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June, 2009:

Quit Stalling On Smoking Bans

SCMP – Jun 15, 2009

The continuous debate about the delay of the smoking ban in all public places is preposterous. In recent visits abroad I see that even in Bangkok, Taipei and Kaohsiung smoking bans are in place in restaurants, bars and clubs.

I am all for smokers’ rights, as long as they do not burden the subsidised public health care system when tobacco-related sickness develops and, more importantly, that they do not exhale all those toxins into a confined space where non-smokers are present. When the rights of smokers infringe on the rights of non-smokers, therein lies the problem.

There must be no exemptions and the government must implement the full ban on schedule.

Billy R. Leung, Chai Wan

Film Ad Breaks Hong Kong Smoking Laws

AFP – 14 Jun 2009

A poster for a film about Coco Chanel that features the French fashion legend smoking a cigarette breaks Hong Kong laws restricting tobacco advertising, a campaign group said Friday.

The advert for “Coco Before Chanel,” which shows the film’s star Audrey Tautou posing in silk pyjamas with Chanel’s trademark cigarette dangling from her fingers, has appeared across the city.

But James Middleton, chairman of the anti-tobacco committee for campaign group Clear the Air, said the poster breaks Hong Kong laws banning any mention of smoking or cigarettes in advertising.

“It is a direct breach of the law,” he told AFP.

Earlier this year, the company that runs advertising on trains and buses in Paris pulled a similar poster over fears it could be prosecuted.

An advert for the film that appeared Friday in the South China Morning Post had the cigarette airbrushed out.

No one from the company responsible for promoting the movie in Hong Kong, Lark Films Distribution, was immediately available for comment.

Hong Kong’s Health Department was also not immediately available to answer questions from AFP, but a spokesman told the South China Morning Post it was looking into the case.

How Heart Disease Develops From Smoking

Kathleen Blanchard RN, www.emaxhealth.com – 13 Jun 2009

Researchers have discovered that smoking may lead to insulin resistance -a pre-diabetic state – that in turn contributes to the development of heart disease. Scientists have not been certain why smoking leads to heart disease, especially given the fact that nicotine and smoking cause weight loss, thus reducing risk of heart disease.

Pre-diabetes and diabetes are known risk factors for heart disease. Insulin resistance affects the body’s ability to use insulin properly, leading to poor glucose metabolism. Scientists at Charles Drew University of Medicine and Science in Los Angeles and Western University of Health Sciences in Pomona found that mice injected with nicotine had decreased appetites and lost weight. They also had impaired glucose tolerance, showing that nicotine from smoking may lead to heart disease because it leads to insulin resistance.

Studies in humans also show that smoking leads to higher than normal blood sugar levels, making smokers more susceptible to diabetes and heart disease. Scientists have not known if other factors are at play, or if insulin resistance comes directly from the effects of nicotine.

According to lead researcher Theodore Friedman, MD, Ph.D., chief of the endocrinology division at Charles Drew University, smoker should be a less risk of heart disease, considering the fact that “both smoking and nicotine may cause weight loss and weight loss should protect against cardiovascular disease.” The findings that smoking leads to insulin resistance may lead the scientists to medications that can block the effect of nicotine, reducing risk of heart disease in smokers.

“Our results suggest that decreasing insulin resistance may reduce the heart disease seen in smokers,” says Dr. Friedman. Reducing risk of heart disease in smokers could be accomplished with new drugs with less bothersome side effects. Drugs specific enough to block the harmful effects of nicotine may reduce heart disease in smokers, now that researchers know how smoking leads to heart disease.

Charles Drew University of Medicine and Science

New Sheriff in Town

June 13, 2009

The Senate passed a bill Thursday giving the FDA a say in how the tobacco industry conducts its business. Newsy.com looks at how the story was covered.

http://www.newsy.com/videos/new_sheriff_in_town

Poster Advertising French Movie Breaks Anti-smoking Laws, Activist Says

Yau Chui-yan, SCMP – Jun 12, 2009

A movie poster that was banned in Paris because it contravened anti-smoking laws has stirred controversy for the same reason after being displayed in Hong Kong.

