Tobacco.org

• 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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• Smoking: why women are at great risk 

Recently, further scientific evidence has emerged to suggest that women may be at particular risk from smoking.

This year, a Norwegian study of almost 2000 women showed that women were at a higher risk of chronic obstructive pulmonary disease (COPD) at a younger age, and after smoking less heavily, than men.

COPD is an umbrella term that incorporates emphysema and chronic bronchitis. There are four stages of the condition, which are ranked in terms of their severity.

"We estimate that 2.1 million people in Australia have some form of COPD, and half of them don't know it," says Heather Allan, director of the COPD National Program at the Australian Lung Foundation. . . .

This isn't the first study that suggests that women may be more at risk from smoking than men. A 2005 Monash University found that women were more susceptible to exposure to smoke than men. Allan says researchers believe this could be because women have narrower and more sensitive airways than men.

A report by the British Lung Foundation in 2005 suggested it may be because women's lung capacity is smaller, and population studies have also suggested that there may be a genetic element involved.

This is why health campaigners are so concerned that more young women in their teens and 20s are starting and continuing to smoke than men. . . .

The reasons for women's increased risk of lung disease have not yet been fully researched. According to NHS Direct in the UK, a gene that speeds up the growth of lung tumours is known to be more active in women.

The female hormone oestrogen is also known to affect the development of such tumours. . . .

For the cost of a local call from anywhere in Australia, the Quitline provides advice and assistance to smokers who want to quit.

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• Mumbai's women face secondhand smoke risks: Smokefree Mumbai  

Not unlike their contemporaries in other Asian cities, woman in metroes of India, including those in Mumbai run a significant risk of developing peripheral arterial disease (PAD) from secondhand smoke (SHS), an NGO Smokefree Mumbai has said in its report.

Presenting the report on Chinese women and SHS, published in the American Heart Association's Circulation (AHAC), today Smokefree Mumbai said the report found that SHS had a significant, negative impact on the health of Chinese women, who had never smoked, the risk which would, without doubt, equate to Indian women too.

The first of its kind report by the AHAC had revealed a link between exposure to SHS and an increased chance of suffering from coronary heart disease, stroke, and peripheral arterial disease (PAD). . . .

''While 97 per cent Mumbaites have voted in favour of smoke-free environment, the ramification of the ban on smoking in public on the women population, largely non-smokers, may be found as reason for contemplation,'' observed the report.

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• Industry dodges ad bans by pushing smokes online 

The tobacco industry is using social networking sites like Facebook, Twitter and YouTube to promote its products and persuade people to become smokers, a study revealed yesterday.

"The ban on advertising does not mean the tobacco industry has stopped advertising its products," said Becky Freeman of Australia's University of Sydney, who conducted the study.

She presented her findings in Bangkok at a threeday regional training workshop held by Southeast Asia Tobacco Control Alliance (SEATCA).

Freeman said most tobacco companies were interested in viral marketing (using preexisting social networks to increase brand recognition) to persuade or influence audiences to pass products on to others.

A million people had visited video clips on YouTube reviewing cigarettes, she said, and thousands more had become fans of the products on Facebook. "The Internet has made it easier to engage consumers by allowing them to contribute directly to marketing campaigns and brand development," she said.

The use of social networking tools such as Facebook, Twitter, blogs, podcasts and RSS would be one of the main topics up for discussion at Tabinfo Asia 2009 . . .

Another marketing device was the use of product and pack designs - such as colourful and glowinthe dark packs - to entice specific groups.

"For example, we found cigarette packs designed like lipsticks or wallets - a new way to lure more and more women to become smokers," she said. . . .

A group of 650 people, including teenagers, led by Action on Smoking and its alliances, will today demonstrate against the Tabinfo Asia 2009 at Impact Arena.

"This is a nightmare for our people," SEATCA's director Bungon Ritthiphakdee said

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• Women smokers unaware of smoking impact  

Most women smokers know smoking can lead to cancer, heart disease and premature death but they are unaware of other health effects, a Canadian survey indicates.

The survey, conducted by Angus Reid on behalf of nicotine replacement therapy brands Nicoderm and Nicoette, reveals the majority of Canadian women who smoke are not necessarily aware of the host of other effects smoking can have on their immediate and longer-term health.

Eighty-three percent of female smokers say lung cancer was most strongly attributed to smoking, 62 percent say premature aging of skin, 61 percent say dental problems such as yellowing of teeth or tooth loss and 60 percent say heart disease.

Fewer than two in 10 female smokers surveyed were aware of the link between lighting up and increased risks of developing health issues such as infertility, early onset of menopause, menstrual irregularities, osteoporosis, baldness, premature grey hair, weight gain, hearing loss and incontinence.

