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How smoking in movies drives kids to become smokers

http://globalnews.ca/news/2224626/how-smoking-in-movies-drives-kids-to-become-smokers/

So it’s TIFF week, and what better time than now to talk about the influence that movies can have on our health.

More specifically, I want to focus on the effect that on-screen smoking has on young audiences.

The Ontario Tobacco Research Unit just released a report that analyzes the effect of smoking in movies on youth. And the results are compelling.

The first point is that most movies do have at least one scene which portrays a character smoking.

In fact, looking at the top-grossing movies between 2004 and 2014, they found that 56 per cent of them portrayed smoking, and 86 per cent of those were youth rated, with only 14 per cent being R-rated.

But does watching someone smoking on screen actually influence adolescents to start smoking? Well as it turns out, the answer is yes, and there are lots of studies that back this up.

For example, in a 2004 study published in the American Journal of Public Health, scientists Janet M. Distefan and colleagues asked adolescents who their favorite actors were, and those kids whose favorite actor had been portrayed smoking in at least two movies were 36 per cent more likely to try smoking.

In a 2009 study published in Addiction, JD Sargent and R Hanewinkel showed that kids aged 11-15 who had been exposed to smoking in the movies that they had watched had 2.8 times the odds of smoking one year later, compared to kids who had not been exposed.

In 2012, the U.S. Centers for Disease Control put together results from 17 different studies and found that adolescents and young adults who had watched movies with smoking scenes were about twice as likely to end up smoking , compared to those who hadn’t.

Some of these studies were cross-sectional (meaning that they collected data at one point in time) and others longitudinal (meaning that they followed peoples’ movie watching habits and smoking status over time).

However, we also have experimental studies where youths were exposed to movies with and without smoking and their behaviour monitored after watching the movie.

Again, youths who had watched movies with smoking scenes were more likely to consider smoking to be “socially acceptable” and more likely to smoke a cigarette.

Ultimately, this effect leads a lot of young people to start smoking.

A 2012 analysis by Stanton Glantz put together results from five different studies and found that 37 per cent of all adolescent smokers are recruited to smoking by seeing it in movies.

In Ontario, this amounts to 185,000 kids who will start smoking because of what they see in movies.

In turn, 32 per cent of these teens, or 59,000 will eventually die from tobacco-related diseases like heart attack, stroke, lung disease and cancer, costing the healthcare system an extra $1.1 billion along the way.

So what can we do about it?

The simple solution supported by the U.S. Surgeon General and the World Health Organization is to make any movie with smoking scenes an R-rated movie.

Although this isn’t perfect because some kids still end up watching R-rated movies, it would cut the new smokers influenced by movies in half.

The U.S. Surgeon General suggests that this would avert one million tobacco deaths among U.S. children and teens alive today.

If we made this change to our rating system in Ontario, it would prevent 95,000 kids from smoking, save 30,000 smoking-related deaths, and save our healthcare system over $568 million in the process.

Although quit rates have gone up and smoking rates have come down to 17 per cent in this country, smoking among youths aged 20-24 is still at 27 per cent in Canada, and this is the key demographic that cigarette marketers are targeting for a lifetime of addiction.

And because of laws that now prohibit tobacco companies from advertising smoking directly to youth, portrayal of smoking in movies has become a key marketing tool for these companies.

What I hear most often from my smoking patients is that they wish they had never started.

And we now know that protecting kids from the influence of smoking in movies today is a key to preventing them from becoming smokers tomorrow.

Impact of the removal of light and mild descriptors from cigarette packages in Ontario, Canada: switching to “light replacement” brand variants

http://www.ncbi.nlm.nih.gov/pubmed/25224153

Abstract

OBJECTIVE:

This study assessed cessation and brand switching among smokers in Ontario, Canada after tobacco companies’ voluntary removal of ‘light’ and ‘mild’ descriptors from cigarette packages.

