have delivered instead is an over-the-top law that threatens a global trade war and another bonanza for Canada's already out-of-control contraband cigarette market.

The trade-war potential gathered momentum earlier this month when, according to Inside US Trade, the United States joined Argentina, Mexico, Switzerland, the European Union and other nations in opposition to Ottawa's new anti-bubble-gum tobacco law. At a meeting in Geneva, the nations said Canada's law would restrict trade in regular tobacco products to the benefit of Canadian tobacco producers.

The more immediate impact of the law, however, is a ban on the sale in Canada of virtually all brands of U.S. cigarettes. Guess where that leads? The logical result of a ban on legal imports of Marlboros and Winstons is new demand for illegal supplies through the burgeoning Native-dominated contraband market, a tax-evading multi-billion-dollar industry that already accounts for between 33% to 50% of the Canadian cigarette market. . . .

While this may look like another case of unintended consequences run amok, it more likely is part of deliberate scheming by Health Canada officials and others who are consciously using fruit-flavoured smokes to create a global tobacco trade bomb against the U.S. and tobacco industries in Europe, South America and Asia. . . .

Still, Bill C-32 became law, even though Senator Segal abstained over the trade issue. As a result, Mr. Harper's opportunistic election gimmick, aimed at curbing the use of flavoured tobacco to children, will do nothing to protect children. By further enhancing the power and scope of the contraband market, it will only increase the supply of illegal cigarettes, a prime source of tobacco to the young. At the same time, the government has launched a protectionist scheme that threatens a trade conflict.

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• Africa heading for 'smoking epidemic' 

Since the smoking ban in Kenya, people can only smoke in special zones

At Jeevanjee gardens in Nairobi, smokers gather during their lunch hour to read, chat and light up.

It is one of the few zones in the Kenyan capital where people can smoke in public, since the ban on smoking in public came into effect in 2007.

As he takes a puff, one of the young men describes his habit.

"I've been smoking for 40 years but I hate it," he says. . . .

Dr Twalib Ngoma, president of the African Organisation for Research and Training in Cancer (AORTIC), says that Africa is on the brink of a smoking epidemic.

"Africa is in the area of the pre-epidemic and so we should prevent the epidemic," he told the BBC World Service.

"We should not wait until there is an epidemic and then work on it. We should prevent the epidemic."

Tobacco-related cancer was one of the key topics discussed at a recent international cancer conference in Tanzania.

One of the reports presented there warns that African nations are set to undergo the highest increase in the rate of tobacco use among developing countries. . . .

"For the first time in history, we have the tools in hand to prevent a pandemic," says Dr Otis W Brawley, chief medical officer of the American Cancer Society.

"Smoke-free public places are one example of a low-cost and extremely effective intervention that must be implemented now to protect health."

As well as Kenya, Niger also recently introduced a smoking ban in public places. . . .

"If a consumer is addicted to tobacco, then it is possible to put prices up and they will go without lunch."

But Mr Spielman says that he expects that over time, increasing advertising restrictions and bigger health warnings will come into place in African countries.

But in the meantime, as long as there are smokers who will sacrifice lunch for a packet of cigarettes, there will always be consumers.

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For the first time in history, we have the tools in hand to prevent a pandemic.
Dr Otis W Brawley, chief medical officer of the American Cancer Society.

• Anti-smoking ads rekindle desire 

ADVERTISING encouraging people to quit smoking may be making it harder for quitters to stay on the wagon.

In the world's first long-term international study of people who have given up smoking, researchers found that respondents showed widespread resilience to cravings in the first 30 days.

But after that, cravings occurred more often in those reminded of smoking, by being exposed to stimuli such as friends who smoke or by viewing advertisements.

Ron Borland of Cancer Council Victoria, who co-wrote the study published in the international journal Addiction, said people who experienced long-term cravings were much less likely to kick the smoking habit.

