[Virginia GASP]     2010-2011 Newest Entries

How Much is a Life Worth -- to the Tobacco Executives?  How much is the environment, including forests and food security of a nation, worth to the Tobacco Executives? 
Here are excerpts from some 2010-2011 articles, including the December 2010 press release from the U.S. Surgeon General Regina M. Benjamin.


EXCERPTS from Stanford University Report, December 12, 2011, by Cynthia Haven, "Tobacco industry dying? Not so fast, says Stanford expert"
The cigarette industry is not dying. It continues to reap unimaginable profits. It's still winning lawsuits. And cigarettes still kill millions every year.

So says Stanford's Robert Proctor, author of the new bombshell study, Golden Holocaust: Origins of the Cigarette Catastrophe and the Case for Abolition, a book the tobacco industry tried to stop with subpoenas and hundreds of thousands of dollars in legal fees.

Proctor, the first historian to testify in court against the tobacco industry (in 1998), warns that the worst of the health catastrophe is still ahead of us: Thanks to the long-term effects of cigarettes, "If everyone stopped smoking today, there would still be millions of deaths a year for decades to come."

"Low-tar" cigarettes? "Light" cigarettes? Better filters? Forget it, he said. They don't work. Today's cigarettes are deadlier even than those made 60 years ago, gram for gram.

Half the people who smoke will die from their habit. A surprising number will die from stroke and heart attacks, not cancer.

Moreover, he asks, "How many people know that tobacco is a major cause of blindness, baldness and bladder cancer, not to mention cataracts, ankle fractures, early onset menopause, ectopic pregnancy, spontaneous abortion and erectile dysfunction?"

Six trillion cigarettes are smoked every year – that's 6,000,000,000,000. Proctor said that's "enough to make a continuous chain from Earth to the sun and back, with enough left over for a couple of round trips to Mars."

...

His 750-page book, a decade in the making, has already earned high praise, with terms like "a real page-turner," "a must-read," "the most important book on smoking in 50 years."

"This book is a remarkable compendium of evil," wrote Columbia's David Rosner, an author of Deceit and Denial: The Deadly Politics of Industrial Pollution. "It will keep you spinning from page one through the last. … It is the type of book that makes you wonder how, in God's name, this could have happened."

According to Donald Kennedy, Stanford president emeritus and former editor of the journal Science, the book "unpacks the sad history of an industrial fraud. [Proctor's] tightly reasoned exploration touches on all topics on which the tobacco makers lied repeatedly to Congress and the public."

The hefty book has not only won him accolades, but it's personally cost Proctor $50,000 in legal fees to defend himself against the industry, which subpoenaed his email and unpublished manuscript.

According to an article in The Nation last year, Proctor is one of only two historians who currently testify on behalf of smokers injured by tobacco products; 50 have testified on behalf of the industry. Academics from virtually every discipline have been collaborating with the Marlboro Men – and made big money doing so.

"This is the biggest breach of academic integrity since the Nazis," he said, and "certainly the most deadly."

Such language is typical for Proctor. When it comes to cigarettes, he speaks in provocative superlatives, pulling no punches.

Cigarettes are "the deadliest artifact in the history of civilization" – more than bullets, more than atom bombs, more than traffic accidents or wars or heroin addiction combined. They are also among "the most carefully and most craftily devised small objects on the planet."

"The industry has spent tens of billions designing cigarettes since the 1940s – that's from the industry's own documents," he said.

He also marshals evidence to show that smoking contributes substantially to environmental damage, even global warming: "When we finally decide to take seriously the problem of global climate change, cigarettes will come under increasing scrutiny. Tobacco agriculture and cigarette manufacturing have heavy carbon footprints – think deforestation and petrochemical pesticides – and cigarettes are leading causes of fires and industrial accidents. There's not much room for cigarettes in an environmentally conscious world."

For the industry, though, the cigarette represents the perfect business model. "It costs a penny to make. Sell it for a dollar. It's addictive," says investment guru Warren Buffett. Proctor notes that "by artfully crafting its physical character and chemistry, industry scientists have managed to create an optimally addictive drug delivery device, one that virtually sells itself."

"There's hundreds of things people don't know about smoking," said Proctor. Myths have instead lulled the public into complacency. He listed a few of the most common:

Myth #1. Nobody smokes anymore. If you read the media, smoking sounds like a dying habit in California. That's far from true, said Proctor. Californians still smoke about 28 billion cigarettes per year, a per capita rate only slightly below the global average.

So why do we have this illusion? "We don't count the people who don't count. It's not the educated or the rich who smoke anymore, it's the poor," said Proctor.

Also, look at popular social trends – the recent trendiness of cigars, for example. Or the current fad for hookah parties. He recalled one such event at Stanford: "They would never have a Marlboro party. But hookah is just as addictive, and just as deadly."

Myth #2. The tobacco industry has turned over a new leaf. "The fact is that the industry has never admitted they've lied to the public or marketed to children or manipulated the potency of their project to create and sustain addiction," Proctor said. "A U.S. Federal Court in 2006 found the American companies in violation of RICO racketeering laws, and nothing has changed since then. And the same techniques used in the past in the U.S. are now being pushed onto vulnerable populations abroad."

Myth #3. Everyone knows that smoking is bad for you. Proctor pointed out that most people begin smoking at the age of 12 or 13, or even younger in some parts of the world. "Do they know everything?" Proctor asked rhetorically. "And how many people know that cigarettes contain radioactive isotopes, or cyanide, or free-basing agents like ammonia, added to juice up the potency of nicotine?"

Myth #4. Smokers like smoking, and so should be free to do it. And the industry has a right to manufacture cigarettes, even if defective. Proctor called this "the libertarian argument."

"It is wrong to think about tobacco as a struggle between liberty and longevity; that tips the scales in favor of the industry. People will always choose liberty, as in 'Give me liberty or give me death.' What people don't realize is that most smokers dislike the fact they smoke, and wish they could quit. Cigarettes are actually destroyers of freedom."

There are tobacco industry documents, he noted, in which smoking is compared not to drinking but rather to being an alcoholic. Proctor also points to how we handle other forms of toxic pollution: "We don't allow kids to play with toys coated with lead paint. We don't drive cars that don't meet safety standards."

The upshot: "People should be free to smoke wherever it harms no one else, but cigarettes as now designed are too dangerous to be produced or sold."

Myth #5. The tobacco industry is here to stay. Global tobacco use would be declining were it not for China, where 40 percent of the world's cigarettes are made and smoked. Proctor has a bet with a colleague, though, that China will be among the first to bar the sale of cigarettes, once their financial costs are recognized. Governments throughout the world have benefited from tobacco taxes, which he calls "the second addiction." The costs of paying for diseases caused by smoking are high, however – especially when you count lost productivity – and governments will start winding down on tobacco, he says, once this is taken seriously.

Proctor also said that in the United States, a "Kafkaesque world" divides smokers and non-smokers. The industry has computerized databases of virtually all smokers and spends over $400 per smoker per year on special offers, coupons, sign-ups and other direct mail approaches – an unseen world to non-smokers. "This is precisely how the industry wants it; a fungus always grows best in the dark," he writes.

Proctor admits to a personal motivation for his research. Three of his grandparents died from smoking – one from emphysema, another from lung cancer and a third from a heart attack in his mid-50s. The family blamed the last death on eating too many eggs. "That's the story," said Proctor, "but he smoked nonstop."

For Proctor, then, his engagement with Big Tobacco is more than just research: "It's part of my sense of what it means to be an ethical human being, using my expertise to do what's right for humanity on the planet."




EXCERPTS from Costa News, June 10, 2011, "More people go to bars following smoking ban", by Oliver McIntyre.

Study contradicts cries from the sector of lost business

CONTRARY to complaints from bar and restaurant owners about lost business due to the smoking ban, a new study shows that in fact more people are going out now that the establishments are smoke-free.

In a survey carried out by the Spanish Society for Family and Community Medicine (SemFYC), 70 per cent of respondents said they go out to bars and restaurants with the same frequency as before the ban, while 18 per cent said they go out more and just 12 per cent said they go out less.

According to the survey - carried out at health centres among 4,000 people including smokers, non-smokers and ex-smokers - 86 per cent of respondents believe that the smoking ban will result in improved health for the general public, while 93 per cent say it will improve the health of children and of hostelry workers.  Even 50 per cent of smokers say they would be against going back to allowing smoking in bars and restaurants.

The number of smokers attempting to quit ... has continued rising, according to SemFYC's Vidal Barchilón.  "There is no question that the [smoking] restrictions have a positive effect" on quit-smoking figures, he said.

Despite the study's findings, bar and restaurant owners continue to maintain that the smoking ban is costing them money in lost business. Rafael Prado, president of the Aehma hostelry association in Málaga province, said the SemFYC study "does not correspond with reality."  Smokers are "the best customers of the restaurant and bar trade," and the only establishments that may be benefitting are those with outdoor terraces, he said.



EXCERPTS from The Center for Responsive Politics, June 8, 2011, "Tobacco Companies Adjusting Strategies to Remain Prominent Political Players", by Tarini Parti.
... Once seen as corporate giants who could use their money for political favors, the biggest tobacco companies now often approach politics more discreetly.

Campaign contributions, which once totaled more than $10 million in a single election cycle, added up to a mere $3.2 million during the 2010 election cycle. And federal-level lobbying expenditures in 2010 represented less than a quarter of what they were a dozen years before, in 1998, the Center for Responsive Politics' research indicates.

The industry, which includes employees and political action committees associated with tobacco companies, has taken to channeling money through harder-to-track organizations connected to candidates. These include leadership PACs, which members of Congress may sponsor, and 527 groups, which are barred from donating to candidates but may campaign and advertise on their behalf.

As contributions to candidates and committees declined by more than $6 million between the 2002 and 2010 election cycles, contributions to leadership PACs remained fairly consistent, totaling more than $600,000 each year, the Center's research indicates. During the 2010 cycle, the industry gave more than $740,000 to leadership PACs -- nearly a quarter of the amount it gave to all candidates and committees.

The industry has also been generous to 527 committees. During the 2010 election cycle, the tobacco industry gave about $5.4 million to such organizations, according to the Center's research, while its contribution to candidates and other political committees totaled $3.2 million.

And in the wake of last year's Citizens United v. Federal Elections Commission ruling, which made it legal for corporations to make unlimited independent expenditures to support or oppose political candidates, critics of the industry believe it will become even harder to track the tobacco companies' political involvement.
Tobacco companies, like corporations in general, may now contribute unlimited amounts of money to non-profit organizations that in turn may advertise for or against political candidates without revealing their source donors.

"One thing the tobacco industry has done is stay out of the public view and disguise its efforts in politics," Stanton Glantz, professor of medicine at the University of California-San Francisco and director of the Center for Tobacco Research and Control told OpenSecrets Blog. "With the rise of this undisclosed money, it is hard to know what they're doing."

Danny McGoldrick, vice president of research for the Campaign for Tobacco-Free Kids, told OpenSecrets Blog that tobacco companies' campaign contributions to candidates and federal lobbying expenditures may have declined, but they are dispatching their resources to other places.

"They are always looking for creative ways to exert their influence," McGoldrick said. "The Citizens United decision opened avenues for many groups. You can expect them to take any opportunity they can to influence the legislative process."

Two of the largest tobacco companies in the country, Altria Group and Lorillard Tobacco, declined to comment on their political involvement. Dosal Tobacco declined to comment on the company's campaign contributions and others such as Reynolds American, Cigar Association of America and Commonwealth Brands did not return OpenSecrets Blog's messages.

The tobacco industry's political influence also has geographic significance, as some of the top tobacco producing and manufacturing states including, North Carolina, Virginia, Florida, Pennsylvania and Ohio, are considered swing states as the 2012 election cycle revs up.

Many of the top recipients of donations from the tobacco industry have been congressmen from these states and the leadership PACs sponsored by the congressmen.

The two highest ranking leaders in the House of Representatives -- Speaker John Boehner (R-Ohio) and Majority Leader Eric Cantor (R-Va.) -- are among top tobacco industry recipients. During the 2010 election cycle, Boehner received nearly $50,000 from people and PACs associated with the tobacco industry and Cantor received $27,850. The two lawmakers' leadership PACs together received more than $158,000 from the industry.

Boehner, a smoker himself, reportedly called the regulation of the tobacco industry by the Food and Drug Administration, which was approved in 2009, a "boneheaded idea" and voted against it, while Cantor voted in favor of the bill. One of the largest contributors to Cantor's campaign was Virginia-based tobacco company Altria Group, which was one of the only tobacco companies that favored the regulation.

Although the leader of Republican Party has close ties to tobacco companies, a spokesman for Boehner, Michael Steel, told OpenSecrets Blog in an email that "Rep. Boehner makes public policy decisions based on what he believes is best for his constituents and the American people."

The offices of both Cantor and Sen. Richard Burr (R-N.C.), who received the most in contributions from tobacco interests during the 2010 election cycle, did not return repeated phone calls and emails.

Although it's clear that tobacco interests usually support members [of] the Republican Party, they also donate to Democrats. And by funding leadership PACs of Democrats instead of their campaigns, they have been able to make it seem like they are maintaining their Republican leanings.

During the 2010 election cycle, the industry contributed only $4,700 to the campaign of Rep. [sic. -- Senator] Mark Warner (D-Va.), but it gave $54,500 to his leadership PAC -- near the top among all leadership PACs in terms of money received from the tobacco industry.

"The tobacco industry has a very strong Republican bias, but they give the Democrats enough to keep them shut and keep it from becoming a campaign issue," Glantz said. "They go with who's in power, but they are nicer to the Republicans when they are in power than the Democrats."

