Contraband cigarettes undermine tobacco-prevention strategies

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Consumption of contraband cigarettes amongst adolescent daily smokers in Canada accounts for 17% of all cigarettes smoked by this age group, and rises to more than 25% in Ontario and Quebec. This behaviour may be undermining tobacco-prevention strategies, as they focus on taxation and minimum age restrictions to curb and prevent smoking, states an article http://www.cmaj.ca/press/cmaj090665.pdf in CMAJ (Canadian Medical Association Journal) www.cmaj.ca.

The study looked at data from 41 886 high school students in grades 9 to 12 from public and private elementary and secondary schools in all 10 provinces who participated in Canada's 2006/2007 Youth Smoking Survey. From the selected schools, 61% of eligible students participated.

Among the students in grades 9 to 12, 5.2% were daily smokers and 13.1% of these reported cigarettes from First Nations reserves as their usual brand. Smokers of these cigarettes reported significantly higher smoking levels compared with other smokers - 16.8 vs. 11.9 cigarettes per day.

"Although the use of illicit substances by adolescents is well known, the use of contraband cigarettes in this age group is striking," write Dr. Russell Callaghan from the Centre for Addiction and Mental Health in Toronto (CAMH) and coauthors.

"The widespread use of First Nations/Native brand cigarettes, especially in Ontario and Quebec, presents a serious challenge to tobacco-control strategies, which attempt to use accessibility and price mechanisms to influence adolescents' smoking behaviour. Although the complex issues of First Nations jurisdiction would have to be recognized in any policy changes, Canadian tobacco-control strategies will need to address this issue."

Source: Canadian Medical Association Journal

Comments

  1. harleyrider1978 harleyrider1978 United States says:

    A cancer epidemiologist, who conducted the largest secondhand smoke study ever done, the UCLA Study, completed "too late" to be included Surgeon General Carmona's 2006 report, wrote a letter, at the request of Keep St. Louis Free, to the St. Louis County Council, that ended with these two paragraphs:"I should say that, personally, I feel strongly that non-smokers should not have to be exposed to cigarette smoke. While the available evidence does not suggest that average exposure to environmental tobacco smoke is an important cause of heart disease or lung cancer in people who do not smoke, cigarette smoke is irritating, can trigger allergic reactions in some people, and can exacerbate asthma and other chronic respiratory conditions. Yet, since the available evidence suggests that the effects of environmental tobacco smoke, particularly for coronary heart disease, are considerably smaller than generally believed, lawmakers may therefore have greater latitude than generally believed to consider the segregation of smokers and nonsmokers and the use of air filtration as adequate and responsible ways to address the health concerns of ETS in workplaces such as bars and restaurants. If it is possible, through segregation of smokers and nonsmokers and the use of air filtration, to reduce all components of environmental tobacco smoke in establishments where smoking is permitted to the level of the air in non-smoking establishments, there is reason to believe that any risk would be undetectable."









    THE AIR ACCORDING TO OSHA

    Though repetition has little to do with "the truth," we're repeatedly told that there's "no safe level of exposure to secondhand smoke."  

    OSHA begs to differ.

    OSHA has established PELs (Permissible Exposure Levels) for all the  measurable chemicals, including the 40 alleged carcinogens, in secondhand smoke.  PELs are levels of exposure for an 8-hour workday from which, according to OSHA, no harm will result.

    Of course the idea of "thousands of chemicals" can itself sound spooky.  Perhaps it would help to note that coffee contains over 1000 chemicals, 19 of which are known to be rat carcinogens.  
    -"Rodent Carcinogens: Setting Priorities" Gold Et Al., Science, 258: 261-65 (1992)

    There. Feel better?

    As for secondhand smoke in the air, OSHA has stated outright that:

    "Field studies of environmental tobacco smoke indicate that under normal conditions, the components in tobacco smoke are diluted below existing Permissible Exposure Levels (PELS.) as referenced in the Air Contaminant Standard (29 CFR 1910.1000)...It would be very rare to find a workplace with so much smoking that any individual PEL would be exceeded."
    -Letter From Greg Watchman, Acting  Sec'y, OSHA, To Leroy J Pletten, PHD, July 8, 1997

    Indeed it would.  

    Independent health researchers have done the chemistry and the math to prove how very very rare that would be.  

    As you're about to see in a moment.

    In 1999, comments were solicited by the government from an independent Public and Health Policy Research group, Littlewood & Fennel of Austin, Tx, on the subject of secondhand smoke.