METHOD:

We analyzed longitudinal data on brand preference and cessation from a cohort of smokers (n=632) in the Ontario Tobacco Survey in Canada from 2006 to 2008 with a longitudinal regression model.

RESULTS:

While cessation differed by brand variant prior to the ban (7% light vs. 3% regular; P<0.05), it did not differ by brand variant after the ban was implemented. In 2008, when light cigarette brand variants were no longer available, 33% of the sample still reported smoking lights and 31% smoked light replacement brand variants. During each subsequent follow-up, light brand smokers had 2 times the odds of smoking regular brand variants (Adjusted OR: 2.03, 95% CI 1.80,2.29), and almost 5 times the odds of using light replacement brand variants (Adjusted OR: 4.87, 95% CI 4.07,5.84), respectively, compared to continuing to smoke lights.

CONCLUSIONS:

Even after removing misleading descriptors from cigarette packs, smokers continued to report using light brand variants, and many switched to newly introduced light replacement brand variants. After full implementation of the ban, cessation did not vary by brand variant.

Tobacco firms fined billions in Canadian court ruling

http://www.bbc.com/news/world-us-canada-32969338

A Canadian court has ordered three tobacco companies to pay C$15.5bn (£8bn; $12bn) – the largest award for damages in the country’s history.

The plaintiffs were Quebec smokers who said the firms failed to warn them of health risks associated with smoking.

Imperial Tobacco, Rothmans Benson & Hedges and JTI-MacDonald vowed to appeal against the decision.

The class-action lawsuits were filed in 1998, but only recently went to trial in the courts.

The firms argued that Canadians have had a “high awareness” of smoking health risks since the 1950s.

“That awareness has been reinforced by the health warnings printed on every legal cigarette package for more than 40 years,” JTI-Macdonald said in a statement.

But the plaintiffs argued that the companies did not properly warn their customers and failed in their general duty “not to cause injury to another person”, according to the Quebec Superior Court decision.

They represent nearly one million smokers who were unable to quit or who suffer from throat or lung cancer, or emphysema.

British American Tobacco ordered to pay £5.5bn to smokers

http://www.telegraph.co.uk/finance/newsbysector/retailandconsumer/11644961/British-American-Tobacco-ordered-to-pay-5.5bn-to-smokers.html

Court rules that three tobacco makers should pay a total of Can$15.6bn – the largest award in Canadian history

British American Tobacco has been ordered to pay Can$10.5bn (£5.5bn) to nearly 1m smokers who claimed they were never warned about the health risks.

A Canadian court found Imperial Tobacco Canada, which is owned by London-based BAT, Rothmans Benson & Hedges and JTI-MacDonald liable for moral and punitive damages.

The total award of Can$15.6bn is the largest in Canadian history. All three companies said they would appeal.

The two class action lawsuits behind the award were originally filed in 1998, but only went to trial recently. They represent nearly 1m smokers who were unable to quit or who suffer from throat or lung cancer, or emphysema.

The plaintiffs argued that the companies neglected to properly warn their customers about the dangers of smoking, and failed in their general duty “not to cause injury to another person”, according to the Quebec Superior Court.

They also accused the firms of unscrupulous marketing and of destroying documents relevant to the case.

The companies said the court’s decision is not supported by the evidence presented at trial.

“Today’s judgment ignores the reality that both adult consumers and governments have known about the risks associated with smoking for decades, and seeks to relieve adult consumers of any responsibility for their actions,” said Imperial Tobacco Canada.

Meanwhile, BAT, which also makes Lucky Strike and Pall Mall cigarettes, is spending €550m (£394m) on a Croatian tobacco company as it seeks to boost its business in central Europe.

TDR is a cigarette maker with operations in Croatia, Bosnia and Serbia.

The world’s second biggest tobacco company is buying the business from Adris Grupa, a conglomerate whose interests range from tourism to insurance.

BAT plans to merge TDR with its own operations in the region and pledged to keep its factory in Kanfanar open for at least five years following the deal.