Besides campaign contributions, many congressmen have other personal interests in the success of tobacco companies. About 23 members of Congress hold assets in three of the biggest tobacco companies, the Center's research of 2009 financial disclosure reports indicates.

Rep. F. James Sensenbrenner, Jr. (R-Wis.) holds between $100,001 to $250,000 in Altria Group stock. Most members of Congress who have investments in Altria are Republicans, but Democrats such as Kay Hagan (N.C.) and Carolyn McCarthy (N.Y.) each reported tobacco company assets valued at more than $2,000. Federal lawmakers will release their 2010 disclosure reports later this month.

And the industry's political influence is far from restricted to the federal level.

With more regulation and tax hikes proposed on the state level in recent years, tobacco companies have been directing their lobbying resources to the states, McGoldrick told OpenSecrets Blog.  Their state lobbying expenditures have been rising as federal lobbying efforts are now a fraction of what they were in the late 1990s.

"They are all over the place," McGoldrick said. "They are (at state capitols) in good numbers and frequently."

A lawyer representing the small Florida-based tobacco company, Dosal Tobacco, told OpenSecrets Blog he has seen the bigger tobacco companies change their focus from the federal to the state level to lobby against a tax hike.

"We have seen an increase -- in Florida at least -- in lobbying by the major tobacco companies," said Mike Huey, government counsel for Dosal.

The companies might be increasing their presence at state legislatures, but many of the federal lobbyists hired by the tobacco industry are Washington insiders. About 78 percent of the lobbyists worked for the federal government prior to becoming lobbyists, according to the Center's research.

And one of the biggest battles facing the industry today remains on the federal level.

The Food and Drug Administration, now responsible for regulating the tobacco industry, is debating a ban on menthol cigarettes, which make up about 90 percent of sales for the third-largest tobacco company, Lorillard.

The industry is ramping up its lobbying efforts in response. In the first quarter of 2011 alone, Lorillard spent $900,000 -- nearly half of its lobbying expenditures during the 2010 cycle -- in what may foreshadow a broader lobbying expenditure uptick throughout the year.




EXCERPTS from Reuters, June 3, 2011, "U.S. judge declines to shut tobacco racketeering case", no writer listed.

A court overseeing an extended battle between the Justice Department and an array of tobacco companies declined on Wednesday to shut the case because tobacco is regulated under a new law.

Judge Gladys Kessler, who had ruled in 2006 that Philip Morris and other tobacco companies were guilty of racketeering because of years of deception about tobacco's safety, insisted on Wednesday that she retain jurisdiction over the case.

The companies had argued that she had lost jurisdiction because of a 2009 law giving the Food and Drug Administration authority to regulate tobacco.

The companies also argued that being regulated by the FDA would make it less likely they would commit future racketeering offenses.

Kessler staunchly and tartly disagreed, calling their assertions "simply unconvincing."

"Defendants' contention that no reasonable likelihood of future RICO violations exists due to the FDA's regulation is particularly unconvincing when defendants are simultaneously and vigorously challenging, both in a separate lawsuit and in administrative proceedings, many of the provisions of the Tobacco Control Act," she wrote in Wednesday's ruling.

The racketeering case, filed in 1999 by the Clinton administration, sought to force the industry to fund a smoking cessation program and other remedies. Under the Bush administration, the U.S. Justice Department dropped demands from $280 billion to $14 billion.

Kessler ruled in 2006 that the companies broke the law and could no longer use expressions such as "low tar" or "light" in their cigarette marketing. But she also said she could not force them to fund a smoking cessation program, and an appeals court agreed.

The Obama administration appealed to the Supreme Court, which ruled in June that tobacco companies could not be forced to pay billions for stop-smoking programs.

"We continue to believe that the FDA is the appropriate agency to regulate tobacco products and we're considering our appellate options," said Steve Callahan, spokesperson for Altria Group.

Defendants named in the original suit include Reynolds American's R.J. Reynolds Tobacco Co, Lorillard Inc and Altria, which owns Philip Morris USA Inc.

The case in U.S. District Court for the District of Columbia is no. 99-2496.




EXCERPTS from The Independent, WNTD, May 30, 2011, "The unstoppable march of the tobacco giants", by Emily Dugan.
Despite the known catastrophic effects on health of smoking, profits from tobacco continue to soar and sales of cigarettes have increased: they have risen from 5,000 billion sticks a year in the 1990s to 5,900 billion a year in 2009. They now kill more people annually than alcohol, Aids, car accidents, illegal drugs, murders and suicides combined.

The West now consumes fewer and fewer of the world's cigarettes: richer countries have changed – from smoking 38 per cent of the world total in 1990, they cut down to 24 per cent in 2009. Meanwhile, the developing world's share in global cigarette sales has increased sharply, rising to 76 per cent in 2009.

An investigation by The Independent on Sunday reveals that tobacco firms have taken advantage of lax marketing rules in developing countries by aggressively promoting cigarettes to new, young consumers, while using lawyers, lobby groups and carefully selected statistics to bully governments that attempt to quash the industry in the West.

In 2010, the big four tobacco companies – Philip Morris International, British American Tobacco, Japan Tobacco and Imperial Tobacco – made more than £27bn profit, up from £26bn in 2009.

The price of their profits will be measured in human lives. In the 20th century, some 100 million people were killed by tobacco use. If current trends continue, tobacco will kill a billion people in the 21st century.

In striving for greater profits, the big tobacco firms have pushed the average price of cigarettes up in rich countries such as Britain – where 20 cigarettes now cost more than £6 a pack – while hammering down the price paid to tobacco growers in poorer countries such as India and Malawi. Although around 77 per cent of the price of a pack is tax, the amount charged by tobacco companies has also increased.

A major investigation by the Office of Fair Trading last year found that a dozen tobacco manufacturers and retailers in the UK had colluded in price fixing, ensuring that packs remained at higher prices to maximise profits. The largest fine was one of £115m for Imperial Tobacco, makers of Lambert & Butler and Golden Virginia. The fine made a minimal dent in its profits for 2010, which topped £4.39bn.

Meanwhile in Malawi, where tobacco farming is heavily relied upon for the economy, the country's anti-corruption bureau has accused tobacco companies of colluding to keep prices paid to farmers for the raw product low. Tobacco auction rooms have become a battleground between government and industry, as a kilo of leaves plummeted from an average of £1.06 per kg in April 2009 to 47p per kg this year. The knock-on effect of this on farms is near-slave wages for workers and a temptation to use cheap (or free) child labour.

Anna Gilmore, professor of public health at the University of Bath, said: "What most people don't realise is that, although sales are falling in the West, industry profits are increasing. These companies remain some of the most profitable in the world. This is thanks in part to their endless inventive ways of undermining and circumventing regulation. They're trying to reinvent their image to ingratiate themselves with governments, but behind the scenes it's business as usual."

This year's World No Tobacco Day [May 31] is focusing on persuading more countries to sign a global treaty drawn up by the World Health Organization to ensure public health protection from smoking. Although 172 countries have signed up to the Framework Convention on Tobacco Control since it was produced six years ago, 20 per cent of them have still done nothing at all to implement its recommendations, and major countries, including the US and Indonesia, are still not even signatories.

In Indonesia alone there are 21 million child smokers. There is little to stop companies promoting cigarettes to young people. In countries such as Nigeria, Ukraine and Brazil, tobacco companies have sponsored club nights or parties aimed at attracting new young users. In Russia, attempts to entice women smokers have included packaging made to look like jewel-encrusted perfume bottles and even selling cigarettes branded by the fashion house Yves Saint Laurent.

Dr Armando Peruga, programme manager for the WHO's tobacco free initiative, said: "We need to do more. We need to stop the tobacco industry promoting themselves as normal corporate citizens when they are killing people every day. We are lagging behind in establishing comprehensive bans on advertising, marketing, promotion and sponsorship."

When countries in these emerging markets try to clamp down on tobacco, the battle often ends up in the court room. In Uruguay, for example, the government had been leading the way under President Tabaré Ramón Vázquez Rosas, a former oncologist. In 2006 it became the first in the region to ban smoking in public places and now it wants 80 per cent of every pack of cigarettes to be taken up with health warnings.

In response, Philip Morris has sued the government. It is thought that the company will demand at least $2bn in damages if Uruguay loses.

Courtroom bullying like this has a broader intimidatory effect on other governments in the region, which were already less inclined towards legislating further against smoking.

Laurent Huber, director of the Framework Convention Alliance on tobacco control, said: "In countries like Uruguay, the tobacco industry uses its vast wealth to tie up public health measures in court battles. Win or lose, this has a chilling effect on other governments."

These tricks are by no means confined to the less-regulated emerging countries. In Australia, which will become the first country to introduce plain packaging for cigarettes by law, the industry has been accused of scaremongering against the measures by threatening to flood the market with cheap fags.

In Britain, the industry is also prone to taking any measures necessary to keep regulation at bay. This autumn a group of tobacco companies is taking the Government to court over its proposals to ban cigarette displays in all shops.

More often in the UK, though, Big Tobacco's attempts to alter public opinion are more subtle. A study from Action on Smoking and Health (ASH), out this week, scrutinises the credibility of economic arguments used by the industry to fight back against legislation. For example, when Christopher Ogden, chief executive of the Tobacco Manufacturers Association, said in 2010 that the smoking ban had severely threatened the pub and bingo industry because of lost jobs and livelihoods, the reality was a little different. Data from the Office for National Statistics shows a net increase in the number of people visiting pubs since the smoking ban. When England went smoke-free in 2007, the number of premises licensed for alcohol increased by 5 per cent, and it has continued to grow every year since.

Deborah Arnott, chief executive of ASH, said: "In line with our international treaty obligations, the UK government has not only banned advertising and put health warnings on packs, but also committed to protect public health policies from the commercial and vested interests of the tobacco industry. To get round this, the industry uses front groups to covertly lobby politicians, arguing that smoke-free legislation has destroyed the pub trade, and that putting tobacco out of sight in shops will both be ineffective and put corner shops out of business.

"The next big battle is over putting cigarettes in plain packs. Already the same arguments are being used. The evidence is thin or non-existent, but no matter, the danger is that policy makers will be misled that where there's smoke, there's fire."

The winners...
Louis C Camilleri
CEO of Philip Morris
Made £12.4m last year. Recently told a nurse that cigarettes "weren't that hard to quit".

Nicandro Durante
CEO, British American Tobacco (BAT)
Paid £2.4m last year. Formerly led Souza Cruz SA, BAT's Brazilian unit, and also headed BAT's African and Middle Eastern businesses.

Alison Cooper
CEO, Imperial
Paid £1.9m last year. Former sales and marketing regional director for western Europe.

The losers...
Sean Nicholson, 43
From Jarrow, Tyne and Wear
"I started smoking when I was 11. I worked in the shipyards for 15 years and always smoked. I was diagnosed with chronic obstructive pulmonary disease at 34, and later on it turned out I had emphysema too. The specialists said I was the youngest case they had ever seen. Soon I couldn't breathe if I walked a few steps. The consultants said I had the lungs of a 90-year-old. Seven weeks ago I had a double lung transplant. Now I can breathe again and I can't stand the sight of people smoking. It took getting new lungs to realise how silly I'd been."

Ryan Gamble, 17
From Chester-le-Street, Durham
"I've smoked for about six years. I started because my friends were doing it and I just kept the habit going. I hated it at first, I choked. I smoke about 10 or 15 a day and it's hard to quit. I work in a chip shop and half of my wages go on that [smoking]. I wish I'd never started. You wake up coughing and you can't run anywhere."

Sharon Gould, 53, and her son Ben, 10
From Whetstone, Leicestershire
"I started smoking when I was 14. I quit when I was pregnant with Ben but then I started again. I used to smoke in the house when he was in another room, or smoke in the car with the window down. Ben was around two when we discovered he had asthma. I understand what I've done and I want to put it right. I gave up three years ago. It's too late for Ben, but I want to help other parents not make the same mistakes. It could be genetic, but statistics say that I am partly responsible for my son's asthma. It was Ben that made me stop. Ben didn't like smoking and I don't blame him. He used to say 'Please mummy, don't smoke, it's horrible.'"

José Carlos Carneiro, 64
From Rio de Janeiro, Brazil
"I began to smoke when I was 15 years old, influenced by tobacco advertising and wanting to make a good impression with girls who studied at my school. I had both my legs amputated in 1983 thanks to Buerger's disease [associated with smoking]. If I had not been a smoker I would have a fantastic life."




EXCERPTS from UPI, May 30, 2011, "Tobacco giant Philip Morris suing Uruguay over ban", no writer stated.

Tobacco giant Philip Morris is suing Uruguay in a world tribunal over a smoking ban that it sees damaging its business prospects.

The extraordinary legal action, if successful, will see the state of Uruguay hauled before the International Center for Settlement of Investment Disputes, a World Bank branch.

Anti-tobacco campaigners have hailed Uruguay's tough stand on tobacco. Analysts said Philip Morris chose a small Latin American for potentially precedent-setting litigation instead of taking on major countries in the West that all have legislated with varying degrees of enthusiasm to discourage tobacco use.

ICSID is an autonomous international institution established under the Convention on the Settlement of Investment Disputes between states and nationals of other states. ICSID is mandated to provide facilities for conciliation and arbitration of international investment disputes.

As legal curbs have targeted smoking in workplaces and public transport in most industrial countries in the Western Hemisphere, tobacco use has grown or continues at even levels in emerging markets in Asia, Africa and Latin America.

The Philip Morris claim against Uruguay argues the Latin American country's laws are damaging the company's commercial interests.