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• Hazard in plain sight? 'Crossover products' may help hook kids on smoking, drugs 

Redford recently spoke about the products at a Marblehead Board of Health meeting, unloading for the board a bag of such products that she's collected throughout the year. Her presentation left most board members in disbelief.

"Are we the only ones who don't know about this stuff?" asked a bewildered Helaine Hazlett, the board's chairman.

Take a walk into the 7-11 store in Marblehead, and here is what you will find: "grinders" (small metal contraptions that are used to grind up tobacco or drugs), pipes, hookah pipes for smoking specially made flavored tobacco, flavored chewing tobacco, boxes of blunt wraps (tobacco-based rolling papers), cigarettes that are packaged like Chanel perfume boxes, and smokeless-tobacco gum that comes in a candy-mint-like container. The list goes on.

None of these products are illegal to sell, although in most states, including Massachusetts, to buy any tobacco-related product a person must be 18 or older. In fact, as a local tobacco-control officer, Redford's job is to conduct "compliance checks," . . .

Cigarette companies spent approximately $13 billion on advertising and promotional expenses in 2005 for those tobacco-specific products, nearly double what was spent in 1998, according to statistics from the Centers for Disease Control and Prevention.

Of that money, Redford says advertisers are more often targeting women and teens.

In 2008, tobacco company Philip Morris USA unrolled its sleek "purse pack" cigarette packaging containing ultra-slim cigarettes; the packaging is made to look as if it is a cosmetics case.

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• Smoking while pregnant linked to behavioural problems in children  

Smoking during pregnancy significantly increases the risk of having a child with behavioural problems, according to research published today. Disturbances can manifest themselves in children as young as three years old, the study in the Journal of Epidemiology and Community Health claims.

The findings are based on more than 14,000 mother-and-child pairs drawn from the millennium cohort study, a population-based study of children born between 2000 and 2001 whose families are receiving child benefit.

The research was carried out by Professor Kate Pickett, at the department of health sciences at Hull York medical school, University of York.

Mothers, who were categorised as light or heavy smokers, depending on how many cigarettes they smoked every day during pregnancy, were asked to score their children's behaviour.

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• State's smoking rate still high  

Smoking by women is one of the gravest preventive health concerns in Kentucky. While numerous smoking cessation and public health programs have been initiated to address the problem, Kentucky women continue to smoke in numbers that lead the nation and they are not quitting or even trying to quit, according to health experts at the University of Kentucky.

The median state prevalence of current smoking was 22.4 percent, but Kentucky prevalence is 34.7 percent (the next highest was West Virginia at 34 percent), while the median percent of daily smokers who quit is 39.8 percent - in Kentucky, it's only 28.9 percent, according to data from the Center for the Advancement of Women's Health at the University of Kentucky in Lexington.

Further, the median percent of daily smokers who made a quit attempt was 58 percent, but in Kentucky it was only 43.4 percent.

"So we are not quitting in Kentucky," said Dr. Leslie Crofford, the center's director. "We're not even trying to quit."

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• Around One In Five Pregnant Smokers Go Undetected Each Year 

Self-reported smoking during pregnancy underestimates the true number of pregnant smokers in Scotland by 17%, and results in a failure to detect 2400 pregnant smokers each year, finds new research published on bmj.com today.

This results in thousands of smokers not being identified or offered smoking cessation services, say the authors.

It is well known that self reported smoking during pregnancy is an inaccurate way to identify smokers. Yet it is still used widely by antenatal clinics to determine the smoking status of pregnant women and to refer them to smoking cessation services. The Scottish Government also relies on self-reported smoking figures to set targets and measure the success of smoking cessation services. . . .

The authors estimate that the true smoking prevalence for pregnant women in Scotland, after adjusting for area deprivation, maternal age and self-reported smoking is 28%, higher than the 23% based on self report data.

They conclude by calling for more accurate methods of identifying pregnant smokers, so that accurate data is used to inform policy and provide appropriate

Source British Medical Journal

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• Mothers' smoking causes newborn discomfort 

French researchers say they have tied maternal smoking to an increased risk of discomfort in newborns.

The study, published in Biological Psychiatry, suggests significantly more discomfort among newborns of smoking mothers may be related to having less monoamine oxidase A an enzyme, which degrades chemicals involved in brain message-sending.

Monoamine oxidase A activity was reduced both in the pregnant smokers and in their newborns when the researchers tested for blood biomarkers of monoamine oxidase A activity in smoking and non-smoking pregnant women and in the cord blood of their newborns.