The FTSE 100 company’s offer values TDR on 12.5 times €44m in pre-tax earnings generated last year.

“This is an exciting acquisition for BAT, which will provide immediate scale in three core markets of Croatia, Bosnia and Serbia and establishes a sustainable platform to grow our business in central Europe,” said BAT boss Nicandro Durante.

BAT and its rivals are attempting to offset waning demand for tobacco products in the West by tapping growth elsewhere.

At the same time as expanding in central Europe, BAT is seeking to boost its operations in Brazil by buying the 24.7pc of cigarette manufacturer Souza Cruz that it does not already own.

Anti-smoking legislation, the growing popularity of e-cigarettes and higher taxes have all hurt cigarette sales and the profits of the companies that make them.

In April, BAT, which has lifted prices to counteract falling volumes, posted first-quarter revenue growth that was much weaker than expected.

Excluding the impact of foreign exchange movements, BAT sales edged up 1.7pc in the three months to the end of March – missing forecasts of 3.5pc – and volumes slid 3.6pc.

Tobacco companies ordered to pay $15B in damages

Quebec Superior Court rules against 3 tobacco companies in historic class-action lawsuit

http://www.cbc.ca/news/canada/montreal/tobacco-companies-ordered-to-pay-15b-in-damages-1.3095963

Three tobacco companies have been ordered to pay $15 billion in damages after losing a historic court case.

Judge Brian Riordan on Monday ruled in favour of two groups representing Quebec smokers, ordering Imperial Tobacco, Rothmans Benson & Hedges and JTI-MacDonald to pay for punitive and moral damages.

“It’s a big day for victims of tobacco, who have been waiting for about 17 years for this decision. It was a long process — but arrived at the destination and it’s a big victory,” said Mario Bujold, executive director of the Quebec Council on Tobacco and Health.

The legal proceedings began in March 2012, 13 years after two class-action lawsuits were initiated by groups comprising about one million people. The lawsuits, which sought $27 billion in damages, were heard together in what was touted as the biggest civil case in Canadian history.

One suit, known as the Blais File, involves individuals who became seriously ill from smoking. The other, the Létourneau File, was launched by a group whose members say they are unable to quit smoking.

The groups alleged the companies:

Failed to properly warn their customers about the dangers of smoking.
Underestimated evidence relating to the harmful effects of tobacco.
Engaged in unscrupulous marketing.
Destroyed documents.
Payment distribution

The plaintiffs with cancer who began smoking before January 1976 will get $100,000 each. Those who first lit up after that date are entitled to $90,000.

Those with emphysema will receive $30,000 in moral damages if they began smoking before Jan. 1, 1976, and $24,000 if they started smoking after that date.

For the almost one million Quebec smokers who were unable to quit, the breakdown comes out to about $130 per person.

“I am so relieved with what has happened,” Lise Blais, whose husband Jean-Yves Blais initiated one of the lawsuits, told a crowd at a news conference.

“Did you stop to think what a cigarette is? It destroys you — your health is totally destroyed,” she said, holding up two photos of her late husband, who died in the summer of 2012 from lung cancer at the age of 68.

“He would be very happy. He is a winner. He likes to win — the same as I do,” Blais said. “Seventeen years is long, but I had my hope that we were going to win — and we did,” Blais said.

Bruce Johnston, a lawyer for the plaintiffs, said tobacco companies “lied for 50 years.”

“They lied to everyone … but they didn’t just lie. They colluded to lie,” he said.

Tobacco companies will appeal

JTI-Macdonald Corp. issued a statement minutes after the 4 p.m. ET ruling came down, saying it will appeal the judgment.

“The company strongly believes that the evidence presented at trial does not justify the court’s conclusions,” the statement said.

“Since the 1950s, Canadians have had a very high awareness of the health risks of smoking. That awareness has been reinforced by the health warnings printed on every legal cigarette package for more than 40 years.”

Imperial Tobacco Canada said it was extremely disappointed and will also challenge the ruling.