The poster, for the French movie Coco Before Chanel, depicts star Audrey Tautou in silk pyjamas with a cigarette in her hand.

A newspaper advert using the same image has been withdrawn in Hong Kong but the film’s local distributor is still deciding what to do about the posters, on display in MTR stations and theatres. The film, about the early life of fashion icon Coco Chanel, opened in the city yesterday and the posters and ads have been on display since last week.

The Smoking (Public Health) Ordinance prohibits tobacco ads in print, public places or on the internet. It states that an advert is a tobacco ad if it illustrates or mentions smoking or cigarettes.

The Department of Health said it was looking into the case. Anti-smoking activist Annelise Connell said it was clearly a breach of the law. “It is obviously a display of a tobacco product in an advertisement. They have already broken the law,” said Ms Connell of green group Clear the Air.

Lark Films Distribution, responsible for publicity for the movie in Hong Kong, said it did not realise there was a problem until the South China Morning Post raised it. “There might be something we have missed out, but we are now seeking advice from our legal department,” marketing manager Jennifer Hung said. “The film itself is not about smoking cigarettes.”

She said the company had decided to pull all ads showing Tautou smoking out of newspapers. “We will use other versions,” she said. “For posters showing in the MTR and theatres, we still need some more time to decide what to do.”

The MTR Corporation said the ad had been approved by JCDecaux Pearl & Dean, which runs its advertising concession. “All advertisements approved by our agency follow regulations and do not contravene Hong Kong law,” an MTR spokeswoman said.

Ms Hung said the poster showing Tautou holding a cigarette was the version originally used in France and its use in Hong Kong had been requested by the studio, Warner Bros France.

But Ms Connell said this was unacceptable. “This poster … promotes the use of cigarettes to young people because it glorifies cigarette use by a young and famous woman.”

In April, Metrobus, the company that runs advertising on Parisian trains and buses, banned the poster to avoid being prosecuted. The ad appeared in the Post but has been replaced by a different version.

Senate Votes for F.D.A. Rules on Tobacco

DUFF WILSON ,  www.nytimes.com, June 12, 2009

WASHINGTON – The Senate voted overwhelmingly Wednesday to impose federal regulation on cigarettes and other forms of tobacco, passing a landmark bill to empower the Food and Drug Administration to control products that eventually kill half their regular users.

The House expects to vote Friday on the legislation and quickly send it to the President Obama for signing into law, Karen Lightfoot, spokeswoman for Henry A, Waxman, its prime sponsor, said in an interview late Thursday afternoon. The Senate legislation has only minor differences from a version the House passed in April. A White House spokesman, Reid H. Cherlin, said that President Obama, who was a co-sponsor of the bill when he was in the Senate, would sign the legislation when it reached his desk.

An estimated one in five people in this country smoke, and more than 400,000 of them die each year from smoking-related disease. But for decades, even after the surgeon general’s 1964 report declaring cigarettes a health hazard, Congressional efforts to regulate tobacco had met stiff opposition from lawmakers from tobacco-growing states and their political allies. And when the F.D.A. tried on its own to start regulating nicotine as a drug, the Supreme Court struck down that effort in 2000, saying the agency could not take such a step without Congressional authority. Cigarettes remained less regulated than cosmetics or pet food.

But with broad bipartisan support in both the Senate and House, and a campaign pledge by Barack Obama to sign such legislation if he became president, the anti-tobacco forces came into alignment. “This long-overdue grant of authority to F.D.A. to regulate tobacco products means that the agency can finally take the actions needed to protect our people from the most deadly of all consumer products,” Edward M. Kennedy, the Massachusetts Democrat who was chief sponsor of the legislation in the Senate, said in a statement from home, where he is receiving treatment for a brain tumor.

The Family Smoking Prevention and Tobacco Control Act, as it is called, would empower the F.D.A. to set standards for cigarettes, regulating chemicals in cigarette smoke and outlawing most tobacco flavorings. It could also study whether to also ban menthol. Flavorings are considered a lure to first-time smokers, especially the young. Menthol is used by three-quarters of black smokers, who also have a disproportionate share of lung cancer.