Uruguay began its campaign against tobacco use about four years ago and continued despite change of government. Former Uruguayan President Tabare Vazquez banned smoking in public buildings and later government curbs made the ban tougher. A total blackout of tobacco advertising was reinforced with a requirement for cigarette manufacturers to display prominent health warnings on cigarette packs.

The Uruguayan ban didn't spare smoking products designated as "light."

The legal first by Philip Morris was seen by officials as a potential test case in which the manufacturer appeared emboldened by the Latin American country's relative small size and perceived expectation it wouldn't have pockets deep enough to fight the case in an international forum. U.S. lawyer Paul Reichler, an expert on international public law, is expected to lead the defense team.

Uruguay says the government is within its rights to defend health of its citizens.

Reichler, quoted in the Uruguayan media and MercoPress, said the defense would question a Philip Morris argument that Montevideo was bound by agreement to protect investments.

To counter that argument, the defense would argue the government was fully within its rights not to allow economic activities that damage the public health.

"The treaty establishes that by sovereignty Uruguay has the right to prohibit unhealthy activities ... With its anti-tobacco laws the country does not attack the investments of Philip Morris, it only imposes limits to an activity that is to promote and to commercialize harmful products," said Reichler.

International health groups said they support Uruguay's decision not to bow to pressure from Philip Morris.

The groups include the American Cancer Society, Framework Convention Alliance, Campaign for Tobacco-Free Kids, Corporate Accountability International, InterAmerican Heart Foundation and International Union Against Tuberculosis and Lung Disease.

Uruguay's tobacco control laws are some of the toughest in the world, including graphic health warnings that cover 80 percent of cigarette packages and a policy of one package per brand, which was adopted to deter the tobacco industry's use of packages with colors and other symbols substituting brand descriptions such as "light" and "low tar."




EXCERPTS from The Richmond Times-Dispatch, May 20, 2011 print/online, "Altria: Smoking is addictive", by John Reid Blackwell.

The top executive of tobacco giant Altria Group Inc. told shareholders Thursday that smoking is addictive and can be very difficult to quit.

The comment by Michael E. Szymanczyk, Altria's chairman and chief executive officer, came as part of a presentation to shareholders about the company's 2010 business results, though he also focused heavily on the company's philanthropic giving and its programs to prevent youth smoking and to comply with the Food and Drug Administration's regulation of tobacco products.

"Because tobacco use is addictive and it can be very difficult to quit, our tobacco companies help connect adult tobacco consumers who have decided to quit with cessation information from public health authorities," Szymanczyk said during the annual meeting at the Greater Richmond Convention Center.

His comment reflects the company's official position, but stood in contrast to a comment made last week by Louis C. Camilleri, the chief executive officer of Philip Morris International Inc.

Camilleri said cigarette smoking is addictive but is "not that hard to quit" and that former smokers outnumber current smokers in the U.S.

His statement was in response to a shareholder comment at Philip Morris International's annual meeting in New York City. Camilleri is the former CEO of Altria Group, which spun off Philip Morris International as a separate company in 2008.

Philip Morris International sells cigarettes internationally, while Henrico County-based Altria Group, the parent company of top U.S. cigarette-maker Philip Morris USA, sells tobacco products in the U.S. market. The company is a major employer in the Richmond area and a significant buyer of Virginia-grown tobacco.

Three tobacco-control activists at Altria's meeting Thursday pressed Szymanczyk to elaborate on his comment. He referred them to the company's position on smoking and addiction outlined on its website.

"I would simply say that what I said is on our website," Szymanczyk said in response to one activist's question about why his comments contradicted Camilleri's.

"There is nothing new here," Szymanczyk said. "This is the Altria Group shareholders meeting, and we discuss the business of Altria Group."

One shareholder and tobacco-control advocate, Anne Morrow Donley of Richmond, asked Szymanczyk whether he would advise people not to smoke around women of child-bearing age. Donley cited several recently published studies showing that exposure to secondhand smoke by pregnant women can harm the fetus and cause health problems such as low birth weight in infants.

"For some time, our position has been that people should be guided by public health authorities relative to issues of smoking and health, including secondhand smoke," Szymanczyk said. "I also think that our position has been clear that pregnant women shouldn't smoke and that children and pregnant women shouldn't be exposed to smoke."

Altria shareholders overwhelmingly voted to reject a proposal offered by some tobacco-control advocates for the company to stop making tobacco products with added characterizing flavoring unless and until independent research shows that added flavors do not contribute significantly to youth tobacco use.

The Rev. Michael Crosby, a tobacco-control advocate from Milwaukee, argued that adding flavors to tobacco products entices underage users.

Altria's board of directors recommended shareholders reject the proposal, saying it would put the company at a competitive disadvantage because "millions of adult tobacco consumers prefer tobacco products offered in a wide range of flavor varieties."

The FDA has been studying whether to ban or restrict menthol flavoring in cigarettes. An FDA scientific advisory committee concluded in March that removing menthol from cigarettes would benefit public health, but it did not formally recommend a ban. ...


EXCERPTS from USA TODAY, May 11, 2011, "Philip Morris Int'l CEO: Tobacco not hard to quit", by Michael Felberbaum, Associated Press.
Please Note:  Below is a second article on this topic.  Also, please see article above from The Richmond Times Dispatch, re. comment by Altria CEO, Szymanczyk on addiction.
RICHMOND, Va. — The head of cigarette maker Philip Morris International (PM) told a cancer nurse Wednesday that while cigarettes are harmful and addictive, it is not that hard to quit.

CEO Louis Camilleri's statement was in response to comments at its annual shareholder meeting in New York, in which the seller of Marlboro and other brands overseas spent most of the gathering sparring with members of anti-tobacco and other corporate accountability groups targeting its marketing and regulatory dealings.

The nurse, later identified as Elisabeth Gundersen from the University of California-San Francisco, cited statistics that tobacco use kills more than 400,000 Americans and 5 million people worldwide each year. She is a member of The Nightingales Nurses , an activist group that works to focus public attention on the tobacco industry.

She also said a patient told her last week that of all the addictions he's beaten — crack, cocaine, meth — cigarettes have been the most difficult.

In response, the often unapologetic Camilleri said: "We take our responsibility very seriously, and I don't think we get enough recognition for the efforts we make to ensure that there is effective worldwide regulation of a product that is harmful and that is addictive. Nevertheless, whilst it is addictive, it is not that hard to quit. … There are more previous smokers in America today than current smokers."

Camilleri is a longtime smoker. An April 2009 BusinessWeek article quoted him as saying he had quit only once, for three months when he had a cold. Following Wednesday's meeting, the company reiterated its position that "tobacco products are addictive and harmful."

Matthew Myers, president of the Campaign for Tobacco-Free Kids, said the comments represent the "most irresponsible form of corporate double-speak."

"Study after study has documented the powerful addiction to cigarettes is one of the most difficult to overcome of any drug anywhere in the world," Myers said. "It is stunning in the face of overwhelming science for the leader of the world's largest private tobacco company to deny how difficult and addictive cigarettes are."

Morningstar analyst Philip Gorham said addictiveness is why tobacco is such a profitable business.

"It's in the interest of executives to give the impression that they don't want new smokers to take up smoking, that they believe that people who do, can quit, but the statistics tell another story," Gorham said.

There are more 1 billion tobacco users in the world, according to the World Health Organization. While global figures are not widely available, the U.S. Public Health Service says about 45% of U.S. smokers try to quit each year, and only 4% to 7% of them are successful.

Last year, Philip Morris International saw its profit grow 14.5% as its net revenue excluding excise taxes rose 8.7%. The company has raised prices and focused on emerging markets for growth ...

Philip Morris International, with offices in New York and Lausanne, Switzerland, was spun off from Richmond, Va.-based Altria in March 2008.

Philip Morris International is the world's largest non-governmental cigarette seller, smaller only than state-controlled China National Tobacco.



EXCERPTS from Money.MSN, May 11, 2011, 2:02 PM, "Cigarettes not that hard to quit?  The top executive at Philip Morris tells shareholders that smokes aren't so addictive", by Kim Peterson.
Please Note:  Please see above article also.
...  Louis Camilleri was asked about the issue [addiction] at the company's annual shareholder meeting. A nurse said that one of her patients told her it was harder to quit cigarettes than crack, cocaine or methamphetamine.

Camilleri acknowledged that cigarettes are harmful and addictive. "Whilst it is addictive, it is not that hard to quit," he told the nurse. "There are more previous smokers in America today than current smokers."

There are flaws all over that logic. The fact that more people have quit does not mean it's easy to do so. Of the 19 million U.S. adults who tried to quit in 2005, only 4% to 7% were successful, one study showed. Huge industries have been built around the fact that people can't easily quit, offering nicotine gum, inhalers, lozenges, nasal sprays or patches for help.

Camilleri himself has only quit once, for three months when he had a cold, and is still a smoker today, the Associated Press reports.

Still, it's not that shocking that he would take this stance. The tobacco industry has fought hard against every health claim that could hurt sales. The industry hid the true dangers of smoking, and wouldn't admit for decades that cigarettes were addictive.

So of course executives would now say that cigarettes aren't hard to quit.

"It's in the interest of executives to give the impression that they don't want new smokers to take up smoking, that they believe that people who do, can quit, but the statistics tell another story," a Morningstar analyst told the Associated Press.

But Camilleri is partly right: There are more ex-smokers in this country than there are smokers. That has led Philip Morris to look overseas for new growth, focusing on emerging markets.



EXCERPTS from The Winston-Salem Journal, May 5, 2011, "Reynolds American takes step", by Richard Craver.
Reynolds American Inc. took a step Friday toward finding common ground with groups representing migrant farm workers in addressing laborers' work and living conditions.

The company pledged to use an independent, third-party monitor to assess the working conditions at U.S. tobacco farms that supply product to Reynolds.

The company also proposed a council that would involve tobacco manufacturers, growers, the N.C. Labor Department, agricultural scientists, farm workers and their representatives, such as the Farm Labor Organizing Committee [FLOC], and possibly other stakeholders.

The issue has been raised for at least four years at Reynolds' annual shareholders meeting, including the one held Friday in Winston-Salem. Groups wanting to protest Reynolds' policies typically buy its shares to be able to speak at the meeting.

Reynolds repeated its stance that it is not the company's role to negotiate on behalf of non-Reynolds workers. In February 2010, Reynolds' board of directors announced a "Statement on Human Rights" — on its website — for how it and its operating companies conduct their businesses.

There was some scoffing among farm-worker representatives when Daniel Delen, who took over as chief executive and president of Reynolds in March, said, "We believe no company has done more than R.J. Reynolds to promote farm-worker safety and improved working conditions on tobacco farms in North Carolina and beyond."

However, Reynolds' two updates to its policies appeared to take some tension out of the room because they were acknowledgments that the company is willing to take a more visible role in worker conditions. Both address the requests of farm-worker representatives.

It was not clear whether the proposals were a reflection of Delen's role as top executive compared with Susan Ivey, who retired Feb. 28, or an evolution of Reynolds' stance on the issue. Delen could not be reached for comment after the meeting.

The FLOC has been demanding that Reynolds use its clout to pressure its suppliers to improve conditions and raise wages for the state's 30,000 tobacco farm workers.

Reynolds said its suppliers are required to certify they have received training from the Good Agricultural Practice program before its subsidiaries buy tobacco from them.

In proposing a council to examine the issue, Delen said, "Formation of such a council, when properly constituted, might well make a significant contribution to the improvement of worker safety and living conditions on the farms."

"We believe that making progress on ensuring a safe and legal work environment for U.S. farm workers can best be achieved by taking this broader view of the situation."

Delen said its legal officials are meeting Monday with Oxfam America and FLOC officials to begin the process of determining the lead official of the council.

"We want a leader who is independent, socially conscious and with no financial conflicts," Delen said.

FLOC held a protest downtown Friday with about 130 participants. The group also was armed with a report that it said documented sub-minimum wages, needlessly dangerous conditions in the fields and inhumane living conditions at some N.C. tobacco farms last year.

Both Delen and Tom Wajnert, Reynolds' chairman, referred to the report and its multi-party proposal several times during the meeting. Reynolds has suggested a multi-party approach on its website.

"This research reveals an industry that systematically exploits farm workers' fears of arrest and deportation to deprive them of their basic, internationally recognized human rights," said Minor Sinclair, the director of Oxfam America's U.S. regional office.

"We hope the people who can truly influence Reynolds American will review this meticulously documented, first-hand research and take the suggested actions contained in the report. Nothing less is acceptable."

The N.C. Labor Department has said that most farmers in North Carolina adhere to the worker standards. Some protesters have questioned how active regulators and enforcement officials have been in addressing working and living conditions.

"As for Reynolds Tobacco, in our experience they have been very proactive when it comes to safety and health training," said Dolores Quesenberry, department spokeswoman.

The Rev. Michael Crosby, representing the Interfaith Center on Corporate Responsibility, said Reynolds is following the path taken by Altria Inc. and Philip Morris International in coming to the table. "I see a glimmer of hope on an issue we having been raising for a number of years," Crosby said at the meeting. "For your willingness to participate with stakeholders, I sprinkle holy water on you.

"Yet, because these discussions are going on at the highest levels with Altria and Philip Morris International, I would urge you to take it to the same level here."

The response to Reynolds' proposals by many protesters was simply "prove it."

"There remain questions on whether this council will look pretty and pretend to look into the labor issues, or it actually does address the issues and push for changes in a timely fashion," Viridiana Martinez said.

"It is progress and it is about time, but we will continue to put pressure on them to do the right thing. It's not enough to decide to be nice now. I still don't know how these Reynolds leaders sleep at night." ...