“Today’s judgment ignores the reality that both adult consumers and governments have known about the risks associated with smoking for decades, and seeks to relieve adult consumers of any responsibility for their actions,” said Tamara Gitto, vice-president of Imperial Tobacco Canada.

“We believe there are strong grounds for appeal and we will continue to defend our rights as a legal company.”

Gitto said a Gallup poll in 1963 confirmed that 96 per cent of Canadians were aware that smoking may cause lung cancer.

“Even though the judge expressly found that the public knew of the material risks associated with smoking for decades, he nonetheless holds Imperial Tobacco Canada and the two other tobacco manufacturers responsible.”

Rothmans Benson & Hedges also announced it will appeal the Quebec Superior Court’s decision.

In spite of an appeal, the judgment says that $1 billion must be paid out.

“The Court orders the provisional execution of the judgment notwithstanding appeal with respect to the initial deposit of one billion dollars of moral damages, plus all punitive damages awarded,” said the 276-page ruling.

Ontario overrun by illegal tobacco

http://www.torontosun.com/2015/05/23/ontario-overrun-by-illegal-tobacco

We’re losing, organized crime is winning. It’s time to fight back

Ontario is the poster-child for the World Health Organization’s 2015 World No Tobacco Day and its theme to stop the illegal trade of tobacco products.

Often when the Geneva-based WHO observes a campaign on such important issues as malaria or tuberculosis, Ontarians are concerned observers, but are not at the centre of the matter.

But that’s not the case when it comes to illegal tobacco.

Ontario has one of the worst illegal tobacco crises in the world today.

Globally, illegal tobacco products account for about 1-in-10 cigarettes smoked.

But in Ontario, contraband tobacco now accounts for a shocking 1-in-3 cigarettes purchased.

This isn’t an area where we want to be a leader.

Illegal tobacco is a serious issue in communities across Ontario, including smuggling on First Nations reserves, that comes into sharp focus on World No Tobacco Day.

It is not a victimless crime: The RCMP estimates about 175 criminal gangs use profits from the sale of illegal tobacco to fund other gang activities, including guns, drugs and human smuggling.

Cheap, illegal tobacco products draw in young smokers and help get them started because of a dangerous mix of low prices and easy access, without the need to check I.D.

Illegal cigarettes are typically sold in resealable plastic bags of 200 sticks for as little as $8.

That’s far less than the cost of a movie ticket.

The illegal tobacco trade also robs Ontario of tax revenues that could be used to better fund key government programs.

It is a major part of Ontario’s underground economy, estimated to cost provincial taxpayers alone as much as $1.1 billion in lost revenues every year.

Tackling Ontario’s illegal tobacco problem won’t be easy.

The Ontario government announced plans for new action in the recent budget, but this is only the beginning of a long process.

The criminal gangs that run the trade won’t give up a steady and easy flow of profits from contraband tobacco easily.

To achieve this, Ontario will need to apply sustained pressure and add more aggressive anti-contraband measures as needed.

The provincial government must be careful not to add fuel to the contraband tobacco fire by driving more tobacco sales underground.

For example, the current proposed ban on menthol cigarettes, designed to help curb youth smoking, could actually result in the opposite by driving more than 300 million cigarettes a year into the illicit market, where they are even more easily and cheaply accessed by young people.

Contraband tobacco weakens efforts by health advocates and government to educate people about the use of these products.

Baggies filled with illegal cigarettes contain no health warnings.

If young people are not asked to show identification when buying illicit products, it makes it impossible to control their access to tobacco.

Contraband tobacco unwinds much of the positive progress that has been made in terms of tobacco regulations and efforts to promote cessation.

Society loses. Organized crime wins.

That’s why, on World No Tobacco Day, Sunday, May 31, the WHO is asking the public to recognize the adverse health, economic and social impacts of the illicit trade of tobacco products, including the linkages with human trafficking and organized drug crimes.

It’s essential that people realize the contraband tobacco trade is not a victimless crime and alert authorities if they come across it.

