Clear The Air News Tobacco Blog Rotating Header Image

Health

Smoking may cause bone degeneration, osteoporosis in youngsters

Smoking as a habit typically begins in high school or the college years, when bones are still developing. It also interferes with calcium and vitamin D absorption in the body.

http://www.hindustantimes.com/fitness/smoking-may-cause-bone-degeneration-osteoporosis-in-youngsters/story-loCO9GllLujrar6epnuDbI.html

Youngsters who smoke may be at risk of developing low bone density — a condition that may lead to an increased risk of developing osteoporosis, experts say.

“Smoking has a negative effect on the bones, causing loss of bone mass and, eventually, premature osteoporosis when young people take up smoking,” Raju Vaishya, senior orthopaedic surgeon, at Indraprastha Apollo Hospitals, said in a statement on Wednesday.

Smoking as a habit typically begins in high school or the college years, when bones are still developing. It also interferes with calcium and vitamin D absorption in the body.

Besides, in case of a bone injury, a person who smokes is more likely to have a longer period of recovery and greater risk of complication, doctors noted.

“Smoking during the years of bone-building puts you at risk of osteoporosis in later stage. Smoking after 30 will speed up loss of bone mass almost twice as faster,” Vaishya added.

Smoking kills over one million people in the India annually, according to The Global Adult Tobacco Survey (GATS) India report. The economic burden of tobacco consumption is around Rs 104,500 crore per annum.

In a study, recently published in the journal Annals of the American Thoracic Society, smoking was found to be an independent risk factors for low bone density among both men and women.

Each additional pack-year of smoking raised the odds of having low bone density by 0.4%. The participants with normal bone density had an average of 36.6 pack-year of smoking, while those with low bone density had an average of 46.9 pack-years of smoking history.

Mumbai: Over 40 NGOs, Tata Hospital join hands against tobacco

Mumbai: To mark ‘World No Tobacco Day’ which falls on May 31, more than 40 Non-Governmental Organisations, (NGOs) in collaboration with the Tata Memorial Hospital, Parel have formed a coalition to reduce the consumption of tobacco in India.

http://www.freepressjournal.in/mumbai/mumbai-over-40-ngos-tata-hospital-join-hands-against-tobacco/1077580

Dr. Pankaj Chaturvedi, professor and surgeon of Tata hospital, said that every third person in India consumes tobacco in different forms. He stated that the theme, ‘Tobacco- a threat to development’ specifically highlights the link between the use of tobacco products, tobacco control and sustainable development.

Dr. Chaturvedi further said that 33 per cent of tobacco users die a premature death due to cancer, heart attack, lung diseases, stroke etc. A smoker loses 8 years of his life due to this addiction.

“Tobacco is responsible for nearly 50 per cent cancers in India and 90 per cent of mouth cancers. Half of the mouth cancer patients die within 12 months of diagnosis,” said Dr. Chaturvedi.

Dr. Vijay Satbir Singh, additional chief secretary Public Health Department said that the main aim is to regulate the consumption of tobacco by implementing the Cigarettes and Other Tobacco Products Act (COTPA Act).

“The main challenge is to enforce traders to implement the warning signs and stop selling loose cigarettes. Stern action will be taken against those who are not following the law,” said Dr. Singh.

What is COTPA Act?

The Cigarettes and Other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply and Distribution) Act, 2003 was enacted in 2003 to prohibit advertisement of tobacco products and to regulate them in India.
The Act prohibits smoking of tobacco in public places, except in special smoking zones in hotels, restaurants and airports and open spaces.
Advertisement of tobacco products including cigarettes is prohibited.
Tobacco products cannot be sold to person below the age of 18 years, and in places within 100 metres radius from the outer boundary of an institution of education.
Tobacco products must be sold, supplied or distributed in a package which shall contain an appropriate pictorial warning, its nicotine and tar contents.