Oxfam America, "A state of fear: Human rights abuses in North Carolina’s tobacco industry,
Research Report", Published: May 05, 2011
Publication Summary
America’s migrant farmworkers toil for sub-poverty wages under some of the most dangerous working conditions in the nation. Oxfam America and the Farm Labor Organizing Committee have completed a joint study of the tobacco industry’s impact on the human rights of farmworkers in the fields of North Carolina. This is a summary of the findings.




EXCERPTS from The Los Angeles Times, April 5, 2011, "Secondhand smoke isn't just bad for kids' bodies, it's bad for their brains", by Karen Kaplan.
Children and teens exposed to secondhand smoke are more likely to develop symptoms for a variety of mental health problems, including major depressive disorder, attention-deficit/hyperactivity disorder and others, according to a study published in Tuesday’s edition of the journal Archives of Pediatrics and Adolescent Medicine.

At this point, it should come as no surprise to anyone that exposure to tobacco smoke is unhealthy. Plenty of studies have linked secondhand smoke to respiratory problems, asthma, sudden infant death syndrome, middle ear infections and other physical health problems. But the link between secondhand smoke and mental health has not been examined as closely.

The new study is believed to be the first that looks at how secondhand smoke exposure – as measured by the presence of a nicotine metabolite in the blood – is associated with mental health in a nationally representative sample of American kids and teens.

Researchers from the National Institutes of Health, the University of Miami and Legacy, the nonprofit that fights tobacco use, used data on 2,901 youths who were between the ages of 8 and 15 when they were part of the National Health and Nutrition Examination Survey from 2001 to 2004. As part of the study, the kids were asked to provide blood samples; those who were exposed to secondhand smoke had higher levels of the cotinine, which is produced as the body metabolizes nicotine. The kids were also assessed for a variety of mental health disorders as defined by the National Institute of Mental Health’s Diagnostic Interview Schedule for Children Version IV.

Here’s what the researchers found: On average, the kids had almost five symptoms of major depressive disorder, almost four symptoms of ADHD, almost three symptoms of generalized anxiety disorder and more than one symptom of conduct disorder.

After taking into consideration the kids’ health history and other factors, the researchers determined that levels of cotinine in the blood were strongly correlated with ADHD symptoms and weakly linked with symptoms of major depressive disorder, conduct disorder and generalized anxiety disorder. Overall, the links between cotinine and psychiatric symptoms were greater for boys than for girls, and for whites compared to blacks and Mexican Americans.

But none of those symptoms added up to a single diagnosis of a mental health disorder that could be linked with exposure to secondhand smoke in the children and teens in the study. At first, it looked like higher cotinine levels might be associated with a higher risk of ADHD. But upon further analysis, it turned out that the increased ADHD risk was actually due to smoking by mothers during pregnancy.

Still, the authors make the undeniable point that there’s no upside to secondhand smoke for kids, teens – or anyone else:

“Efforts to ban smoking in public places where children and adolescents are present, including all child care settings and schools, should continue, as well as increased efforts to develop interventions targeted directly at parents and and designed to prevent [secondhand smoke] exposure in the homes of children and adolescents.”




EXCERPTS from The Japan Times, March 28, 2011, "Firms prefer pushing tobacco to the poorest", by Cesar Chelala, M.D., an international public health consultant.

NEW YORK — Facing greater restriction in the United States and other industrialized countries, multinational tobacco companies are increasingly marketing their products in developing countries, particularly among women and adolescents.

While smoking rates in some industrialized countries are decreasing at about 1 percent a year, those in developing countries are increasing at around 3 percent.

It is estimated that, if current trends persist for the next 30 years, up to 7 million people from developing countries will die every year from diseases related to smoking.

For the past several years, corporations such as Philip Morris, RJ Reynolds, and British-American Tobacco have been expanding rapidly in Eastern Europe, Asia, Africa and Latin America.

Tobacco-provoked deaths can only add to the inequities in health of ethnic and minority populations.

Jeanette Noltenius, an expert on tobacco and alcohol abuse issues, stated recently, "In the U.S., minorities such as Hispanics have been specifically targeted by the tobacco companies since the early 1960s, and have received a double dose of advertising (in Spanish and English)."

According to data from the Bureau of Census, U.S. Department of Commerce, the number of young Latino smokers is expected to triple by 2020, accounting for 19 percent of young American smokers, up from 9 at present.

Since the early 1980s, American trade officials, with help from the Office of the U.S. Trade Representative, have led a sustained campaign to open markets in Japan, South Korea, Taiwan and Thailand among the Asian nations.

In Taiwan, U.S. officials' efforts to force Taiwan to open its markets to U.S. tobacco products have resulted in increased smoking, particularly among women and children. Talking about U.S. government support for American tobacco companies, a corporation executive remarked: "We expect such support. That's why we vote them in."

These actions have prompted the Asia-Pacific Association for the Control of Tobacco to protest strongly against what they consider an invasion of their countries by U.S. companies targeting Asian women and children.

The association has complained about strong-arm tactics used by U.S. government officials in their countries. A report from the U.S. General Accounting Office established that "U.S. policy and programs for assisting the export of tobacco and tobacco products work at cross purposes to U.S. health policy initiatives, both domestically and internationally."

Several studies show that in the poorest households in developing countries, 10 percent or more of the total household expenditure is on tobacco. As a result, there is less money for basic items like food, education and health care needs, thus leading to increased malnutrition, illiteracy and premature death.

In China, tobacco companies have been moving steadily inland with intense promotional campaigns. It is estimated that of the world's 1.71 billion smokers, more than 350 million are in China, where lung cancer has been increasing 4.75 percent a year.

The Chinese government is facing the dilemma of promoting tobacco cessation policies while it heavily depends on earnings from the state-run monopoly tobacco company.

Researchers with the School of Public Health at the University of California state that raising the tobacco tax by the equivalent of 15 cents per cigarette pack could save more than 13 million lives and generate $9.5 billion in revenue for the Chinese government.

Lured by financial gains from growing tobacco, millions of hectares in China are presently under cultivation. Gains from the sale of tobacco, however, may be just short term, since the costs of treating lung cancer and other related diseases amply exceed the tobacco profits. According to experts, those excess health care costs amount to $200 billion annually on a global scale, one-third of which is incurred by developing countries.

While anti-smoking efforts gather momentum in the U.S., those efforts are far less effective in developing countries. Such countries' policies will not be as effective unless transnational tobacco firms are made to limit their aggressive advertising.

Countries in Asia and Latin America are conducting health education campaigns and have passed legislation to control smoking. Up to now, several countries worldwide have enacted legislation to control tobacco consumption. Although, in general, this legislation has been passed at the national level, in the U.S., Canada, and in several Latin American and Caribbean countries, these laws are being enacted by state or local bodies.

Despite increasing condemnation by public health officials and the World Health Organization, international companies continue with their indiscriminate tobacco-promotional efforts in developing countries, exacting a high human toll. ...



EXCERPTS from Environmental Research, March 2011 online, "Secondhand Smoke Exposure During Pregnancy and Infantile Neurodevelopment", authors BE Lee, YC Hong, H Park, et al.
"During prenatal development, the nervous system may be more susceptible to environmental toxicants, such as secondhand smoke. The authors assessed the effects of prenatal and postnatal secondhand smoke exposure on the neurodevelopment of 6-month infants. The subjects were 414 mother and infant pairs with no medical problems, taken from the Mothers' and Children's Environmental Health study. Prenatal and postnatal exposures to secondhand smoke were determined using maternal self-reports. Examiners, unaware of exposure history, assessed the infants at 6 months of age using the Bayley Scales of Infant Development. Bayley scores were compared for secondhand smoke exposed and unexposed groups after adjusting for potential confounders. Multiple logistic regression analysis was carried out to estimate the risk of developmental delay posed by SHS exposure. The multivariate model included residential area, maternal age, pre-pregnancy body mass index, education, income, infant sex, parity, birth weight, and type of feeding."

"... SHS [Secondhand Smoke] is composed of more than 4,000 chemicals, such as nicotine, polycyclic aromatic hydrocarbons (PAHs), aromatic amines, and carbon monoxide, and many of these substances are known to cross the placenta and reach the fetus. Although SHS exposure is a diluted form of exposure, certain toxic chemicals are present at higher proportions in SHS than in mainstream smoke. Furthermore, it has been reported that tobacco smoke can affect the developing fetal nervous system by reducing oxygen and nutrient flow to the fetus, and that prenatal nicotine exposure alters neurotransmission systems and causes structural and functional changes in the central nervous system."

"In this study, we found that prenatal SHS exposure is associated with a significant decrease in cognitive function in 6-month infants. This finding provides evidence of the adverse effect of maternal SHS exposure during pregnancy on child neurodevelopment."

"This study shows that the exposure of non-smoking mothers to SHS [secondhand smoke] has a significant deleterious effect on infant cognitive ability."





EXCERPTS from the Associated Press, article in The Richmond Times-Dispatch, March 10, 2011, "Spain: 'Hair' musical respects new smoking law", by Daniel Woolls.
MADRID (AP) -- Actors playing joint-puffing hippies in a Spanish adaptation of the American musical "Hair" are not violating a new law banning tobacco-smoking in enclosed public places, an official said Thursday.

A spectator had complained it might be tobacco the actors are smoking, and a formal complaint was filed with the play's producers, Barcelona city health department official Manel Pineiro said. But the production company ultimately showed the cigarettes were just herbs like basil.

He said a letter was sent a few days ago to the theater saying it was not violating a new Spanish law that bans smoking in all enclosed public places and that the complaint from the spectator had mushroomed out of all proportion.

The play's artistic director, Joan Lluis Goas, said the warning the theater had originally received was "too much" and that artistic and cultural expression should be protected from "silliness and irrationality."

Separately, a restaurant owner in southern Spain who had emerged as one of the most outspoken critics of the law and let his customers keep smoking - only to be fined euro145,000 ($200,000) and forced to shut down last month - reluctantly reopened smoke-free on Thursday, saying he had to make a living and keep his workers employed.

Jose Eugenio Arias Camison, who runs a Basque-style restaurant in the southern resort town of Marbella, said the hospitality industry in Spain is taking a big hit because of the new ban on smoking in bars in restaurants, which took effect Jan. 2. ...



EXCERPTS from news release, Public Health Advocacy Institute, February 24, 2011, Florida jury returns multi-million verdict against tobacco companies
.
A jury in Gainesville, Florida today [2/24/2011] assessed punitive damages in the amount of $1.5 million against R.J. Reynolds Tobacco Co. (RJR) and another $1.5 million against Philip Morris (PM) in an Engle Progeny case. The same jury on Tuesday night awarded the family of John Huish $750,000 in compensatory damages, attributing 25% fault to RJR, 25% to Philip Morris and 50% to Mr. Huish. So, the compensatory damages award will be reduced by 50%.

Of the 35 Engle Progeny trials that have reached a jury verdict since February 2009, 24 have been plaintiff verdicts (69%).

Mr. Huish, who died of small-cell lung cancer in 1993 at the age of 64, had started smoking two decades before warning labels appeared on cigarette packs. He started smoking Lucky Strikes, followed by Camel, Chesterfield, Marlboro and then Marlboro Lights. Mr. Huish’s widow, Anna Louise Huish, brought the lawsuit and is represented by the West Palm Beach firm of Searcy, Denney, Scarola, Barnhart & Shipley.

Senior Attorney for the Tobacco Products Liability Project at Northeastern University School of Law (TPLP), Edward L. Sweda, Jr. was delighted with the verdict: “This jury was justifiably appalled by what it learned about the tobacco companies’ outrageous misconduct during the decades that John Huish was an addicted customer. Someone who is not addicted would not have smoked two or more packs per day for 46 years, as Mr. Huish did before succumbing to lung cancer.”

TPLP Director Mark Gottlieb noted that, “Jury after jury of ordinary folks have found the way that cigarette makers conduct their business is deserving of punishment. With thousands of these cases in the pipeline in Florida, it’s going to be a long slog for Philip Morris and R.J. Reynolds.”




EXCERPTS from The Korea Herald, February 7, 2011, "Smoking to be banned at three Seoul plazas", by Bae Ji-sook.

Smoking will be prohibited at three main squares in central Seoul from March and those who break the ban will be fined 100,000 won ($94) from June after a three-month grace period.

Under the city administration’s ordinance putting stricter regulations on outdoor smoking, the no-smoking public areas will be expanded to 23 parks by September and 295 bus stops on central lanes by the end of the year.

The administration will install warning signs around the three squares ― Seoul, Gwanghwamun and Cheonggye ― by the end of this month.

The measure aims to reduce the public’s exposure to second-hand smoke, and the associated health risks.

Currently, large buildings and indoor public areas are designated as smoke-free. Experts are demanding more steps to induce people to quit smoking.

According to the Ministry of Health and Welfare, the smoking rate among adults here was 39.6 percent last year, one of the highest among OECD member states. The average smoking rate of 31 member states was 27.3 percent as of the end of 2008.

The National Health Insurance Corporation estimates 2.7 trillion won is spent annually to treat smoking-related diseases at medical institutions and pharmacies. It reported that 40-something smokers are likely to die some 6.28 years earlier than their non-smoker peers and spend 11.2 million won more to be treated for cerebral vascular diseases.

The Korea Institute for Health and Social Affairs in 2007 calculated the socioeconomic costs of smoking to be 5.6 trillion won including money for treatment, nursing and transportation as well as loss of income and damage from second-hand smoking. It is equivalent to 14 billion won lost a day, the institute said.

In a survey by the Health Ministry of 3,000 randomly-selected adults nationwide last year, the majority picked expansion of non-smoking areas to be the most effective measure against smoking, followed by cigarette price hikes, regulations and public campaigns.



EXCERPTS from The News & Observer, Raleigh, North Carolina, February 4, 2011, "Raleigh bans smoking in city parks", by Josh Shaffer.
The Raleigh City Council on Tuesday banned lighting up in all public parks and greenways but two: Nash and Moore squares downtown.