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• Report: Cancer Risk High as Smoking Surges in Africa 

Medical experts say tobacco-related illnesses are becoming a serious health issue in Africa as a new report warns tobacco use may double in some parts of the continent during the next 12 years. The report, from the Global Smokefree Partnership, warns that 90 percent of people in Africa have no protection against second-hand smoke.

Almost 15 percent of the world's population is in Africa, but right now the continent only accounts for four percent of world smokers.

The Global Smokefree Partnership, an initiative aimed at developing smoke-free policies around the world, says the continent needs to introduce strong smoke-free laws and high taxes on cigarettes in order to keep the number of smokers down and to limit the affects of second-hand smoke.

Antonella Cardone, project manager of the Partnership, says in some parts of Africa governments are taking important steps towards protecting their populations from the affects of tobacco.

"There are several countries now in Africa, which have developed smoke free policies," said Antonella Cardone. "We can definitely mention Niger and Kenya, then Mauritius - those are just a few."

But Cardone says in many African countries citizens still have no protection. Ghana, the Democratic Republic of Congo, and Uganda are highlighted in the report as countries that are failing to implement smoke-free laws.

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• S.F. moves to curtail tobacco outlets  

Smokers are huffing and businesses fuming over a controversial new proposal to drastically reduce the number of stores in The City that can sell cigarettes.

Since 2003, retailers hawking tobacco products in San Francisco have had to apply for a special permit. The permitting process helps The City keep track of sellers and crack down on those vending to minors, officials said.

But now there are too many permits citywide -- particularly in low-income neighborhoods -- according to city officials and anti-tobacco advocates, who have created legislation that would greatly reduce the number of stores that sell tobacco.

An initial proposal imposes a cap of 35 permits for each of the 11 supervisor districts -- 385 total in The City. That is a more than a two-thirds reduction from the 1,097 stores currently selling tobacco products citywide.

The proposal would not take away permits from businesses, but it would reduce them through attrition until there are no more than 35 per district. Also, owners would not be able to transfer the permits when they sell their stores, said Janet Clyde, a commissioner in the Office of Small Business.

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• Asia's pushback to big tobacco 

Assailed by the western world's laws, taxes and anti-smoking mores, the global tobacco industry has little choice but to keep pushing eastward into Asia.

Tobacco bosses learned this week that some Asians are ready to push back.

This week, more than 500 screaming protesters converged outside TabInfo Asia 2009, the region's largest tobacco summit in years. More than an expo, the event is also a strategy session conducted in secrecy.

"As rules, regulations, and perceptions of tobacco change around the globe, Asia Pacific has become one of the world's most important tobacco markets," according to promotional materials.

The event, set up by the Raleigh, N.C.-based Tobacco Reporter magazine, invited major industry players gathered to discuss "operating in a world of bans" and "ingenious ways of operating in an increasingly regulated, plain-pack, dark market environment."

"Asia is the fastest growing tobacco market in the world. They can't afford to ignore this region," said Prakit Vathesatogkit, executive secretary of the Bangkok-based Action on Smoking and Health Foundation.

"We can't really stop them from coming," Prakit said, "but we can try to stop them from circumventing regulation."

On Wednesday, the summit's first day, attendees were beset by a loose coalition of Southeast Asian anti-smoking protesters. Outside the event doors, a 500-plus crowd of mostly college students screamed at men in suits entering Bangkok's largest convention center.

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• Antismoking Fight Proves a Pyramid-Size Task  

Anyone who has ever spent any time in a Cairo taxicab, restaurant, office, lobby, coffeehouse, cafeteria or university, or even at the zoo, knows just how ubiquitous smoking is. "There is a movement to be tobacco free in the whole world," said Ehab Assad, a tobacco control officer in the Egyptian Ministry of Health. "We cannot be away from this."

Mr. Assad said that as a first step the government late last month banned the shisha, or water pipe, in cafes of the crowded Khan el-Khalili marketplace. But just a few minutes after the government boasted of the ban, hawkers were swarming tourists at the Khan, waving restaurant menus, offering what else but shisha. They were selling apple-, orange-, lemon- and cherry-flavored, tobacco-filled pipes for 10 Egyptian pounds, or about $1.80.