On World No Tobacco Day, a pledge to free millions from the poverty trap called smoking

Shin Young-soo calls for stringent policies and taxation as deterrents to tobacco use, as the habit not only kills but keeps entire households in long-term ill health and poverty across Asia and the Pacific

http://www.scmp.com/comment/insight-opinion/article/2096334/world-no-tobacco-day-pledge-free-millions-poverty-trap

In a small fishing village in Vietnam, 27-year-old Duong pockets US$2 from his weekly earnings of US$15 from fish sales, and looks forward to the pack of cigarettes he will buy with it.

His wife tells him she needs another US$2 to buy rice for the rest of the week. Duong stops to think, and then walks to the nearest store to buy his favourite pack.

We have long known tobacco use is bad for health. Less well known is how this hurts poor and vulnerable families. Millions of stories like Duong’s play out across Asia and the Pacific every day: meagre household resources are spent on tobacco, instead of food, shelter and education. For already impoverished families, even a small diversion of resources from basic necessities can have a huge impact. And that is before the impact of tobacco-related illness, the costs of which can plunge poor families even further into poverty – or prevent them from escaping it.

The WHO Western Pacific region is home to nearly 400 million smokers, with some countries there having the highest male smoking rates in the world – at over 90 per cent. Most tobacco-related deaths in the world occur in low- and middle-income nations. In the Western Pacific, about three people die every minute from tobacco-related diseases.

In China, the world’s biggest producer and consumer of tobacco products, a WHO-commissioned study found the death of a head of household, or “breadwinner”, from tobacco-related illness results in significant average yearly loss of household income – and the effect is long term. Households do not start to recover financially until at least 10 years after such a death.

Contrary to the tobacco industry’s claims that sales are good for the economy, tobacco use hurts economies and hampers their growth – through the microeconomic costs imposed on households and macroeconomic costs including the health costs of treating tobacco-related illness. There is also lost productivity and participation in the workforce as most tobacco-related deaths occur among working-age adults.

The good news is that we know what to do. Strong policies to reduce tobacco use work. The single most effective intervention is to use tobacco taxation to increase prices – and, in doing so, discourage consumption. Tobacco tax increases also deliver more revenue to governments: it’s a win-win situation.

The theme for this year’s World No Tobacco Day, on May 31, is “Tobacco is a threat to development”. Tobacco use traps the poor in a vicious cycle of poor health and poverty. The sustainable development agenda has no room for a product that kills half of its users, with a particularly devastating impact on the poor.

Dr Shin Young-soo is the WHO regional director for the Western Pacific

Support World No Tobacco Day – say “no” to tobacco

To support the World No Tobacco Day 2017, the Department of Health (DH) today (May 31) held a sharing session to remind the public again of the hazards of smoking and to urge smokers to quit smoking as early as possible.

http://www.info.gov.hk/gia/general/201705/31/P2017053100249.htm

Speaking at the sharing session, the Director of Health, Dr Constance Chan, said that the World Health Organization (WHO) has marked May 31 as World No Tobacco Day annually. The theme for World No Tobacco Day 2017 is “Tobacco – a threat to development”, with the aim of demonstrating the threats posed by tobacco to the world’s sustainable development, including public health and the economy. Dr Chan strongly urged members of the public to say “no” to tobacco and to continue supporting the Government’s efforts in tobacco control.

“With the collaborative efforts of the Government and various sectors over the years, the work on tobacco control in Hong Kong has attained pleasing results, with a drop in overall smoking prevalence from 23.3 per cent in the 1980s to 10.5 per cent in 2015. Nonetheless, casualties and economic loss directly and indirectly caused by tobacco remain tremendous. Local studies revealed that tobacco-related fatalities reach nearly 7 000 people annually and the economic loss resulting from tobacco-related health problems is estimated to be about 5.5 billion every year,” Dr Chan said.

“Smoking is a causative agent of many cancers as well as cardiovascular and respiratory diseases. Smoking causes harm not only to the smoker but also to their family members and friends due to the secondhand smoke induced, which increases their risk of cancer and many other chronic diseases as well as the chance of children developing respiratory symptoms,” Dr Chan added.

Sharing the research findings on local smoking-related mortality and morbidity conducted by the University of Hong Kong (HKU), the Chair Professor of the School of Public Health of the HKU, Professor Lam Tai-hing, pointed out that at least one out of every two elderly smokers died of tobacco-related diseases. He said that the Government must continue to adopt various tobacco control measures to encourage smokers to quit the habit.