Smoking in the city's green spaces is also acceptable - if it's kept to the parking lot.

The council's 6-2 vote caps a month of debate that pitted public health against private rights. Supporters spoke of cleaner air and less litter. Opponents predicted problems with enforcement and the exclusion of residents from public spaces.

Laura Aiken, executive director of Advocates for Health in Action, commended the council for reducing trash and limiting secondhand smoke, noting that Raleigh "can be a positive example for the rest of the county."

But Dallas Woodhouse, state director of Americans for Prosperity [Koch brothers financed advocacy group according to LA Times], says the law makes criminals out of people engaged in legal activity - and said it might force people to smoke indoors, near children.

The law takes effect July 1.


EXCERPTS from the BBC, February 3, 2011, "New York [City] smoking ban extended to parks and coastlines", no writer stated.
Some of the toughest anti-smoking measures to be adopted in a major city have been approved by councillors in New York.

The measures are set to extend a smoking ban to municipal parks, beaches and even Times Square.

The ban will take effect three months after it is signed by New York Mayor Michael Bloomberg.

It will make it an offence to light up in any of the city's 1,700 parks and along 14 miles (23km) of coastline.

"This summer, New Yorkers who go to our parks and beaches for some fresh air and fun will be able to breathe even cleaner air and sit on a beach not littered with cigarette butts," Mr Bloomberg said after the 36-12 vote.

The ban is set to encompass pedestrian areas like the one in Times Square.

It will give the city's Parks Department the power to impose fines similar to those used for minor offences like begging or public urination. They carry fines of under $100 (£62).

But the city expects the law to be primarily self-enforced, relying on residents to tell anyone lighting up in a park on a beach that it is illegal, one councillor said. Police will not be responsible for enforcing it, she added.

However, some of those councillors who voted against the measures denounced them as an infringement on individual rights.

Smoking was banned in New York's bars and restaurants nearly a decade ago.

Smoking is also prohibited in Los Angeles city parks and in Chicago parks with playgrounds.


Several legislative measures on tobacco vs. health are before the Virginia General Assembly which is in its "short" session this year, January 12 -- February 26, 2011.   The general legislative web site gives links to finding which state senator and delegate represents those living in each part of Virginia and their during the session phones and e-mails.

EXCERPTS from The Virginian-Pilot, January 24, 2011, "Raise taxes on cigarettes? Not in Virginia, says House panel", writer Bill Sizemore.

... Three bills that would have authorized additional taxes on cigarettes were extinguished with no discussion today in the House Finance Committee.

That means Virginia’s current cigarette tax rate of 30 cents per pack won’t change. It’s the next-to-lowest rate in the country – only Missouri’s is lower, at 17 cents.

HB1815, introduced by Del. Patrick Hope, D-Arlington County, would have raised the per-pack rate to $1.45, the national average. HB1750, offered by Del. Ken Plum, D-Fairfax County, would have raised it to 80 cents.

HB2138, sponsored by Del. Bill Barlow, D-Isle of Wight County, would have enabled all Virginia counties to impose a local cigarette tax. Only Fairfax and Arlington counties can do so now. So can cities and towns.

“To me, it should be a no-brainer,” said Barlow, who has introduced the measure for several years at the request of county governments in his district that would like to lessen their reliance on the real estate tax. But the subcommittee that considered the bills last week was having none of it.

“At least they complimented me on my persistence,” Barlow said.

Hope’s bill would have directed most of the new cigarette-tax proceeds toward shoring up Medicaid, the federal/state health insurance program for low-income people. The program’s cost has ballooned in recent years and now accounts for 20 percent of Virginia’s general-fund budget.

“The Virginia Medicaid budget is facing a fiscal crisis,” Hope told his colleagues on the House floor last week. “We have to do something about it.”

Del. Bobby Orrock, R-Caroline County, a member of the subcommittee that rejected the tax bills, said the state should beware taxing tobacco to the point that people quit smoking.

“You don’t want to restrict the chicken so much that she doesn’t lay any more eggs,” Orrock said.

Tobacco interests have given Virginia candidates $433,344 in campaign contributions over the past year, according to the nonprofit Virginia Public Access Project.



EXCERPTS from Tobacco Info.ca  No. 4 February 2011 (Canada), "WHO study finds passive smoking kills 600,000 worldwide", by Joe Strizzi.

The first ever global study into the effects of second-hand smoke (SHS) found that it is the root cause of over 600,000 deaths per year worldwide. Some 165,000 or more than a quarter of those deaths are children who are often exposed to what is commonly referred to as ‘passive smoking’ at home.

“Smokers are putting not only themselves at risk, but also 1.8 billion non-smokers,” wrote the World Health Organization (WHO) in a November press release. “In 2004, 40% of children, 33% of male non-smokers and 35% of female non-smokers were exposed to SHS worldwide.”

The WHO research team, led by Annette Pruss-Ustun in Geneva, found that in the 192 countries examined, SHS is particularly dangerous for children, who are believed to be at higher risk of sudden death syndrome, pneumonia and lung cancer.

The study used estimates of the instances of certain diseases and the number of people exposed to SHS in a particular region. It examined the effects of passive smoking on both deaths and years lost of life in good health to determine that SHS exposure led to 379,000 deaths from ischemic heart disease; 165,000 deaths from lower respiratory infections; 36,900 deaths from asthma; and 21,400 deaths from lung cancer. In order to gather comprehensive data from all the countries observed, researchers looked at statistics dating as far back as 2004.

“Passive smoking is a global health issue,” remarked the study’s co-author Alistair Woodward, professor at the University of Auckland in New Zealand. “Billions of people are still exposed, needlessly, to second-hand smoke. This paper puts a figure on the cost, globally, of premature deaths and loss of good health. We hope our findings will spur policy makers to take action. We know what works in tobacco control — what is needed is leadership and political commitment.”

The authors also found that women and children are disproportionately affected by exposure to SHS. Of the 603,000 deaths, 47% occurred in women, 28% in children and 26% in men. Women suffer more from the impact of SHS as they are 50% more likely to be non-smokers than men.  Children are by far the most affected by SHS in terms of lost years of life as most of these deaths occur from respiratory infections during their first few years.

The highest exposure to SHS was found in Eastern Europe, the Western Pacific and Southeast Asia, with more than 50% of some population groups exposed. About 60% of all child deaths occurred in Africa and Southeast Asia combined.

Only 7.4% of the world lives in jurisdictions with comprehensive smoke-free laws at present. As such, the study’s authors urge countries to enforce the WHO Framework Convention on Tobacco Control, a treaty under the guidance of the United Nations and adopted by the World Health Assembly in 2003, which entered into force in 2005.

“Policy makers should bear in mind that enforcing complete smoke-free laws will probably substantially reduce the number of deaths attributable to exposure to SHS within the first year of its implementation, with accompanying reduction in costs of illness in social and health systems,” the authors wrote.

Pruss-Ustun and colleagues made three key recommendations in their study published in the medical journal The Lancet. The first was immediate enforcement of WHO Framework Convention on Tobacco Control to create complete smoke-free environments in all indoor workplaces, public places and public transport. The second was the inclusion of complementary educational strategies, such as voluntary smoke-free home policies, for countries that already have smoke-free laws. The third is the need to dispel the myth that developing countries can wait to deal with tobacco-related diseases until after they have dealt with infectious diseases. Together, tobacco smoke and infections lead to substantial, avoidable mortality and loss of years of active life.

What is SHS?

According to Health Canada, breathing in second-hand smoke causes at least 800 deaths from lung cancer and heart disease every year in Canadian non-smokers. The best way to protect your family from the health effects of second-hand smoke is to make your home and car 100% smoke-free....

Second-hand smoke is what smokers exhale and what rises from an idle burning cigarette, cigar or pipe. When you see second-hand smoke in the air, what may not be so obvious is that there are 4,000 chemicals in the smoke, and more than 60 of these chemicals are carcinogens. The chemicals also contribute directly to other diseases, such as asthma, heart disease and emphysema.

When someone smokes in your home, second-hand smoke spreads from one room to another, even if the door to the smoking area is closed. In addition, the potentially toxic chemicals in second-hand smoke can cling to rugs, curtains, clothes, food and other materials, and often remain in a room or car long after the smoker has been there.

You may think you can clear the smoke from a room or your car by opening a window or turning on a fan, but this is not the case. Studies have shown there is no level of ventilation that will eliminate the harmful effects of second-hand smoke. Even air filters (air purifiers) are not enough. Second-hand smoke is composed of both particles and gases. Most air filters are designed to remove fine smoke particles from the air, but they do not remove the gases that can cause diseases.


EXCERPTS from The Massachusetts Lawyers Weekly, January 20, 2011, "Big Tobacco Case Tops Year's Largest Verdicts", by Phillip Bantz.
Two Boston trial lawyers took on Big Tobacco and won the largest jury verdict in the state last year in a wrongful death suit that exposed a disturbing campaign to distribute menthol cigarettes to inner-city children.

The $152 million award in Evans v. Lorillard is nearly 10 times larger than 2009’s top verdict of $15.7 million in a patent case. The historic win against the third-largest cigarette maker in the nation came after thousands of working hours and late nights at the attorneys’ downtown Boston law firm.

“We ate supper together a lot of nights — lots of Wagamama and B Good Burgers,” said Thomas Frisardi, who tried the case with lead plaintiff’s attorney Michael D. Weisman, both of Davis, Malm & D’Agostine.

Frisardi and Weisman faced off against Lorillard’s stable of attorneys hailing from three firms: Nutter, McClennen & Fish and Prince, Lobel, Glovsky & Tye, both in Boston, and Shook, Hardy, Bacon in Kansas City.

In the courtroom, the disparity in plaintiff’s and defense resources was glaring, Frisardi said. He and Weisman sat together at a small table. Behind them, sitting at two tables pushed together, were the four main defense attorneys. Another group of defense attorneys watched from the gallery.

An outmanned Weisman and Frisardi said the defense tried to bury them in paperwork, filing, for example, more than two dozen pre-trial motions, including eight motions for summary judgment, with briefs totaling 132 pages.

“That was an example of the way in which they conducted business,” Weisman said. “There were more resources devoted to this case than any other case I’ve ever seen.”

Messages left for the defendant’s lawyers went unreturned. A Lorillard spokesman has said the company plans to appeal the verdict, which marks its first loss in a suit brought by an individual.

Before Marie Evans died, Weisman filed an emergency petition to record her testimony about Newport cigarette giveaways targeting black youngsters in Roxbury’s Orchard Park in the 1960s.

Lorillard fought the request but lost.

Over the course of three days, Evans sat in front of a video camera at her home and talked about receiving free cigarettes from Lorillard representatives who approached children near a playground in the Orchard Park housing project where she lived.

Evans said she was 9 when she was given cigarettes. She smoked for more than 40 years before she was diagnosed with lung cancer, and her son, Willie Evans, a Boston lawyer, sued Lorillard.

She was in “extreme pain” during the video deposition, which unfolded over three days in 2002, but she delivered her testimony without drama, Weisman said. She died three weeks after the recording.

The video deposition played a crucial role in the case, as did internal Lorillard documents that evidenced an aggressive campaign to entice black youths to smoke Newports.

A subtler, though significant, factor in the plaintiff’s win was the juxtaposition of cross-examination styles when third-party fact witnesses took the stand for either side, Weisman said.

“It was dramatic — the difference between Tom’s examination and theirs — and I don’t think the jury liked it,” Weisman said. “Lorillard cross-examined our witnesses as if they were lying.”

Instead of trying to discredit Lorillard’s witnesses, Frisardi said he showed jurors that many of them were actually being truthful in testifying that they didn’t remember the giveaways, because they had daily routines that would have kept them away from the park.

“He did not attack the witnesses; he did not call them liars,” Weisman said.  “That was an important strategic decision that Tom made to treat them with dignity and respect. In the opening statement, I told the jury that this case is about dignity, that Marie Evans was a dignified person.”

The most memorable moment of the trial for Weisman came during the cross of a Lorillard representative who showed jurors a copy of a Newport advertisement from a 1965 edition of Ebony magazine.

In the copy, the pack of cigarettes was blue.

That was a problem for the plaintiff. Many of the witnesses who remembered the giveaways could not recall the brand of cigarettes they were given as children, but they testified that the packs were green.

“If the pack was blue, it couldn’t have been Newport,” Weisman said.

But Weisman and Frisardi had the actual magazine ad. The package was green.

Weisman showed the Lorillard rep the magazine and asked him if he had compared his copy to the real ad.

“He said he had not,” Weisman said.

He asked whether Lorillard had intentionally altered the color of the Newport ad to deceive the jury. The defense objected, and Superior Court Judge Elizabeth M. Fahey sustained the objection.

But the damage was done.

“It made it look as though the defense didn’t really care whether the jury got the facts,” Frisardi said. “And this happened right in the middle of the defense’s case.”

She [Marie Evans] readily admitted that she shared fault with Lorillard. But her addiction was stronger, more difficult to shake, because Lorillard had started her young, Frisardi and Weisman argued.

“I learned that there are fundamental changes in the brain that happen if you start smoking as a child, as Marie Evans did,” Weisman said. “It is much more than willpower.”

Both sides called addiction experts to the stand. The plaintiff’s experts testified that addiction means different things for different people, while a defense expert flown in from the Medical University of South Carolina told jurors that anyone can quit smoking and that it’s just a matter of motivation.

“She ended up being a better witness for us than for them,” said Weisman, who confronted the MUSC expert with a document that showed Lorillard had recruited youth smokers in the ’60s.