Smoke exposure-induced low monoamine oxidase A activity in the womb may affect fetus brain neurotransmission and create potential vulnerabilities to behavioral disorders later in life,

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• More Scottish women die of lung cancer 

Soaring numbers of Scottish women are dying of lung cancer despite survival rates among men improving significantly, new figures show.

The increase also bucks the trend for death rates from other types of cancer north of the Border, all of which are going down.

Lung cancer deaths in men plummeted by 21 per cent in the 10 years to 2008, but increased by more than 11 per cent among women. . . .

However, the figures also reinforced major health differences across Scotland, with those living in the poorest areas 40 per cent more likely to have cancer than those in the wealthiest neighbourhoods.

Death rates in the most deprived communities are 75 per cent higher than those in the richest areas.

Dr Richard Simpson, Scottish Labour health spokesman, said: "I welcome the general improvement in cancer survival rates, but I am both disappointed and deeply concerned that more women are dying of lung cancer.

"This mainly reflects the increase in smoking among women over the past 20 years."

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• Is Smoking Tougher on Women?  

Women may be more vulnerable than men to the carcinogens and other noxious substances in cigarette smoke, a growing body of research suggests.

In one study of nearly 700 people with lung cancer, Swiss experts found that women tended to be younger when they received the diagnosis, even though they smoked less than the men who developed lung cancer.

In another study, researchers from Harvard University and the University of Bergen in Norway evaluated more than 950 men and women with chronic obstructive pulmonary disease (COPD), known to be linked to smoking. The result: The women with COPD were younger when they got the diagnosis and had smoked less than the men with the respiratory ailment.

"Maybe women are more susceptible to the lung-damaging effects of smoking," said Dr. Inga-Cecilie Soerheim, a visiting research fellow at Harvard and a researcher at the University of Bergen, who led the COPD study. She presented the findings in May at the American Thoracic Society's annual conference.

In fact, several other studies in the past 20 years have suggested that female smokers may be more susceptible to lung cancer than male smokers.

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• Maternal Smoking May Increase Newborns' Discomfort 

A new research study being published in the October 15th issue of Biological Psychiatry suggests that maternal smoking may increase the level of distress of newborns.

Studies have consistently found that prenatal cigarette smoke exposure is associated with increased rates of behavior problems, irritability, attention-deficit/hyperactivity disorder, the risk of violent offenses, conduct disorder, adolescent onset of drug dependence, and the risk for criminal arrest in offspring. This study adds another potential negative outcome to the list of reasons for mothers to stop smoking while pregnant.

Most of the effects of tobacco either during pregnancy or on postnatal outcomes are attributed to nicotine. However, smoking is associated with reduced monoamine oxidase A (MAO-A) activity, enzymes that degrade brain neurotransmitters in smokers. Prenatal smoke exposure-induced low MAO-A activity in fetal life may dysregulate brain neurotransmission, creating a potential vulnerability to develop behavioral disorders later in life. This dysregulation can occur with or without interaction with nicotine's effect on the developing brain.

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• Guangzhou To Ban Tobacco Sales To Vulnerable Groups  

Guangzhou has prepared a tobacco control regulation which is pending approval by the city's National People's Congress standing committee.

The new regulation lists ten areas including hospitals, kindergartens, schools, and buses as tobacco-free areas and states that people smoking in these areas will be fined CNY50 and those who sell tobacco products to vulnerable groups such as teenagers and pregnant women will be fined CNY1,000. . . .

In addition, the regulation forbids tobacco manufacturers and sellers to send tobacco products as gifts

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• Eighty per cent of pregnant women in Nunavut smoke 

When Ottawa’s Bob Reid convened a meeting several years ago to discuss Nunavut’s smoking epidemic, the territory’s health officials, Inuit elders and leaders all shared an overriding concern.

Nunavut’s expectant mothers smoked too much, they told him, and required urgent help.

“One of the things that was appalling to community members was the degree to which women continued to smoke throughout pregnancy,” says Reid, associate director of the rehabilitation centre at the University of Ottawa Heart Institute.

Reid, an expert in smoking cessation and behaviour modification, works with heart patients trying to break their addiction to tobacco.

About one-quarter of the 7,000 patients who visit the institute every year are smokers. (Smoking is a leading risk factor for heart disease.)

But the scale of the epidemic among Nunavut’s expectant mothers is of a different magnitude: studies show that up to 80 per cent of pregnant women in the territory smoke.

That level of tobacco use has profound effects on the health of Nunavut’s infants, who suffer the world’s highest rates of hospitalization for pneumonia, bronchiolitis and other respiratory infections.

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