The law would also further restrict marketing and advertising of tobacco products. Colorful advertising and store displays will be replaced by black-and-white-only text as part of restrictions aimed at reducing the appeal to youth to try smoking. Cigarette makers will be required to stop using terms like “light” and “low tar” by next year and to place large and graphic health warnings on their packages by 2012.

But while the F.D.A. could mandate a reduced level of nicotine, an addictive chemical, the law expressly says the agency cannot ban it. Public health advocates say outlawing nicotine would force addicts would turn to a black market or other sources.
Still, health advocates predict that F.D.A. product standards could eventually reduce some of the 60 carcinogens and 4,000 toxins in cigarette smoke, or make them taste so bad they deter users.

“This is a bill not for a one-year or two-year splash, but for a long-term impact,” said Matthew L. Myers, president of the Campaign for Tobacco-Free Kids, a Washington advocacy group that took a lead in coordinating support for the legislation. The Altria Group, the parent company of Philip Morris, whose Marlboro brand helps make it the nation’s leading tobacco seller, endorsed the F.D.A. legislation and negotiated some of its crucial provisions with Congress.

The Congressional Budget Office had estimated that the F.D.A. legislation would reduce youth smoking by 11 percent and adult smoking by 2 percent over the next decade beyond the declines that had already resulted from public education, higher taxes and smoke-free indoor space laws.

At least partly because of such other efforts, cigarette smoking has declined measurably over the last decade: in 2005, about 21 percent of adults in the United States were smokers, compared with about 25 percent in 1995. Reynolds America and Lorillard, the second- and third-largest companies, opposed the legislation and criticized it as being intended to protect Philip Morris’s market dominance by restricting advertising and new products.

But Brendan McCormick, a spokesman for Philip Morris’s parent, Altria, argued that previous marketing restrictions, like the television advertising ban imposed in 1971, had not frozen companies’ market shares.

He said his company supported “federal regulation and the benefits it will bring to tobacco consumers and the greater predictability and stability we think it will bring to the tobacco industry.”

There are only minor differences between the Senate bill and the one the House passed in April – the main one involving the size of the graphic warnings on cigarette packs, which would be bigger under the Senate version.

Henry A. Waxman, the California Democratic who was chief sponsor of the House bill, said in an interview that he hoped the House could simply pass the Senate version of the bill next week to send quickly to the President.

“I would prefer we do that,” Mr. Waxman said, adding that it was still possible to call a conference committee instead to negotiate the minor differences. But that process, he said, could delay action and risk another Senate filibuster of the type that was broken Monday in a crucial vote of 61 Senators, two more than needed to proceed to final action. That filibuster had been mounted by Richard M. Burr, Republican of North Carolina, the nation’s leading tobacco-growing state. Only one Democrat – Kay Hagan, also of North Carolina – had voted to uphold the filibuster.

On Tuesday, the Senate voted 60 to 36 against a substitute bill by Mr. Burr and Ms. Hagan to promote smokeless and other “reduced risk” products rather than strictly regulate all new tobacco products.

Under the law, new products could be approved only if makers could demonstrate health benefits to society as a whole – meaning the products would not induce too many nonsmokers or would-be quitters to try them, rather than abstaining.

Another crucial procedural vote Wednesday passed 67-30, cutting off amendments. And the final action Thursday came on a 79 to 17 vote, with Ms. Hagan of North Carolina the only Democrat voting against it.

The voting reflected a political shift from years past, when tobacco state senators could count on support from other Southern conservatives. John Cornyn of Texas, who is chairman of the Senate Republican campaign committee, co-sponsored the tobacco bill and voted against the filibuster. “This is a rarity these days in Washington,” Mr.
Cornyn said in debate Tuesday. “It is actually a bipartisan bill.”

Michael B. Enzi of Wyoming, the ranking Republican on the Senate health committee, also supported the tobacco legislation. “Smoking killed my dad and my mom and my mother-in-law, and second-hand smoking conclusively affected me,” he said during the Senate debate. “So this isn’t political. This is about the health of all Americans.” Although tobacco companies have also lost a series of recent rulings in court, tobacco industry financial analysts say federal regulation, higher taxes and court verdicts are all manageable because the companies, with a market of addicted customers, can raise prices to remain profitable.

