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Tobacco Use Highlighted at Forum

Friday, May 27th, 2011

best wont cigarettes onlineAbout 100 residents of all ages attended the May 25 town hall meeting on tobacco use, presented by the Youth Advisory Council at the Riverfront Community Center. YAC member Leonard Slutsky said the council chose the topic for the forum after several members noticed a lot of their peers using a new form of smokeless tobacco, known as Snus, at Glastonbury High School.

Keynote speakers Maryellen Bolcer and Susan Richards from the St. Vincent’s Medical Center Foundation presented “Swim Around the Sound,” and informative and interactive program that explains the dangers of all types of tobacco.

“The cigarette companies hate that we’re here,” Bolcer said, before talking about many ways in which tobacco companies are targeting youth.

“Nobody knows how to Wont smoke before the first time,” she said. “Everybody’s body rejects it, but the cigarette company knows that the first time someone starts smoking, the body starts creating 13 times more phlegm.”

Bolcer explained that since menthol has soothing properties, menthol cigarettes – including a new brand that “pops” to change the flavor – are being marketed to kids and teens.

“This is a scam,” she said. “You’re not smoking because you need the nicotine; you’re smoking them because your throat is killing you.”

“Slim” cigarettes are also being targeted to teen girls.

“They want you to be anywhere, smoking this skinny cigarette,” Bolcer said, “because they want your friends to say to you, ‘Oh, wow, you’re going to be thin.’ It’s a lie.”

Bolcer also showed actual samples of human lung tissue – from healthy, as well as cancerous- and emphysema-afflicted lungs.

Snus, Bolcer said, and other chewing tobaccos are actually more harmful than smoking, largely because of the addition of sodium, which exposes the user to more infections and cancers.

“Because the salt is in this product, every person who uses it has a cut in their mouth,” Bolcer said. “That cut creates puss. That puss creates the gum line to loosen, lessen, and receded. It never grows back.”

Bolcer said a package of Snus (which, non-coincidentally, is made to look like a package of mints, she said) is as toxic as four and a half packs of cigarettes.

“Within five years, one out of two young people who use this product will have mouth cancer,” Bolcer said.

Richards said she actually objects to the term “smokeless tobacco,” since it implies that the Snus is safer, when in actuality, it is just as harmful as cigarettes.

“Using those different tobacco products is now responsible for almost one-third of all of the types of cancer,” Richards said.

Perhaps the moment that had the most impact was when Bolcer asked several teens in the room to come up to the front and take a whiff from a container of used cigarette butts. She was able to accurately tell each person what part of their body or senses was most affected by the small dose of nicotine. Some felt light-headed, while some felt it more in their stomachs. Sinuses and eyes were more affected in others.

Then, Bolcer had each teen hold their arm out to the side and resist her pushing down on it. She had them take another whiff of the nicotine, and tried the same test. None were able to resist with anything close to resembling the same strength. Bolcer explained that nicotine automatically and quickly interferes with brain activity.

“You can’t tell your body to act as strongly,” Richards said.

“It was a shock to the system. I wasn’t expecting it to make such a fast impact,” said Victoria Lewis, a member of the YAC and the GHS track team. “I wasn’t expecting her to be able to do that. I saw her, and I saw me being an athlete. I thought it would be easy to hold it up, but all of a sudden my arm was like a bowling ball.”

A panel, including Richards, Bolcer, four YAC members, and Glastonbury Schools Health and Physical Education Coordinator Anne Marie Colebrook led an open discussion on teen tobacco use in Glastonbury.

Much of the discussion centered on the number of students who are using tobacco at GHS and the policing of its use.

YAC member Rob Carroll – a senior at GHS – said that he estimates that 60 percent of GHS athletes use tobacco.

Colebrook said there have been studies as recently as 2009 that would indicate that number is high, but added that it is very difficult to gauge.

“It’s hard for faculty and staff to really determine if a student is using,” she said. “Coaches are definitely aware that there are consequences, but the level of usage is hard to determine when those kinds of things are private.”

GHS Assistant Principal Mary Abrams said the first time a student is caught using or possessing tobacco on school grounds results in a three-day suspension.

In response to a question from the audience, Abrams said she doesn’t believe there are teachers who overlook tobacco use.