The Head of the Tobacco Control Office of the DH, Dr Lee Pui-man, introduced in the sharing session 12 new pictorial health warnings on cigarette packets, which better inform the public about the specific hazards of tobacco use to smokers and their families. Experience and evidence from the WHO and around the globe also demonstrate that pictorial health warnings are an effective intervention, and increasing the size of pictorial health warnings on cigarette packets is now an international trend.

“The graphics and designs of health warnings should be updated regularly so as to maintain their salience and enhance the impact. The Government updates pictorial health warnings coupled with multiple tobacco control measures to discourage members of the public from smoking and encourage smokers to quit,” Dr Lee said.

Smokers who intend to quit smoking can call the DH’s Integrated Smoking Cessation Hotline on 1833 183, where registered nurses provide professional counselling services on smoking cessation and will also refer service users to suitable social service agencies for follow-up when necessary. To enhance smoking cessation services to smokers, the DH will launch a pilot public-private partnership programme this year to trial a new mode of smoking cessation service supported by family physicians.

In addition, the DH will collaborate with a renowned medical institution, Mayo Clinic, in the United States to organise an online training programme on tobacco dependence treatment, which will be rolled out within this year. Family physicians joining the programme will acquire skills and knowledge on smoking cessation via e-learning, and their capacity in providing smoking cessation services will be further enhanced through training and assessment. The programme aims to ensure that they can provide quitters with effective evidence-based treatment.

In addition, two patient representatives shared their experience of smoking at the sharing session, ranging from smoking-related diseases to successfully quitting the habit. They urged other smokers to quit smoking as early as possible and to seek help on smoking cessation if necessary.

Where smoking is the leading cause of death and ill health

Rich countries are hit the hardest but poor ones may soon follow

http://www.economist.com/blogs/graphicdetail/2017/05/daily-chart-22

20170603_WOC920_0

TODAY is World No Tobacco Day. Although in most countries the proportion of people who smoke continues to fall, campaigners see the glass as half full. In 24 countries smoking causes the largest share of the overall burden of disease, measured in years lost to ill health and premature death. In another 37 countries it ranks second. Most of these 61 countries are rich. Although their smoking rates are falling, much of the decline is because fewer young people are picking up the habit, rather than because older smokers are quitting. The harms from smoking affect people most seriously after middle age, so countries where smoking became popular a generation or more ago are worst affected—for now.

In poor countries, smoking is still a less important cause of death and disability than several other things, such as dirty water and malnutrition. Few African and Asian women light up—smoking is often socially acceptable only for men. In many of the poorest countries, smoking is still uncommon—though in some it is on the rise. As developing countries grow less poor, other harms will dwindle and smoking will start to look deadlier by comparison.

World No Tobacco Day: Poor almost three times more likely to smoke

360,000 NI residents still estimated to smoke, with men more likely to light up

http://www.belfastlive.co.uk/news/health/world-no-tobacco-day-poor-13117577

People in the most deprived areas of Northern Ireland are almost three times more likely to smoke than their better off counterparts according to the Public Health Authority NI.

Considered by the World Health Organisation to be a blight on health, the environment and household income, the international health organisation also revealed today – on World No Tobacco Day – that globally, there are 226million adult tobacco users living in poverty.

And in low income countries over 10% of a smoker’s budget can be spent on tobacco products, meaning less money for food, education and health care.

“Tobacco use hits the poorest people the hardest and exacerbates poverty,” said Dr Margaret Chan, Director General of WHO.

“Spending on tobacco products often represents more than 10% of total household income.

“(It) is a deadly product that kills more than 7million people every year, and costs the global economy more than $1.4trillion annually in healthcare expenditure and lost productivity.”

“In addition to posing a serious threat to health,” she added, “tobacco use also threatens development in every country on every level and across many sectors – economic growth, health, education, poverty and the environment – with women and children bearing the brunt of the consequences.”

Closer to home, the Public Health Authority said it is currently estimated that around 320,000 people aged 16 and over smoke in Northern Ireland, with men (23%) slightly more likely to light up than women (21%).