The public can support the fight against contraband tobacco on social media, for example by following the hashtag #notobacco on Twitter.

Social media users can also share pictures of the WHO’s “Beware! Illegal tobacco” poster, available at www.who.int/campaigns/no-tobacco-day/2015/poster/en/

This World No Tobacco Day, let’s focus first on the problem at home, right here in Ontario.
— Grant is spokesperson for the National Coalition Against Contraband Tobacco, a former Toronto police officer and director and founder of Toronto Crime Stoppers.​

Big tobacco quietly battling religious opposition to smoking in key Muslim markets: Canadian study

http://news.nationalpost.com/news/world/big-tobacco-quietly-counteracting-religious-opposition-to-smoking-in-key-muslim-markets-canadian-study

The tobacco industry has been waging a sort of religious war for decades, recruiting Islamic scholars and crafting theological arguments to counter a feared Muslim opposition to smoking, a new, Canadian co-authored study suggests.

The companies’ tactics have included courting Muslim experts at McGill University and portraying religious objections to tobacco as a form of extremism – at odds with freedom and modernism generally, the analysis of years of industry documents reveals.

“The industry has sought to distort and misinterpret the cultural beliefs of these communities, and to reinterpret them to serve the industry’s interests,” charges Kelley Lee, a global health-policy expert at Vancouver’s Simon Fraser University and one of the authors of the study. “All to sell a product that kills half of its customers.”

With smoking on the decline in the West, Muslim countries in the Middle East and southeast Asia are among the most important markets for the sector, notes Prof. Lee.

Yet for at least three decades, companies have fretted about the menace posed by Muslim ideology in those places, memos and reports unearthed by Prof. Lee and her colleagues indicate. A 1996 British American Tobacco (BAT) document, for instance, describes the “Islamic threat,” including rising fundamentalism, as a “real danger” to the industry.

“This amounts to us having to prepare to fight a hurricane,” the memo warns.

An industry-linked law firm’s presentation proposed a theological retort to such pressures. The Koran does not actually prohibit use of tobacco, and “making rules beyond what Allah has allowed is a sin in itself,” the firm advised.

The study suggests Muslim thinking on the topic has changed over the years, but because of health reasons, not growing conservativism. Muslim jurists in the past generally considered tobacco use neutral, but as its risks became better known, some proclaimed it “markrooh” – discouraged – or even “haram” – prohibited, the paper says.

The material outlined in the study was drawn from the Legacy Tobacco Documents Library, a database of 15 million internal industry documents filed during lawsuits by U.S. states, most before 1998.

While the library did not provide access to the most recent documents, evidence suggests the companies are still trying to influence Muslim religious currents, said Prof. Lee, formerly with the U.K.’s London School of Hygiene and Tropical Medicine. A recent ad for Gauloises cigarettes in Qatar, for instance, depicts an Arab-looking woman without a headscarf, the tagline saying “Freedom Always.”

Bodies like the World Health Organization need to refute the industry-promoted idea that tobacco use in Muslim countries is an expression of escape from religious constraints, especially for women, the authors suggest.

Whether because of its religious-based strategies or not, the industry does appear to have thrived in many Muslim countries. While BAT sold fewer cigarettes worldwide in 2014 than the year before, the number increased in six countries, including Muslim Bangladesh, Iran, Turkey and Pakistan, a company report said.

The internal industry documents showed that companies first recognized in the 1970s that Islam posed a threat to expansion in such regions – a “formidable obstacle to the industry,” as one 1991 memo said.

This amounts to us having to prepare to fight a hurricane

The industry began years ago depicting that kind of stance as extremist, and suggested that even the WHO was part of the movement. The UN agency has “joined forces with Muslim fundamentalists who view smoking as evil,” complained one Philip Morris document. A BAT report in 2000 suggested the WHO’s efforts to link smoking and Islam had borne fruit and needed to be “managed.”