“We – most of your teachers – have grown up in a generation where we’ve watched people we love go through this,” Abrams said, “or we’ve been educated better. I think teachers are pretty committed to knowing the dangers of it.”

The purpose of the forum was to increase awareness about Snus, and all tobacco use, and it would seem it served its purpose.

“I thought it went very well,” Slutsky said of the event. “We had people from all different groups – we had principals, administrators, youth, parents and teachers. That was very important to us.”

“I was especially glad at the amount of kids that showed up,” Lewis said. “We usually get a room full of adults. This is good, because if any of those kids can tell three or four of their friends about this night, it will make an impact.”

Not Ready for Total Ban on Smokeless Tobacco

Wednesday, April 6th, 2011

cheap davidoffIn a country where, on an average, three out of 10 people use smokeless tobacco such as gutkha, paan masala, khaini etc, a mere 18 cessation centres offering help to quit the habit is not enough. A Supreme Court order banning smokeless tobacco products is expected on April 13.

At a two-day national consultation in the Capital to discuss the ban and the government’s readiness to implement it, it was recommended that three such counselling centres be set up in every district.

The ministry of health and family welfare (MoHFW), in association with the Public Health Foundation of India (PHFI) and WHO, formulated certain recommendations to successfully implement the ban. “It has to be a progressive ban. It may sound impossible initially, but that was also believed for introducing CNG-run vehicles in Delhi,” said Dr K Srinath Reddy, president, PHFI.

The PHFI is launching a three-month long online course to train healthcare professionals, journalists and law agencies in general tobacco control, creating awareness and enforcing ban.

“Creating awareness is one part of it; we also suggested raising taxes to a level that it hits the demand for chewing tobacco. Government should not provide loans to people involved in tobacco industries and insurance companies should ensure smokers pay higher policy premium cigarette than non-smokers,” said Dr Vinayak Mohan Prasad, senior adviser, Tobacco Free Initiative, WHO.

A lot of emphasis was put on inter-ministerial consultation, with health and finance ministries at the forefront. “The first deterrent in implementing the ban is millions of workers going jobless. Market support mechanism is required for such people while deciding alternate crops for them. Soybean has been tested and found to be equally lucrative,” said Dr Monika Arora, head-health promotion and tobacco control, PHFI.

Smokeless Tobacco Products Contain Carcinogens

Tuesday, April 5th, 2011

viceroy cigarettesSmokeless tobacco products being marketed in India contain 3095 chemical components with serious implications for human health. About 28 of these components are proven carcinogens, areca nut the most commonly used of all.

What’s more – the latest studies demonstrate the presence of heavy metals, including lead, cadmium, chromium, arsenic and nickel in these products, with one recent research reporting that 30 per cent gutkha brand samples freely available in tea-stalls, bus stops, railway stations and several public places in the country, exceed the permissible levels of lead and copper when compared to the provisional tolerable intake limits determined by the World Health Organisation (WHO) and the Food and Agriculture Office (FAO).

These startling revelations were made today by the Health Ministry officials who led the debate with the stakeholders on the need to regulate the availability and use of smokeless tobacco in India. The Global Adult Tobacco Survey 2010 has put the overall tobacco users in India at 34.6 per cent; of these, 25.9 per cent are using smokeless tobacco (as against 14 per cent smokers).

Alarmed by the rising oral cancer burden in the country and the fact that there’s no regulation on smokeless tobacco, the Health Ministry today shared shocking findings of studies that show abundant presence of Tobacco-specific N-Nitrosamines (TSNA) – harmful chemicals – and even radioactive polonium in smokeless forms.

“No safe level of TSNAs has been ascribed so far. Other carcinogens in smokeless tobaccos include volatile N-nitrosamines, certain lactones, metals and radioactive polonium,” Dr Jagjit Kaur, Chief Medical Officer, Directorate of Health Services, today told TNS, admitting that easy and cheap availability of such forms and low taxes on them make their production lucrative.

Studies have further indicated an increased risk of all-cancer mortality in smokeless tobacco users compared to non-users and the increased risk was specifically visible in female users. “There is also evidence of increased risk of drying from cardiovascular diseases among these users,” Kaur said at the national consultation on ways to regulate smokeless tobacco, which began here today.