A Goldman Sachs analyst, Judy Hong, wrote in a report to investors last week, “Some of the new remedies may be unpleasant but not financially disabling to the tobacco companies.” Under the law, tobacco regulation would be introduced in stages. First, the F.D.A. would hire a director and staff and find space for a new Tobacco Center, to be financed by industry fees. The projected budget is $85 million the first year, $450 million by the third year and more than $700 million in 10 years. A scientific advisory committee would be set up by next year.

New marketing restrictions next year would include a ban on all outdoor advertising of tobacco within 1,000 feet of schools and playgrounds. The Association of National Advertisers, a trade organization, says the legislation’s “massive crushing and unprecedently broad advertising restrictions” violate First Amendment protections for
commercial speech. A court challenge is probable.

While cigarette consumption has declined in most Western countries, it is growing in Asia and Eastern Europe. An estimated 1.3 billion people now smoke worldwide, according to the World Lung Foundation.

“The unfortunate thing,” Nancy Brown, president of the American Heart Association, said in an interview, “is the bad American habit is now being exported to other countries.”

Bill Gives FDA Broad Powers to Regulate Tobacco

By Lyndsey Layton, The Washington Post Company – June 11, 2009

The Senate approved landmark legislation today that would give the government sweeping new power to oversee tobacco, a centuries-old product used by 20 percent of Americans yet largely unregulated in this country. The bipartisan measure, approved by a margin of 79 to 17, largely mirrors a measure passed by the House last month. The House has indicated it will accept the Senate version and will vote on it early next week before a bill is sent to President Obama. Obama, a smoker who has struggled to quit, has said he is eager to sign the bill into law. It comes 50 years after the surgeon general first warned of the health effects of tobacco.

Congress has been trying for more than a decade to regulate tobacco, coming close several times but faltering in the face of opposition from the tobacco lobby, the White House or procedural hang-ups. But in the years that the debate has raged, changing social attitudes toward tobacco helped transform the idea of regulation from controversial to common sense. “There’s not a smoker in the country that’s an adult who wishes their children would begin smoking,” said Sen. Christopher J. Dodd (D-Conn.), himself a former smoker.

“And there are many adult smokers today who wish they never started. . . . This has been a very long battle. . . . For the first time we’re going to make a difference. The FDA is going to regulate the production, sale and marketing of these products. That is history.”The legislation would give broad new authority to the Food and Drug Administration to regulate the manufacturing and marketing of tobacco.

For the first time, the $89 billion tobacco industry would have to disclose the ingredients in its products. Under the new authority, the FDA could ban the most harmful of the estimated 6,000 chemicals used in cigarettes, cigars and other tobacco products. And it could reduce the amount of nicotine, perhaps to a point where tobacco is no longer addictive and smokers who want to quit can break free more easily. The legislation requires tobacco companies to expand the size of warning labels and include graphic images of the health effects of tobacco.

Advertising and promotion will also would be restricted. Tobacco manufacturers would be unable to use the terms “light,” “mild” and “low” unless they can scientifically prove that the product so labeled is less harmful than standard tobacco. The bill would also create a tobacco center within the FDA funded by fees from the industry that are estimated to reach more than $500 million annually by 2013, according to the Congressional Budget Office.

Smoking Ban Looms Over Protesting Entertainment Sector

Austin Chiu, SCMP – Jun 10, 2009

The government has vowed to extend the smoking ban to cover entertainment businesses next month, as scheduled, despite vigorous opposition from the entertainment sector.

Lisa Lau, chairwoman of the Council on Smoking and Health, yesterday called on the sector to observe the ban, which she said would protect the health of staff and customers.

There has been a smoking ban in most indoor and public areas since January 2007, although bars, nightclubs, bathhouses, mahjong rooms and massage parlours were granted an exemption until July 1 this year. Ms Lau said the restaurant industry had not been hurt by the ban and that business increased 13.4 per cent in 2007 after the ban was enforced.

The percentage of the population over the age of 15 who smoked dropped from 14 per cent in 2005 to 11.8 per cent in 2007 after the ban was introduced, she said.