But, in line with global trends, they said there is also a strong link between smoking prevalence and deprivation here, while those in manual occupations are three times more likely to smoke than professionals.

The 2015/16 Health Survey NI found that 36% of respondents in the most deprived areas used tobacco, but this figure is just 13% among the more well off.

And while the number of smokers is falling, with 80% of those who still do forgoing the addiction in their homes and cars, there is still more work to be done.

“Protecting people from tobacco smoke is a key objective set out in the Ten Year Tobacco Strategy for Northern Ireland,” said Colette Rogers, Head of Health and Social Wellbeing Improvement from the Public Health Agency.

“Therefore, the Public Health Agency would welcome a ban on smoking in cars as a means of protecting young people from exposure to second-hand smoke, improving people’s health and helping to reduce the uptake of smoking in Northern Ireland.

“Smoking remains the single greatest cause of preventable illness and premature death in Northern Ireland so we urge smokers to quit by seeking the help of their local stop smoking service.

“In Northern Ireland there are more than 650 free PHA-funded stop smoking services which are run by specially-trained staff who can advise on the best way to stop smoking.

“Services are offered in many community pharmacies, GP practices, HSC Trust premises, and community and voluntary organisations, and can be set up in workplaces.”

Study: China Struggles to Kick World-Leading Cigarette Habit

Most smokers in China, the world’s largest tobacco consumer, have no intention of kicking the habit and remain unaware of some of its most damaging health effects, Chinese health officials and outside researchers said Wednesday.

http://www.voanews.com/a/china-smoking/3879050.html

An estimated 316 million people smoke in China, almost a quarter of the population, and concerns are growing about the long-term effects on public health and the economy.

The vast majority of smokers are men, of whom 59 percent told surveyors that they have no plans to quit, according to a decade-long study by the Chinese Center for Disease Control and Prevention and Canadian researchers with the International Tobacco Control project.

Such numbers have prompted efforts to restrict the formerly ubiquitous practice. Major cities including Beijing and Shanghai having recently moved to ban public smoking, with Shanghai’s prohibition going into effect in March. In 2015, the central government approved a modest nationwide cigarette tax increase.

But Chinese and international health officials argue that more is needed, including a nationwide public smoking ban, higher cigarette taxes and more aggressive health warnings. Such actions are “critically important,” Yuan Jiang, director of tobacco control for the Chinese Center for Disease Control, said in a statement released with Wednesday’s study.

A public smoking ban appeared imminent last year. The government health ministry said in December that it would happen by the end of 2016, but that has yet to materialize.

“They have to figure out what’s important as a health policy,” said Geoffrey Fong of Canada’s University of Waterloo, one of the authors of Wednesday’s study. “Every third man that you pass on the street in China will die of cigarettes. …When you have cheap cigarettes, people will smoke them.”

In line with global trends, smoking rates among Chinese have fallen slowly over the past 25 years, by about 1 percent annually among men and 2.6 percent among women, according to a separate study published in April in the medical journal The Lancet.

Yet because of China’s population growth — 1.37 billion people at last count — the actual number of smokers has continued to increase. Rising prosperity means cigarettes have become more affordable, while low taxes keep the cost of some brands at less than $1 a pack.

Sixty percent of Chinese smokers were unaware that cigarettes can lead to strokes and almost 40 percent weren’t aware that smoking causes heart disease, according to the study, which was released on World No Tobacco Day, when the World Health Organization and others highlight health risks associated with tobacco use.

Judith Mackay, an anti-tobacco advocate based in Hong Kong, said China has made strides with the public smoking bans in some cities and a similar ban covering schools and universities, but that’s not enough.

“This is the first time there has been a report looking at the overall picture of where China stands,” said Mackay, senior adviser at Vital Strategies, a global health organization. “The reality is, it’s falling behind.”

Mackay blamed behind the scenes lobbying by China’s state-owned tobacco monopoly for impeding efforts to toughen tobacco policies. The State Tobacco Monopoly Administration did not immediately respond to a request for comment.

Government agencies and research institutes in China, Canada and the United States funded the study.