“She was visibly taken aback on the stand,” Frisardi said. “I would say her facial expression said she was upset, and I think the jury saw that.”

Neither side knew whether any of the jurors were smokers or ex-smokers, which is what Frisardi and Weisman wanted.

They had filed a motion in limine to prevent the defendants from having jury consultants conduct online research on the jurors, such as visiting their Facebook pages or blogs.

Judge Fahey allowed limited online research, but she ordered that the lawyers submit affidavits detailing every website that was visited during the inquiry. And in the end, Lorillard never did the research, according to the plaintiff’s team.

Meanwhile, Frisardi and Weisman successfully opposed Lorillard’s request to make jurors answer detailed questionnaires. The jury was simply read a description of the case and asked if they could be fair and impartial.

“We pushed very hard for a simple process,” Weisman said. “We did not think it was necessary to pry into jurors’ backgrounds or personal habits. They swore they could be impartial, and that was good enough for us.”

The jury, which took three days to seat, deliberated for six days before deciding compensatory damages. It determined that Lorillard was negligent for marketing Newports to children and failing to warn Marie Evans of the health risks; that the company committed breach of warranty by distributing a dangerous product; and it acted in a malicious, willful and wanton manner.

The jury awarded $71 million in compensatory damages: $50 million for Marie Evans’ estate and $21 million for Willie Evans. Following a one-day hearing on punitive damages, the jury awarded another $81 million to the plaintiff, mirroring five days of net sales for Lorillard.

Fahey is deciding whether additional damages are appropriate under the plaintiff’s statutory claim alleging Lorillard breached consumer protection law. The judge recently ordered Lorillard to keep at least $270 million in liquid assets on hand until the lawsuit is finalized.



News Release [Office of the U.S. Surgeon General]
FOR IMMEDIATE RELEASE
Thursday, December 9, 2010

Contact: HHS Press Office
(202) 690-6343
EXPOSURE TO TOBACCO SMOKE CAUSES IMMEDIATE DAMAGE, SAYS NEW SURGEON GENERAL’S REPORT

Report focuses on how tobacco smoke causes disease

Exposure to tobacco smoke – even occasional smoking or secondhand smoke – causes immediate damage to your body that can lead to serious illness or death, according to a report released today by U.S. Surgeon General Regina M. Benjamin.  The comprehensive scientific report - Benjamin’s first Surgeon General’s report and the 30th tobacco-related Surgeon General’s report issued since 1964 - describes specific pathways by which tobacco smoke damages the human body and leads to disease and death.

The report, How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease, finds that cellular damage and tissue inflammation from tobacco smoke are immediate, and that repeated exposure weakens the body’s ability to heal the damage.

“The chemicals in tobacco smoke reach your lungs quickly every time you inhale causing damage immediately,” Benjamin said in releasing the report.  “Inhaling even the smallest amount of tobacco smoke can also damage your DNA, which can lead to cancer.”

"Over the last two years we have stepped up efforts to reduce tobacco use, including implementing legislation to regulate tobacco products, investing in local tobacco control efforts and expanding access to insurance coverage for tobacco cessation" said Secretary of Health and Human Services Kathleen Sebelius. "This will remain a key priority of this Administration."

The report also explains why it is so difficult to quit smoking. According to the research, cigarettes are designed for addiction. The design and contents of current tobacco products make them more attractive and addictive than ever before. Today’s cigarettes deliver nicotine more quickly and efficiently than cigarettes of many years ago.

Tobacco smoke contains a deadly mixture of more than 7,000 chemicals and compounds, of which hundreds are toxic and at least 70 cause cancer. Every exposure to these cancer-causing chemicals could damage DNA in a way that leads to cancer. Exposure to smoke also decreases the benefits of chemotherapy and other cancer treatments. Smoking causes more than 85% of lung cancers and can cause cancer almost anywhere in the body. One in three cancer deaths in the U.S. is tobacco-related.

The report describes how the delicate lining of the lungs becomes inflamed as soon as it is exposed to the chemical mixture in cigarette smoke. Over time, the smoke can cause chronic obstructive pulmonary disease including emphysema and chronic bronchitis.

Even brief exposure to secondhand smoke can cause cardiovascular disease and could trigger acute cardiac events, such as heart attack. The report describes how chemicals from tobacco smoke quickly damage blood vessels and make blood more likely to clot. The evidence in this report shows how smoking causes cardiovascular disease and increases risks for heart attack, stroke, and aortic aneurysm.

Smoking causes many other harmful effects throughout the body, including making it harder for diabetics to control their blood sugar.  Smoking makes it harder for women to get pregnant and can cause a miscarriage, preterm delivery, low birth weight, as well as damage to fetal lungs and brain tissue. Babies who are exposed to secondhand smoke are more likely to die from sudden infant death syndrome, the report finds.

 “This report makes it clear – quitting at any time gives your body a chance to heal the damage caused by smoking,” the Surgeon General said. “It’s never too late to quit, but the sooner you do it, the better.”

Fortunately, there are now more effective ways to help people quit than ever before. Nicotine replacement is available over the counter and doctors can prescribe medications that improve the chances of successful quit attempts. Smokers can also call 1-800-QUIT-NOW for help.

To help communicate the report findings as widely as possible, the Surgeon General unveiled an easy-to-read guide with practical information about how tobacco smoke causes disease, A Report of the Surgeon General: How Tobacco Smoke Causes Disease: What It Means to You.

Copies of the full report, executive summary, and the easy-to-read guide may be downloaded at http://www.surgeongeneral.gov/library/tobaccosmoke/index.html.To order printed copies of these documents, go to http://www.cdc.gov/tobacco and click the Publications Catalog link under Tools & Resources.




EXCERPTS from Lawyers and Settlements . com, December 3, 2010, R.J. Reynolds Guilty of Unbridled Deceit Says Attorney, writer Brenda Craig.

    Tallahassee, FL:  Attorney James Gustafson has just finished up a huge and historic wrongful death suit against R.J. Reynolds. A Florida jury awarded $8 million in compensatory damages and another $72 million in punitive damages to Diane Webb, whose father, James Cayce Horner, smoked up to two packages of cigarettes a day until he died of lung cancer. ...

    And maybe it’s because Gustafson’s own father also died of lung cancer that he speaks so clearly and eloquently about the damage done by big tobacco. "These smokers were part of our greatest generation," says Gustafson. "They made it through the Depression, they fought and won World II, they created a giant of an industrial nation and it was on their backs that this country was built."

    "These are people who started smoking decades before there were warning labels on cigarettes," says Gustafson. "James Horner, Diane Webb’s dad, started smoking as a teenager in 1934 and smoked for 32 years before there was ever a warning label put on these packages."

    "James Horner watched his wife die of lung cancer, his son-in-law had a heart attack because of cigarettes and then finally he died," says Gustafson.

    And although smoking killed Gustafson’s father, he says he never really knew just how deplorable big tobacco’s conduct has been until he started working on this trial. "The depth of their deceit is just unfathomable—it is just bottomless," says Gustafson.

    "My dad smoked unfiltered Lucky Strikes and then switched to filtered cigarettes," says Gustafson. "But I now know that filters are a fraud. If anything they make cigarettes more dangerous because they make the smoker puff harder."

    "The R.J. Reynolds internal documents are spectacular in their deceit," says Gustafson. "Sometimes juries are skeptical about wrongful death suits for smokers, they wonder why you’re doing this," says Gustafson. "But in these cases, the conduct of big tobacco is so bad you can literally see the jury turning against the company."

    "We are not proving these cases with our own documents, we’re proving these cases with their own documents," adds Gustafson.



EXCERPTS from EurekAlert!, October 4, 2010, Breast cancer linked to environmental smoke exposure among Mexican women.

Mexican women who do not smoke but are exposed to smoking, known as environmental smoke exposure, are at three times higher risk for breast cancer than non-smoking women not exposed to passive smoking, according to findings presented at the Third AACR [American Association for Cancer Research] Conference on The Science of Cancer Health Disparities, being held Sept. 30-Oct.3, 2010.

"Everyone should avoid secondhand smoke," said Lizbeth López-Carrillo, Ph.D., professor of epidemiology, at the National Institute for Public Health, Mexico City, Mexico.

... "We have found that environmental exposure to tobacco increases a woman's risk for breast cancer in the same way that active smoking does."

More than 6 million Mexican women between the ages of 12 and 65, who have never-smoked, are being exposed to environmental tobacco smoke, according to background information from the National Surveys of Addictions. Previous research has shown that active smoking is linked to a 20 percent increase in the risk for breast cancer — the leading cause of cancer in women in Mexico — with the highest incidence among those women in the Mexican states bordering the United States. However, the association between environmental tobacco smoke and breast cancer risk, particularly among postmenopausal women, is less established.

Therefore, López-Carrillo, and colleagues conducted a study to estimate the risk for breast cancer due to lifetime exposure to passive smoking among pre- and postmenopausal women residing in Mexican states bordering the United States.

They examined 504 women with confirmed breast cancer and compared them with 504 healthy women of similar age. During direct interviews, the women were asked about their active and passive lifetime smoking exposure at the home and the workplace. Women with either active or passive tobacco exposure were compared to those women who had never smoked and had no passive smoking exposure.

Compared with women who had never smoked and had no passive smoking exposure, women with passive smoking exposure had a threefold higher risk for breast cancer. The link between passive smoking and breast cancer remained regardless of menopausal status.

Among women who actively smoked, the researchers found an increased breast cancer risk; however, this association was only significant if women began smoking between puberty and the birth of their first child.

"Active and passive smoke exposure is a modifiable risk factor for breast cancer," López-Carrillo said. "Reducing not only active smoking, but also passive smoking, will prevent new breast cancer cases in this population."



EXCERPTS from The Los Angeles Times, August 20, 2010, How many cigarettes is it safe to smoke? (Hint: not many.), Karen Kaplan.
Photo caption: Even a single cigarette produces enough smoke to alter genes in the lungs, according to a new study.

... “How many cigarettes can I smoke before I start to do some damage?”

The sobering answer: Zero.


That’s the conclusion of a new study from researchers at Weill Cornell Medical College and Cornell University in New York.

The researchers recruited 121 healthy volunteers to pee into a cup and submit to a bronchoscopy, a procedure that included removing cells from the lining of the part of the airway that would first come into contact with inhaled smoke.

Smoking status was determined based on levels of nicotine and cotinine (a chemical produced in the body as nicotine is metabolized) found in their urine. The 40 people with undetectable levels of nicotine and cotinine were classified as nonsmokers; those with low levels were considered occasional smokers or people exposed to secondhand smoke; and those with high levels were considered regular smokers.

By comparing the lung biopsies from regular smokers to those from nonsmokers, the researchers identified 372 genes whose expression was triggered by tobacco smoke. Then they checked to see what those genes were doing in the occasional smokers. It turned out that 128 of those genes (34%) had been activated -- presumably by cigarettes -- including 41 (11%) that were “significantly modified,” according to the study.

Next, the researchers checked to see how much nicotine and cotinine had to be in the urine before changes in the lung cell genes were noticeable. For nicotine, that level was a mere 1.8 nanograms per milliliter -- too low to be picked up in tests. In other words, “there was no detectable level” of nicotine that was considered harmless, the researchers wrote. For cotinine, the threshold was 11 ng/ml, only slightly higher than the amount that the most sensitive tests can detect.

Digging further, the researchers found that the two groups of genes that responded most strongly in the occasional smokers were the same two groups that are most active in regular smokers. “These changes in gene expression are likely the earliest biologic abnormalities in the small airway epithelium that lead to clinically detectable lung disease,” they wrote.

Considering that so many people are exposed to secondhand smoke or partake in an occasional cigarette, the findings are significant, they concluded.

The study was published online this month in the American Journal of Respiratory and Critical Care Medicine.


EXCERPTS from The Richmond Times-Dispatch, August 19, 2010, 13 charged with violating Va. restaurant-smoking ban, Staff reports, including contributions form John Reid Blackwell, and The Associated Press.

Falls Church, Va. -- ... Responding to months of complaints, police charged nine smokers with lighting up in several Vietnamese restaurants in Eden Center. Four more people were charged with allowing smoking in their establishments.

Falls Church officials said those arrested were issued citations and fines.

They are first known citations since the state limited smoking in restaurants. Violators can face $25 fines.

Gary Hagy, director of the Virginia Department of Health's division of food and environment services, said yesterday that he is aware of no other citations issued for violations of the restaurant smoking law in Virginia.

Spokesmen for the Richmond, Chesterfield County and Henrico County police departments said yesterday that those departments have not issued any citations.

The law [amendment to the Virginia Indoor Clean Air Act passed in 1990], which took effect Dec. 1, generally prohibits smoking in restaurants but allows certain exceptions. For example, restaurants may allow smoking indoors only if they have separately enclosed and vented smoking and nonsmoking rooms with a public entrance into the nonsmoking area.

Hagy said about 92 percent of full-service and fast-food restaurants in the state have indicated that they are nonsmoking since the law took effect.

Since Dec. 1, health inspectors have visited more than 23,000 restaurants, and 97 percent of them have been in compliance with the law, Hagy said.

"Several months ago, we issued a policy . . . to our people that restaurants should know the law by now," he said. "If they have one that has not complied, then they [local health officials] should report that information to their local law enforcement."


EXCERPTS from EurekAlert, August 18, 2010, "Berkeley study shows ozone and nicotine a bad combination for asthma", based on Atmospheric Environment, Article in Press, Corrected Proof, Available online 29 July 2010.

Another reason for including asthma on the list of potential health risks posed by secondhand tobacco smoke, especially for non-smokers, has been uncovered. Furthermore, the practice of using ozone to remove the smell of tobacco smoke from indoor environments, including hotel rooms and the interiors of vehicles, is probably a bad idea.