The Government has elicited these findings for submission to the Supreme Court, currently hearing the Ankur Gutkha versus Indian Asthma Care Society case in which it earlier banned the sale of smokeless tobacco in plastic sachets.

The need for regulation of smokeless tobacco further arises from the rising use of these forms by youngsters and women. Worryingly, a lot of these users are daily users. Out of the 25.9 per cent current smokeless tobacco consumers in India, for example, 21.4 are daily users. Out of these 27.4 per cent are males and 14.9 per cent are females.

While males prefer khaini (18 per cent usage), women prefer tobaccos for oral application (6.3 per cent usage). Overall, khaini tops the smokeless tobacco usage charts with 11.6 per cent consumers by Gutkha at 8.2, betel quid (paan) with tobacco at 6.2 and tobacco-laced dentrifices at 4.7 per cent users.

Chewing Tobacco Maker Agrees To $5M Settlement

Thursday, December 9th, 2010

tobacco productsThe maker of Skoal and Copenhagen smokeless tobacco has agreed to pay $5 million to the family of a man who died of mouth cancer in what is believed to be the first wrongful-death settlement won from a chewing tobacco company.

A legal expert said the case could open the door for more lawsuits against makers of chewing tobacco, an industry that drew fewer legal battles during the 1990s than cigarette manufacturers.

U.S. Smokeless Tobacco Co. will pay the award to the family of Bobby Hill of Canton, N.C., who began chewing tobacco at 13. He died in 2003 at 42.

Attorney Antonio Ponvert III, who represented Hill’s relatives, told The Associated Press about the agreement Tuesday. Regulatory documents confirmed the deal.

Steven Callahan, a spokesman for Altria, which acquired U.S. Smokeless Tobacco last year, said the company admitted no liability and does not make any health claims about its products.

Ponvert and Mark Gottlieb, director of the Tobacco Products Liability Project at Northeastern University in Boston, both said the Hill family settlement is the first case of its kind.

Gottlieb predicted more lawsuits targeting smokeless tobacco would follow, calling the settlement “a wake-up call” to plaintiffs’ attorneys “that there are a lot of victims of smokeless tobacco use out there, and it’s possible these cases can be successful.”

Smokeless tobacco companies managed to fend off most previous lawsuits. In the past, lawyers focused more on cigarette makers because of stronger evidence to back up their claims, even though smokeless tobacco is harmful as well, Gottlieb said.

“So this is an unusual instance and runs counter to what had been the sort of the playbook for tobacco litigation,” Gottlieb said. The settlement shows that “perhaps there is a new strategy afoot in terms of dealing with some of these types of cases.”

But, Gottlieb added, Altria may have simply concluded it was cheaper to settle than risk a larger award at trial.

Callahan said the case involved unique circumstances because it was a settlement offer made before Altria acquired the company.

“And we have no intention of settling cases like this in the future,” he said.

Ponvert said his case was bolstered by previously undisclosed letters from the 1980s that the company sent to minors thanking them for their business and offering free samples. The company even sent a can opener to one child to help open the chewing tobacco, he said.

“It was just this unbelievable trail of incredibly damning documents,” Ponvert said.

The family’s case also was stronger because Hill was a longtime user of chewing tobacco who did not drink or smoke cigarettes, factors tobacco companies point to as causing the cancer, Ponvert said.

Hill’s wife, Kelly, filed the lawsuit in 2005 after her husband died of cancer of the tongue, Ponvert said.

Through her attorney, she declined to comment.

Hill had multiple surgeries to remove his tongue. Mouth cancer victims typically lose parts of their mouth, either through surgery or because the tissue wastes away.

“It’s a really sad and a really gruesome way to die,” Ponvert said.

For many years, smokeless tobacco has carried warning labels. Rules that took effect in June require larger labels listing the risks of chewing tobacco, including cancer, gum disease and tooth loss, and stating that smokeless tobacco is not a safe alternative to cigarettes.

The Altria spokesman said the company supported legislation enacted last year that allowed the FDA to regulate tobacco and required the larger warning labels.

U.S. Smokeless Tobacco was headquartered in Greenwich before being acquired by Altria, which is also the parent of Phillip Morris USA, the nation’s largest cigarette maker.