Such is the early fate of the antismoking effort. Shisha is back in the Khan after a brief ban, and all around Cairo there is confusion as to what exactly the government is planning. "The End of Shisha?" read a headline last month on the news Web site Al Masry al Youm. So far, smoking continues unabated. . . .

"The main issue here is that we don't have democracy. Accordingly, our responsible ministers are not elected; accordingly, they don't really care about what they do to their own people," said Alaa al-Aswany, a best-selling author and social critic.

"I am telling you that the shisha will continue," he said.

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• NHS Trust Removes Latest Anti-smoking Propaganda 

Strong representation was made today by Dave Atherton of Freedom2Choose and freelance journalist Pat Nurse who objected against the material on the grounds of incitement to hatred towards smokers, with the inference that smokers could be treated as nothing more than ‘punch-bags’.

Accompanying them was Dudley councillor Malcolm Davis.

The NHS Trust had recruited the photographer Rankin to assist with the hard-hitting anti-smoking film, which was being used as part of a multimedia campaign launched in September. Rankin had co-directed the film with Chris Cottam, which shows a smoker suffering an assault from an invisible assailant as he walks down the street.

Freedom2Choose lodged a complaint against the material and upon consideration, the NHS Trust has agreed to remove it from all venues within the next two weeks.

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• Nipped in butt: Tobacco sales up despite ban  

Ramadoss, the former Union minister of health and family welfare, tried to help Indians kick the butt through stringent controls on tobacco sales and advertisements. But strangely, after the ban on public smoking in October last year and the much-touted pictorial warnings on cigarette packs from May 31 this year, Indians seem to be smoking more!

Most of the major tobacco companies posted continuous sales growth during the past two quarters, April-June and July-September 2009. The largest domestic tobacco company, ITC, with cigarette brands such as India Kings, Classic, Gold Flake, Navy Cut, Bristol, Scissors, Capstan and Flake, registered sales growth of over 20% in the tobacco business in both the quarters ending June and September this year.

During the first quarter of FY10, in terms of sales, the tobacco business grew by 23%, whereas, during the second quarter of FY10, the cigarette business went up by 21% to Rs 2199.69 cr compared to a year ago.

One of the major reasons for the continued growth in cigarette consumption is that the pictorial warnings on tobacco products are ineffective, according to a recent study by Mumbai-based health research organisation Healis.

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• State outpuffs most of nation  

Watch your back, West Virginia. Indiana is now No. 2 -- and gaining -- when it comes to smoking.

More than 26 percent of all Hoosier adults smoked in 2008, according to a report released Thursday by the Centers for Disease Control and Prevention.

Indiana was sixth the previous year, but it has puffed past the national median of 20.6 percent -- not exactly something to celebrate.

"It saddens me tremendously," said state Rep. Charlie Brown, D-Gary, who sponsored legislation last spring for a comprehensive smoke-free workplace law. "I knew we were up there, but I didn't know we had inched our way up to No. 2. We need to turn that around."

Indiana has ranked in the top 10 in recent years for smoking prevalence. The difference between sixth and second is not statistically significant, and the top 10 clump closely together, said Karla Sneegas, executive director of Indiana Tobacco Prevention and Cessation. . . .

Experts recommend three measures to address a high rate of smokers: Passing a statewide, comprehensive smoke-free law, increasing state taxes and increasing the amount of money for tobacco prevention efforts.

"It's a trifecta," said Danny McGoldrick, vice president for research at the Campaign for Tobacco-Free Kids. "When you put those three things together, that's when you have the biggest impact."

Many of the states that have the lowest smoking rates -- California, Arizona and New Jersey -- are those that have been the most aggressive about indoor smoking laws and about state taxes that drive up the cost of cigarettes, said Dr. Thomas Frieden, the CDC's director.

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