A new study by researchers with the Lawrence Berkeley National Laboratory (Berkeley Lab) shows that ozone can react with the nicotine in secondhand smoke to form ultrafine particles that may become a bigger threat to asthma sufferers than nicotine itself. These ultrafine particles also become major components of thirdhand smoke - the residue from tobacco smoke that persists long after a cigarette or cigar has been extinguished.

"Our study reveals that nicotine can react with ozone to form secondary organic aerosols that are less than 100 nanometers in diameter and become a source of thirdhand smoke," says Mohamad Sleiman, a chemist with the Indoor Environment Department of Berkeley Lab's Environmental Energy Technologies Division (EETD) who led this research.

"Because of their size and high surface area to volume ratio, ultrafine particles have the capacity to carry and deposit potentially harmful organic chemicals deep into the lower respiratory tract where they promote oxidative stress," Sleiman says. "It's been well established by others that the elderly and the very young are at greatest risk."

Results of this study have been reported in the journal Atmospheric Environment in a paper titled "Secondary organic aerosol formation from ozone-initiated reactions with nicotine and secondhand tobacco smoke." Co-authoring this paper with Sleiman were Hugo Destaillats and Lara Gundel, also with EETD's Indoor Environment Department, and Jared Smith, Chen-Lin Liu, Musahid Ahmed and Kevin Wilson with the Chemical Dynamics Group of Berkeley Lab's Chemical Sciences Division. The study was carried out under a grant from the University of California's Tobacco-Related Disease Research Program.

The dangers of mainstream and secondhand tobacco smoke, which contain several thousand chemical toxins distributed as particles or gases, have been well documented. This past February, a study, also spearheaded by Sleiman, Destaillats and Gundel, revealed the potential health hazards posed by thirdhand tobacco smoke which was shown to react with nitrous acid, a common indoor air pollutant, to produce dangerous carcinogens. Until now, however, in terms of forming ultrafine particles, there have been no studies on the reaction of nicotine with ozone.

Released as a vapor by the burning of tobacco, nicotine is a strong and persistent adsorbent onto indoor surfaces that is released back to indoor air for a period of months after smoking ceased. Ozone is a common urban pollutant that infiltrates from outdoor air through ventilation that has been linked to health problems, including asthma and respiratory ailments.

Says co-author Gundel, "Not only did we find that nicotine from secondhand smoke reacts with ozone to make ultrafine particles – a new and stunning development – but we also found that several oxidized products of ozone and nicotine have higher values on the asthma hazard index than nicotine itself."

Says co-author Destaillats, "In our previous study, we found that carcinogens were formed on indoor surfaces, which can lead to exposures that are likely to be dominated by dermal uptake and dust ingestion. This study suggests a different exposure pathway to aged secondhand or thirdhand smoke through the formation and inhalation of ultrafine particles. Also, our group had previously described the formation of secondary organic aerosols in reaction of indoor ozone with terpenoids, commonly present in household products. But this is the first time that nicotine has been tagged as a potential candidate to form ultrafine particles or aerosols through a reaction with ozone."

To identify the products formed when nicotine in secondhand smoke is reacted with ozone, Sleiman and his co-authors utilized the unique capabilities of Berkeley Lab's Advanced Light Source (ALS), a premier source of x-ray and ultraviolet light for scientific research. Working at ALS Beamline 9.0., which is optimized for the study of chemical dynamics using vacuum ultraviolet (VUV) light and features an aerosol chemistry experimental station, the researchers found new chemical compounds forming within one hour after the start of the reaction.

"The tunable VUV light of Beamline 9.0.2's custom-built VUV aerosol mass spectrometer minimized the fragmentation of organic molecules and enabled us to chemically characterize the secondhand smoke and identify individual constituents of secondary organic aerosols," says Sleiman. "The identification of multifunctional compounds, such as carbonyls and amines, present in the ultrafine particles, made it possible for us to estimate the Asthma Hazard Index for these compounds."

... Says Sleiman, "In addition, we need to do further investigations to verify that the formation of ultrafine particles occurs under a range of real world conditions. However, given the high levels of nicotine measured indoors when smoking takes place regularly and the significant yield of ultrafine particles formation in our study, our findings suggest new link between asthma and exposure to secondhand and thirdhand smoke."


EXCERPTS from The East African, August 16, 2010, "Uganda’s forest cover fast dying out as tobacco industry booms", writer, Halima Abdallah.
Uganda’s tobacco industry is spawning an environmental disaster, as farmers turn to fruit trees for wood fuel to cure the tobacco leaves.

Driving through tobacco growing areas, outside the Murchison Falls National Park one barely encounters natural forests.

The native trees have been cut down and no efforts have been made to replace them.


Occasionally, one sees smaller manmade forests of eucalyptus trees that belong to a few individuals who, after growing food crops still have land to spare.

Larger manmade forests belong to the leading tobacco company British American Tobacco Uganda Ltd. The company sells the wood to the tobacco farmers.

Caught between the short term need for revenue and employment opportunities that the tobacco industry presents, the government has turned a blind eye to the unfolding environmental impact of the plant.

In 2009, the country exported 32,000 tonnes of tobacco leaves that fetched $57 million in revenue.

The previous year, the industry exported 29,042 tonnes fetching $66 million.

Also, over 90 per cent of Uganda households rely on wood fuel as a source of energy, which adds to the challenge of redeeming the forest cover.

In addition, there is increased demand for timber for the construction and furniture making industries.

A 1992 Panos study on deforestation in developing countries revealed that 69 per cent of wood consumed by tobacco companies goes to fuel used in curing tobacco, and 15 per cent to poles and sticks for constructing barns.

The most affected countries include Kenya, Tanzania, Malawi, Brazil and Uganda. Zimbabwe is the only country in Africa that uses the flue method — which makes use of coal, petrol or oil — to cure tobacco leaves.

Despite tobacco being an industrial crop with a considerable number of farmers producing it, the National Agricultural Research Organisation, Uganda’s lead research body, cannot regulate the crop as it is outside its mandate.

This leaves the sector in the hands of private multi billion dollar companies.

Julius Mukalazi, director of research at the Zonal Agricultural Research and Development Institute in West Nile, said the effect is disastrous as these companies have exhausted the natural forest trees and are now cutting down mango trees.

“In future we may not have fruits,” said Dr Mukalazi. “Batu and other companies need to come up with mitigating programmes such as agroforestry, growing woodland for firewood and fodder for livestock, which should be integrated under Naro.”

However, when asked about their plan for reforestation, Batu was unresponsive.


The British American Tobacco Company introduced tobacco to the farmers in West Nile in 1927 as a cash crop.

As supply grew, the British built a factory in Jinja in the east in 1928.

The region is also suitable for growing fruits like mangoes, avocados, citrus and passion fruits, which also have industrial uses.

Cereals, cassava, sweet potatoes, Irish potatoes and pumpkins can also be grown in the area to boost food security.

The surplus can be sold in ready markets in DR Congo and Southern Sudan.

The region is also suitable for apiary and cash crops like coffee and cotton, but the farmers prefer growing tobacco because of the incentives that the tobacco companies provide. ...

Unlike other environmental control efforts, the problem in this case is a multibillion dollar industry.

For example, while Uganda’s activists fight tobacco advertisements in the mass media, tobacco companies are offering scholarships, contracts to farmers who are assured of payment after harvest, besides taking part in corporate social responsibility projects that portrays them favourably in the public eye.

According to the Forestry Policy of 2001, Uganda’s natural forest cover stands at 4.9 million hectares which is 24 per cent of the total land area, out of which government owns 1.9 million hectares either under the Forestry Department or in national parks that fall under the Uganda Wildlife Authority.

Incidentally, only 740,000 hectares of forests stands today.

It is estimated that 800,000 cubic metres of logs are cut each year.


EXCERPTS from The Gainesville Sun (Florida), March 12, 2010, "Alachua Co. jury awards $17.5M in case against R.J. Reynolds", Diane Chun.
An Alachua County [Florida] jury has awarded a total of $17.5 million in damages to Amanda Jean Hall, who sued the R.J. Reynolds Tobacco Co. after the death of her husband.

It was, attorneys said, the largest single civil verdict in the county, topping the previous high award of $10 million.

Arthur Lamar Hall began smoking at 14 and continued until one year before his death of lung cancer in 1995, family members testified in the case. Despite several attempts, he had been unable to quit smoking.

Jurors were asked to determine whether Hall was addicted to cigarettes containing nicotine and if that was the cause of his death.

After seven hours of deliberation Thursday, they delivered a verdict that said Jean Hall and her family should be awarded $5 million in compensatory damages. When they returned to the courtroom at about 10:30 p.m., jurors also said they planned to award punitive damages against Reynolds Tobacco.

Friday morning they resumed deliberations to decide how much the company should pay for what the plaintiff's attorneys said was half a century of deceiving the American people about the health dangers of cigarette smoking.

Attorney Mark Avera asked jurors to consider the net worth of R.J. Reynolds in determining punitive damages. In fiscal year 2007, it was $8.88 billion; in fiscal year 2008 it was $7.9 billion.

"Send a message to RJR's boardroom that they will be held accountable for their poor choices," he said.

Speaking in behalf of the tobacco company, attorney Dennis Murphy said RJR's corporate management "has heard your message and we accept your verdict on compensation."

The "old guard" of the firm is now gone, he said, and message being put out by R.J. Reynolds has changed.

"Don't punish the company just for making profits," he asked.

Six jurors spent four hours determining how much the tobacco company should be assessed in punitive damages. The sum they settled on was $12.5 million.

When they returned to the courtroom and their verdict was announced, Jean Hall began to cry.

The widow of 15 years said she'd done a lot of crying since the first part of the verdict came in last night.

"I'd hand every bit back to them (the tobacco company), if I thought it would bring Lamar back for just one day," she said.

Attorney Rod Smith of the law firm Avera & Smith, representing the Hall family, said he fully expects R.J. Reynolds to appeal the verdict, as the tobacco company has done in other civil litigation.

Of a dozen cases tried since the Florida Supreme Court threw out a class action suit brought in behalf of all Florida smokers in 2006, ten of the verdicts have come in behalf of the plaintiffs.

In the 2006 ruling, the court held that each smoker's case against a tobacco company had to be decided individually.

...  Jean Hall said that the past two weeks of the trial represent the only time she has been inside a courtroom.

She had been getting ready for church one Sunday about three years ago and saw an ad on TV about bringing suit against a tobacco company. That's when she decided to step forward.

"She is one of the most courageous women I know," Smith said.

"I believe this verdict tells Big Tobacco that North Central Florida is not tobacco country," he added. "This case sets the precedent for the many individual cases to come."
Web Editor's Note:  RJR's attorney claimed "the message" from RJR management has changed -- Question, but they're still manufacturing and marketing addiction and death -- right?


EXCERPTS from news release, Tobacco Product Liability Project, March 11, 2010, Florida Jury Returns Multi-Million Dollar Verdict for Family of Smoker Against Three Tobacco Companies.
A six-person Tampa, Florida state court jury on Wednesday [March 10, 2010] awarded $5 million in damages to the widower of a longtime smoker who died of lung cancer at the age of 62.  The jury apportioned responsibility for Charlotte Douglas’ death at 18% for Philip Morris, 5% for R.J. Reynolds, 27% for Liggett, and 50% for Ms. Douglas.   If the verdict is upheld on appeal, the plaintiff will receive $2.5 million. 

Ms. Douglas, who died in 2006, approximately two years after being diagnosed with cancer, smoked various brands.  She also made multiple quit attempts, including the use of nicotine patches and nicotine gum.

Edward L. Sweda, Jr., Senior Attorney for the Tobacco Products Liability Project (TPLP), based at Northeastern University School of Law in Boston, welcomed the victory for the Douglas family, noting that the “verdict brings the total number of plaintiff victories in ‘Engle progeny’ cases in Florida to 9 out of 11 trials that have gone to a jury verdict over the past 13 months.  We anticipate even more victories for plaintiffs in these Florida lawsuits in the coming weeks and months.”

 The Douglas family was represented by Attorneys Howard Acosta, Kent Whittemore, Bruce Denson and Hutch Pinder.



EXCERPTS from the Altria web site, February 22, 2010, News Releases, John T. Casteen III Elected to Altria's Board of Directors.  [Excerpted Article from UVA's The Cavalier Daily follows]
The Board of Directors of Altria Group, Inc. ... today announced the election of John T. Casteen III to the Board of Directors. With the addition of Mr. Casteen, the Altria Board increases from nine to ten directors.

Mr. Casteen has served as the President of the University of Virginia since 1990. He will step down from that position on August 1, 2010 and become President Emeritus at that time.

"I am delighted to welcome John Casteen to our Board of Directors," said Michael E. Szymanczyk, Chairman and Chief Executive Officer of Altria. "With his broad public and private sector experience, I know he will make significant contributions."

Mr. Casteen previously served as the Dean of Admission at the University of Virginia from 1975 to 1982, Virginia Secretary of Education from 1982 to 1985, and president of the University of Connecticut from 1985 to 1990.

Mr. Casteen's business career has included service as a director of the following companies: Connecticut Bank and Trust Company; New England Education Loan Marketing Corporation (Nellie Mae); Sallie Mae; Blue Cross/Blue Shield of Connecticut, Inc.; College Construction Loan Insurance Association (Connie Lee); Allied Concrete Company; Jefferson Bank Shares, Inc.; Jefferson National Bank; and Wachovia Corporation. He currently serves as director at Sage Publications, Inc.; Jefferson Science Associates, LLC; and the Virginia University Research Partnership, Inc.