    Using EPA figures on the emissions per cigarette of  everything measurable in secondhand smoke, they compared them to OSHA's PELs.

    The following excerpt and chart are directly from their report and their Washington testimony:

    CALCULATING THE NON-EXISTENT RISKS OF ETS

    "We have taken the substances for which measurements have actually been obtained--very few, of course, because it's difficult to even find these chemicals in diffuse and diluted ETS.

    "We posit a sealed, unventilated enclosure that is 20 feet square with a 9 foot ceiling clearance.

    "Taking the figures for ETS yields per cigarette directly from the EPA, we calculated the number of cigarettes that would be required to reach the lowest published "danger" threshold for each of these substances.  The results are actually quite amusing.  In fact, it is difficult to imagine a situation where these threshold limits could be realized.

    "Our chart (Table 1) illustrates each of these substances, but let me report some notable examples.

    "For Benzo[a]pyrene, 222,000 cigarettes would be required to reach the lowest published "danger" threshold.

    "For Acetone, 118,000 cigarettes would be required.

    "Toluene would require 50,000 packs of simultaneously smoldering cigarettes.

    "At the lower end of the scale-- in the case of Acetaldehyde or Hydrazine, more than 14,000 smokers would need to light up simultaneously in our little room to reach the threshold at which they might begin to pose a danger.

    "For Hydroquinone, "only" 1250 cigarettes are required. Perhaps we could post a notice limiting this 20-foot square room to 300 rather tightly-packed people smoking no more than 62 packs per hour?

    "Of course the moment we introduce real world factors to the room -- a door, an open window or two, or a healthy level of mechanical air exchange (remember, the room we've been talking about is sealed) achieving these levels becomes even more implausible.

    "It becomes increasingly clear to us that ETS is a political, rather than scientific, scapegoat."

    Chart (Table 1)

    -"Toxic Toxicology" Littlewood & Fennel

    Coming at OSHA from quite a different angle is litigator (and how!) John Banzhaf, founder and president of Action on Smoking and Health (ASH).

    Banzhaf is on record as wanting to remove healthy children from intact homes if one of their family smokes.  He also favors national smoking bans both indoors and out throughout America, and has litigation kits for sale on how to get your landlord to evict your smoking neighbors.

    Banzhaf originally wanted OSHA to ban smoking in all American workplaces.  

    It's not even that OSHA wasn't happy to play along; it's just that--darn it -- they couldn't find the real-world science to make it credible.

    So Banzhaf sued them.  Suing federal agencies to get them to do what you want is, alas, a new trick in the political deck of cards. But OSHA, at least apparently, hung tough.  

    In response to Banzhaf's law suit they said the best they could do would be to set some official standards for permissible levels of smoking in the workplace.  

    Scaring Banzhaf, and Glantz and the rest of them to death.

    Permissible levels?  No, no. That would mean that OSHA, officially, said that smoking was permitted. That in fact, there were levels (hard to exceed, as we hope we've already shown) that were generally safe.

    This so frightened Banzhaf that he dropped the case.  Here are excerpts from his press release:

    "ASH has agreed to dismiss its lawsuit against OSHA...to avoid serious harm to the non-smokers rights movement from adverse action OSHA had threatened to take if forced by the suit to do it....developing some hypothetical [ASH's characterization] measurement of smoke pollution that might be a better remedy than prohibiting smoking....[T]his could seriously hurt efforts to pass non-smokers' rights legislation at the state and local level...

    Another major threat was that, if the agency were forced by ASH's suit to promulgate a rule regulating workplace smoking, [it] would be likely to pass a weak one.... This weak rule in turn could preempt future and possibly even existing non-smokers rights laws-- a risk no one was willing to take.

    As a result of ASH's dismissal of the suit, OSHA will now withdraw its rule-making proceedings but will do so without using any of the damaging [to Anti activists] language they had threatened to include."
    -ASH Nixes OSHA Suit To Prevent Harm To Movement

    Looking on the bright side, Banzhaf concludes:

    "We might now be even more successful in persuading states and localities to ban smoking on their own, once they no longer have OSHA rule-making to hide behind."

    Once again, the Anti-Smoking Movement reveals that it's true motive is basically Prohibition (stopping smokers from smoking; making them "social outcasts") --not "safe air."

    And the attitude seems to be, as Stanton Glantz says, if the science doesn't "help" you, don't do the science.

The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News Medical.
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