Jessica Li, spokeswoman for the karaoke chain California Red, said that since the ban the percentage of staff who smoked at its outlets had dropped from 70 to 30.

Patrick Chiu Cho-ho, president of the Chinese Cuisine Management Association, said banning smoking created a more attractive dining environment, attracting non-smoking customers to restaurants.

But Chin Chun-wing, vice-chairman of the Bar and Club Association, said the smoking ban would be a further burden on the entertainment sector, which had already been hit by the financial downturn, because 90 per cent of customers were smokers.

He called on the Food and Health Bureau to consider deferring the smoking ban for another two years.

“We are not asking for a smoking licence but only for more time to weather the financial downturn,” Mr Chin said. “If the government insists on enforcing the ban next month, our members will turn a blind eye to smoking customers.”

Last month, hundreds of entertainment business operators and patrons demonstrated over the ban.

Lillian Chan Yun-lin, of the Entertainment Business Rights Concern Group, said entertainment establishments had seen their business drop by more than half since the financial crisis and swine flu scare. “My workers are worried that they will lose their jobs after the ban comes into force,” she said. The group might organise another protest if the government did not  reconsider the move.

A bureau spokesman said it had no plans to postpone the ban.

The Emerging Human Right to Tobacco Control

Dresler Carolyn and Marks Stephen, Human Rights Quarterly – Volume 28, Number 3, August 2006

The economic and public health impacts of tobacco use, which kills approximately 5 million people per year and is expected to kill 10 million, mainly poor, people in 2030, are well known. Less attention has been paid to the impact of this epidemic on human rights and the potential application of a human rights perspective to tobacco control. This article examines the emerging human right to tobacco control in relation to other efforts to reduce the death and disability resulting from the activities of the tobacco industry, such as the Framework Convention on Tobacco Control, and suggests ways of implementing human rights mechanisms to address this public health disaster.

source: http://muse.jhu.edu/login?uri=/journals/human_rights_quarterly/v028/28.3dresler.pdf

Government Communicates With Listed Establishments On Full Indoor Smoking Ban

HK Gov press release – June 4, 2009

A spokesman of the Department of Health (DH) said today (June 4) that a smoking ban at six types of listed establishments – bars, clubs, night-clubs, bathhouses, massage establishments and mahjong-tin kau premises – would take effect on July 1 in accordance with the Smoking (Public Health) Ordinance.

The same as those of other indoor public places, staff and customers of these listed establishments would be protected from hazards of passive smoking, the spokesman said.

As in the past, the authorities would adopt a multi-pronged approach which comprised publicity, education, persuasion, and enforcement to implement the smoking ban and appeal for the co-operation of the management of relevant establishments.

“Since early this year, the Tobacco Control Office (TCO) has, via various channels, including sending letters to the management of these six types of listed establishments and meetings with the trades’ representatives, explained to the trades the relevant measures and reminded them of the upcoming expiry of the more-than-two-year exemption from the smoking ban.

“Starting last month (May), TCO organised a number of workshops to assist the trades to understand the full implementation of the indoor smoking ban as well as the specific measures. So far, a total of 132 people have enrolled in nine of these workshops,” the spokesman said.

Management of the listed establishments where the smoking ban would be implemented were invited to participate in seminars on the Smoking (Public Health) Ordinance to acquire a better understanding of the relevant statutory requirements. If necessary, staff of these establishments could also join the smoking cessation seminars organised by the TCO to quit early, he said.

“Starting this month (June), TCO will distribute guidelines, posters, leaflets, logos and other publicity items on the relevant measures of smoking ban to the management of the six types of listed establishments.

The spokesman said the policy objective of implementing a full indoor smoking ban in listed establishments was to protect the health of staff and customers.

“An opinion poll conducted by the Government also showed that the majority of the public supported the anti-smoking policy. More than 88% of our population are non-smokers. We thus appeal for the co-operation and understanding of the trades in implementing this policy,” he said.

“The Government is ready to continue to maintain dialogue with the trades, and to assist both the staff and customers to adapt to the new measures,” he said.