Mr. Casteen has been a director of the American Council on Education, a director of the National Collegiate Athletic Association, trustee and chair of the College Entrance Examination Board, commissioner of the Education Commission of the States, member of the Board of Control for the Southern Regional Education Board, commissioner of the New England Board of Higher Education, and chair of the Association of Governing Boards' council of presidents. From 1991 to 1993, he chaired the National Board on Oceans and Atmosphere. He is a member of the Board of Trustees of the Chesapeake Bay Foundation.


EXCERPTS from The Cavalier Daily, University of Virginia, February 25, 2010, President Casteen joins Altria board of directors, writer Rebecca Rubin.
President John T. Casteen, III has been elected to the board of directors of Altria Group, Inc., a Richmond-based corporation and parent company of tobacco and wine businesses such as Philip Morris USA, U.S. Smokeless Tobacco Company and Ste. Michelle Wine Estates.

...  Casteen’s appointment increases the board’s membership from nine to 10 directors.

As a board member, Casteen will be one of the individuals tasked with maintaining the overall well-being of the corporation.

“The Board has responsibility for establishing broad corporate policies, setting strategic direction, and overseeing management, which is responsible for the day-to-day operations of the Company,” according to the Altria Web site.

Casteen has been familiar with Altria and Mike Szymanczyk, its chairman and chief executive officer, since February 2007, when Philip Morris USA committed $25 million to the University. About $20 million of that gift was donated toward Medical School research and projects, including a smoking cessation program, according to a University press release.

Overall, Casteen has a large amount of respect for Altria’s management and the direction the company has taken with Szymanczyk, he said in an e-mail.

“This is a company committed to change and innovation,” he said. “It is also a company with deep roots in Virginia. I am honored to join the Altria board and to have the opportunity to become part of the company’s future.”

... In his new position, Casteen will work with another member of the University community. Former Gov. Gerald L. Baliles, director of the Miller Center of Public Affairs, has been a member of Altria’s board of directors since 2008.


Some of the COMMENTS from readers of The Cavalier Daily:

Tom Houston MD
Feb 25, 2010, 9:02
It is highly unfortunate that the head of such an esteemed institution would lend his name and sully his reputation by joining the board of Altria (nee Philip Morris), whose products kill 50% of their longterm customers, and cause untold suffering from smoking-related chronic disease. As the report states, his job will be to maintain the “well-being” of the company, meaning its financial health–which comes with a high toll in human lives and excess medical care costs worldwide. It’s a sad day for the University and its friends.

Tom Houston MD
Clinical Professor
Family Medicine and Public Health
The Ohio State University College of Medicine


Stan Meyer

Feb. 25, 2010, 10:13

I totally agree with Dr. Tom Houston’s comments. What a shame that UVA would allow its president to interact in such a way with people who consider money above anything else.

Stan Meyer
Greensboro, NC


Glen Allen
Feb 25, 2010, 14:32

I’d like to thank Dr. Houston for his comments–perhaps some members of the UVA medical community will have the courage to speak up about this travesty. Once again, Dr. Casteen has acted in a manner that is detrimental to the better interests of the University and the public. Living in the Richmond area, I am well accustomed to seeing Altria buy public support by devoting a small portion of its huge profits to various community projects. Getting people like Casteen and former Gov. Baliles to serve on its board is, I presume, another part of this strategy to legitimize its trafficking in disease and death for money. If Casteen is that desperate for cash after so many years as a university president, perhaps he could get his buddies in Blacksburg to take up a collection for him.


Edward Sweda
Feb 25, 2010, 14:58

Mr. Casteen says that the company “is committed to change and innovation.” But it is, in fact, a company (Philip Morris) that is an adjudicated racketeer. See U.S. v. Philip Morris, USA, Inc., et al., 449 F.Supp.2d 1 (U.S.D.C. D.C. 2006), affirmed in part and vacated in part by the U.S. Court of Appeals for the District of Columbia, at 566 F.3d 1095 (U.S.C.A. D.C. 2009). See also http://www.tobacco.neu.edu/litigation/cases/DOJ/kessler_decision_0806.htm


Anne Morrow Donley 
Feb 25, 2010, 21:22

In response to other comments, please note former Governor Baliles is no stranger to tobacco industry boards, having worked with Dimon Tobacco, and having refused to consider any no-smoking in public regulations while governor of Virginia, 1986 – Jan. 1990.  As to payment of board members, according to annual reports of Philip Morris and Altria, board members, not otherwise working for the company, receive stock plus a yearly salary, $40,000 and up, plus a few thousand for attending each meeting.  A lucrative job, built upon the knowing addiction, suffering, and deaths of millions of people and their families.  The Philip Morris slogan for years has been, “I came, I saw, I conquered”.  The UVA President has joined a company which knowingly manufactures weapons of mass destruction. Philip Morris has already given research grants to UVA in the past. How much is a life, or freedom, worth?

Anne Morrow Donley, http://www.gasp.org/




EXCERPTS from Reuters, February 10, 2010, Secondhand smoke raises TB risk: study. 

Note:  Abstract of study is at
http://archinte.ama-assn.org/cgi/content/abstract/170/3/287
Smoking has long been known to boost tuberculosis risk, and a new study from Hong Kong suggests that being exposed to someone else's tobacco smoke also increases the likelihood of contracting the disease.

Dr. Chi C. Leung of the Wanchai Chest Clinic in Wanchai and colleagues compared TB risk in older women living with at least one smoker to that of women living in smoke-free homes. The study included 15,486 non-smoking women 65 to 74 years old, all of whom lived with their husbands. All of the women had enrolled at one of the territory's 18 Elderly Health Centers between 2000 and 2003, and about one in four lived with a smoker.

During follow-up, which lasted through the end of 2008 (or until a person died or was diagnosed with TB), 117 women developed active TB and 69 of these cases were confirmed in a laboratory.

Leung's team found that women who had been exposed to secondhand smoke were 1.5 times more likely to develop active TB than women who didn't live with a smoker, while their risk of culture-confirmed TB was 1.7-fold higher.

Secondhand smoke exposure accounted for about 14 percent of active TB cases and about 18 percent of culture-confirmed TB cases.

The researchers also found that the women who lived with a smoker were significantly more likely to have some type of obstructive lung disease, such as emphysema, as well as diabetes, at the study's outset.

The findings appear in the latest issue of the Archives of Internal Medicine [February 8, 2010]

In a written commentary published with the study, Dr. Neal L. Benowitz of the University of California San Francisco notes that secondhand smoke has many known harmful effects, including increasing the risk of lung cancer and heart disease in adults and promoting asthma and lower respiratory illness in children. And smoking can promote respiratory infections, such as TB, by impairing the ability of the lungs to fight off infection, he adds.

In China, 60 percent of men smoke, but only 4 percent of women do, Benowitz notes, so secondhand smoke disproportionately affects women.

"Secondhand smoke exposure is another health problem of particular concern for women in less developed countries," he adds. "Therefore, smoking bans should be part of the international women's health advocacy agenda."



Excerpts from The Winston-Salem Journal, January 29, 2010, "Reynolds to pay $150,000 to settle dispute over ads".
R.J. Reynolds Tobacco Co. said yesterday that it has agreed to pay $150,000 to Maryland as part of a settlement with that state's attorney general regarding a former Camel marketing campaign.

The settlement is the latest development involving claims that Reynolds violated the Master Settlement Agreement with a four-page pullout in the Nov. 15, 2007, issue of Rolling Stone.

On Jan. 15, an appellate court in Ohio ruled that Reynolds cannot be blamed for the content of a Camel advertisement in the magazine being placed around a five-page pullout containing cartoon images. The magazine ran four pages of Camel cigarette ads as bookends to five pages of editorial content about indie-rock music.

The day after the filing of the lawsuits in December 2007, Reynolds voluntarily stopped promotions for the campaign.

David Howard, a spokesman for Reynolds, said that Reynolds admitted no wrongdoing. ... the company chose not to spend time or resources "to defend a program that ended two years ago."


Excerpts from The Virginian-Pilot, January 29, 2010, "Locals show love for ailing musician", April Phillips.
There aren't many local musicians who've been able to earn a good, full-time living in Hampton Roads. Guys like Joe Maniscalco are the creative, industrious and fortunate minority.

However, more than 30 years in a workplace clouded with secondhand smoke that curled its way into his lungs has taken a toll. Smoking-related pneumonia and other illnesses have kept Maniscalco off the stage for nearly a year. Ironically, his health plummeted just as the smoking ban that took effect in December was well on its way to being passed.

This Sunday, Maniscalco's fellow musicians and entertainers will come together to raise the roof, raise awareness about the issue of secondhand smoke, and raise some money to help Joe and his family.

The past year has been "the most traumatic financial and emotional roller coaster you could imagine," Maniscalco said.

He was admitted to the hospital about a year ago with pneumonia and a fever of 104 degrees. He stayed in the hospital for a week. Once he was released, he was treated with steroids, but the cure was nearly worse than the disease. The steroids led to skin irritation and retinal tears that caused his eyes to haze over. All this meant more time away from the stage.

Fran Piggott Harding, Maniscalco's longtime business partner and friend, decided it was time to bring the musical community together to help him out. Using Facebook, she started a "Friends of Joe" page and went to work organizing a benefit concert. One of the first people she turned to was another full-time local musician, Warren Seaburg. He was able to relate to what Maniscalco is going through.

"Since about 1991, I've been a cancer survivor, and the cancer was brought on by the same thing," he said.

Seaburg has worked to bring health care benefits to working musicians and said he still has to take off four to five weeks a year because of lasting effects of the cancer. He will be one of the emcees at the benefit concert, and he helped schedule the hours of musical entertainment.

"For me, there wasn't even a second thought. I knew I wanted to help. The support of local musicians has been overwhelming, and it reminds me of when they had a benefit for me when I had cancer and couldn't work. It's hard to describe how emotional it is," he said.

Piggott Harding said the benefit concert is really all about the music that has been Joe's life. The all-day event features 17 entertainers, all donating their time. ...

"The brotherhood of musicians is mind-blowing," Maniscalco said. "Hampton Roads is coming together with an amazing outpouring of love."

And at the end of the evening, the most love of all will be coming directly from Maniscalco. The benefit will end with him taking to the stage to get back to doing what he does best.




EXCERPTS from The Virginian-Pilot, January, 15, 2010, 1:19 pm EST, AP Exclusive: Tobacco's plea -- no big US payments, by Pete Yost.

Tobacco industry lawyers met secretly with Solicitor General Elena Kagan in an effort to avoid the government's last-ditch attempt to extract billions from companies that illegally concealed the dangers of cigarette smoking, The Associated Press has learned.

Four cigarette makers that control nearly 90 percent of U.S. retail cigarette sales have until Feb. 19 to persuade the government not to go to the Supreme Court and ask the justices to step into a landmark 10-year-old racketeering lawsuit.

In 2006, a judge ruled that the industry concealed the dangers of smoking for decades. Despite that finding, lower courts have said the government is not entitled to collect $280 billion in past profits or $14 billion for a national campaign to curb smoking.

As part of any effort to convince the government that it should skip a trip to the Supreme Court, the tobacco companies may have to drop plans to ask the justices to overturn the ruling that the industry engaged in racketeering.

On behalf of the industry, Washington lawyers Michael Carvin and Miguel Estrada made their pitch against seeking Supreme Court review in a mid-December meeting at the Justice Department with Kagan, according to two Washington attorneys outside the government who are familiar with the meeting in her office.

In the meeting, Carvin and Estrada left the impression the industry might be willing to end plans to seek a high court appeal of its own, if the Justice Department would do the same, said the Washington attorneys, who spoke on condition of anonymity so that they could discuss the private meeting with Kagan.

The discussion with Estrada and Carvin resulted in an internal department meeting a few days later. At this meeting, department lawyers discussed the possibility of seeking billions of dollars from the industry as part of a possible negotiated settlement of the suit, according to one of the private attorneys who learned about this second meeting from participants.

The department, the industry or both could request that the Supreme Court take the case, while at the same time asking that the case be delayed while the two sides try to work out a deal.

If the companies also agreed not to seek an appeal, they would be accepting the findings of U.S. District Judge Gladys Kessler that they engaged in a scheme to defraud the public by falsely denying the adverse health effects of smoking, concealing evidence nicotine is addictive and lying about their manipulation of nicotine in cigarettes to create addiction. Last May, a federal appeals court upheld the findings. The companies then pledged to appeal to the Supreme Court.

Kessler ordered the companies to make corrective statements about the adverse health effects of smoking, the addictiveness of smoking and nicotine, the companies' manipulation of cigarette design and composition to ensure optimum nicotine delivery and the adverse health effects of exposure to secondhand smoke. These statements must appear on company Web sites, cigarette packages and newspaper and television ads.

If Kessler's findings stand, they will set a precedent that other plaintiffs can use for future suits against the tobacco companies.

...  Charles Miller, a Justice Department spokesman, declined comment, as did Carvin. Estrada didn't return telephone calls to his office.

Tobacco company defendants in the lawsuit are Philip Morris USA Inc. and its parent company, Altria Group Inc.; R.J. Reynolds Tobacco Co.; British American Tobacco Investments Ltd.; and Lorillard Tobacco Co. Philip Morris, R.J. Reynolds and Lorillard account for nearly 90 percent of U.S. retail cigarette sales. A former U.S. subsidiary of British American Tobacco, Brown & Williamson Tobacco Corp., merged with Reynolds in 2004.

The way the federal suit has played out contrasts sharply with state action against the tobacco industry.

The companies have agreed to pay $246 billion over 25 years to settle suits states brought to recover their costs of treating smoking-related illnesses in the Medicaid program, which serves the poor and disabled.






[VirginiaGASP]  Updated 13 December 2011