A tobacco lobbyist told Philip Morris in 1985 to portray anti-smoking Muslims as fundamentalists, and suggest their strict reading of Sharia law would lead to other curbs on modern living.

A consultant told BAT in a 1987 letter that he had repeatedly managed to stop a Muslim government from issuing booklets that linked an anti-smoking message to verses of the Koran. “Once the religious aspect is conveyed to the public … it will be very difficult to reverse the situation,” he warned.

A Philip Morris document from the same year relates how a representative of the Canadian Tobacco Manufacturers’ Council was contacting McGill University’s Islamic studies department to seek out academics who would refute any suggestion the Koran forbids smoking.

BAT approached Cairo’s Al Azhar University in 1996 to enlist scholars “as our authoritative advisers/allies and occasionally spokespersons on the issue.” But a memo mentioning the initiative urged caution.

“This is an issue to be handled extremely gingerly and sensitively,” it said. “We have to avoid all possibilities of a backlash

Game changer for Canadian Tobacco Control: Quebec Class Action Lawsuits

The Use of Cigarette Package Inserts to Supplement Pictorial Health Warnings

http://www.ncbi.nlm.nih.gov/pubmed/25480931

Abstract

BACKGROUND:

Canada is the first country in the world to require cigarette manufacturers to enclose package inserts to supplement the exterior pictorial health warning label (HWL). In June 2012, Canada implemented new HWL package inserts that include cessation tips accompanied by a pictorial image. This study aims to assess the extent to which adult smokers report reading the newly mandated HWL inserts and to see whether reading them is associated with making a quit attempt.

METHODS:

Data were analyzed from an online consumer panel of Canadian adult smokers, aged 18-64 years. Five waves of data were collected between September 2012 and January 2014, separated by 4-months intervals (n = 1,000 at each wave). Logistic generalized estimating equation (GEE) models were estimated to assess correlates of reading inserts and whether doing so is associated with making a quit attempt by the subsequent wave.

RESULTS:

At each wave, between 26% and 31% of the sample reported having read HWL package inserts at least once in the prior month. Smokers who read them were more likely to be younger, female, have higher income, intend to quit, have recently tried to quit, and thought more frequently about health risks because of warning labels. In models that adjusted for these and other potential confounders, smokers who read the inserts a few times or more in the past month were more likely to make a quit attempt at the subsequent wave compared to smokers who did not read the inserts.

CONCLUSIONS:

HWL package inserts with cessation-related tips and messages appear to increase quit attempts made by smokers.

Promoting cessation resources through cigarette package warning labels: a longitudinal survey with adult smokers in Canada, Australia and Mexico

http://www.ncbi.nlm.nih.gov/pubmed/25052860

Abstract

INTRODUCTION:

Health warning labels (HWLs) on tobacco packaging can be used to provide smoking cessation information, but the impact of this information is not well understood.

METHODS:

Online consumer panels of adult smokers from Canada, Australia and Mexico were surveyed in September 2012, January 2013 and May 2013; replenishment was used to maintain sample sizes of 1000 participants in each country at each wave. Country-stratified logistic Generalised Estimating Equation (GEE) models were estimated to assess correlates of citing HWLs as a source of information on quitlines and cessation websites. GEE models also regressed having called the quitline, and having visited a cessation website, on awareness of these resources because of HWLs.

RESULTS:

At baseline, citing HWLs as a source of information about quitlines was highest in Canada, followed by Australia and Mexico (33%, 19% and 16%, respectively). Significant increases over time were only evident in Australia and Mexico. In all countries, citing HWLs as a source of quitline information was significantly associated with self-report of having called a quitline. At baseline, citing HWLs as a source of information about cessation websites was higher in Canada than in Australia (14% and 6%, respectively; Mexico was excluded because HWLs do not include website information), but no significant changes over time were found for either country. Citing HWLs as a source of information about cessation websites was significantly associated with having visited a website in both Canada and Australia.

CONCLUSIONS:

HWLs are an important source of cessation information.