Support World No Tobacco Day – say “no” to tobacco

To support the World No Tobacco Day 2017, the Department of Health (DH) today (May 31) held a sharing session to remind the public again of the hazards of smoking and to urge smokers to quit smoking as early as possible.

http://www.info.gov.hk/gia/general/201705/31/P2017053100249.htm

Speaking at the sharing session, the Director of Health, Dr Constance Chan, said that the World Health Organization (WHO) has marked May 31 as World No Tobacco Day annually. The theme for World No Tobacco Day 2017 is “Tobacco – a threat to development”, with the aim of demonstrating the threats posed by tobacco to the world’s sustainable development, including public health and the economy. Dr Chan strongly urged members of the public to say “no” to tobacco and to continue supporting the Government’s efforts in tobacco control.

“With the collaborative efforts of the Government and various sectors over the years, the work on tobacco control in Hong Kong has attained pleasing results, with a drop in overall smoking prevalence from 23.3 per cent in the 1980s to 10.5 per cent in 2015. Nonetheless, casualties and economic loss directly and indirectly caused by tobacco remain tremendous. Local studies revealed that tobacco-related fatalities reach nearly 7 000 people annually and the economic loss resulting from tobacco-related health problems is estimated to be about 5.5 billion every year,” Dr Chan said.

“Smoking is a causative agent of many cancers as well as cardiovascular and respiratory diseases. Smoking causes harm not only to the smoker but also to their family members and friends due to the secondhand smoke induced, which increases their risk of cancer and many other chronic diseases as well as the chance of children developing respiratory symptoms,” Dr Chan added.

Sharing the research findings on local smoking-related mortality and morbidity conducted by the University of Hong Kong (HKU), the Chair Professor of the School of Public Health of the HKU, Professor Lam Tai-hing, pointed out that at least one out of every two elderly smokers died of tobacco-related diseases. He said that the Government must continue to adopt various tobacco control measures to encourage smokers to quit the habit.

The Head of the Tobacco Control Office of the DH, Dr Lee Pui-man, introduced in the sharing session 12 new pictorial health warnings on cigarette packets, which better inform the public about the specific hazards of tobacco use to smokers and their families. Experience and evidence from the WHO and around the globe also demonstrate that pictorial health warnings are an effective intervention, and increasing the size of pictorial health warnings on cigarette packets is now an international trend.

“The graphics and designs of health warnings should be updated regularly so as to maintain their salience and enhance the impact. The Government updates pictorial health warnings coupled with multiple tobacco control measures to discourage members of the public from smoking and encourage smokers to quit,” Dr Lee said.

Smokers who intend to quit smoking can call the DH’s Integrated Smoking Cessation Hotline on 1833 183, where registered nurses provide professional counselling services on smoking cessation and will also refer service users to suitable social service agencies for follow-up when necessary. To enhance smoking cessation services to smokers, the DH will launch a pilot public-private partnership programme this year to trial a new mode of smoking cessation service supported by family physicians.

In addition, the DH will collaborate with a renowned medical institution, Mayo Clinic, in the United States to organise an online training programme on tobacco dependence treatment, which will be rolled out within this year. Family physicians joining the programme will acquire skills and knowledge on smoking cessation via e-learning, and their capacity in providing smoking cessation services will be further enhanced through training and assessment. The programme aims to ensure that they can provide quitters with effective evidence-based treatment.

In addition, two patient representatives shared their experience of smoking at the sharing session, ranging from smoking-related diseases to successfully quitting the habit. They urged other smokers to quit smoking as early as possible and to seek help on smoking cessation if necessary.

Ends/Wednesday, May 31, 2017
Issued at HKT 15:18

Stop Smoking: It’s Deadly and Bad for the Economy

Higher taxes on tobacco products reduce tobacco consumption and improve public health, while also increasing government revenues that can be used to fund priority investments and programs that benefit the entire population.

http://www.worldbank.org/en/news/infographic/2017/05/31/stop-smoking-its-deadly-and-bad-for-the-economy

WBG_NoTobaccoDay_Infographic_052417-Final

CLEAR THE AIR HAS A MESSAGE FOR YOU:

Download (PDF, 350KB)