Smoke and Mirrors: The EPA's Flawed Study of Environmental Tobacco Smoke and Lung Cancer
by Gary L. Huber, Robert E. Brockie, and Vijay K. Mahajan
http://www.cato.org/pubs/regulation/reg16n3c.html
Smoking bylaw ticket tossed out of court
By Eliza Barlow Monday, September 21 2004
A $200 ticket issued to a local hotelier under the city's public smoking bylaw has been thrown out of court due to discrepancies in both the wording of the charge and the time the ticket was issued.
A city bylaw officer issued a ticket to Doug "Percy" Sims, bar manager of the
Crystal Hotel in downtown Brandon, on Feb. 20 after the officer observed two people smoking in the bar.
But the offence listed on the Crystal Hotel's ticket was "proprietor permit smoking," an offence which Brandon Police Service Sgt. Leon Flannigan said doesn't currently exist under the smoking bylaw, which bans smoking in all public places. "There's no such charge."
The time marked on the ticket was also wrong. Both factors led to the charges being dropped on Monday morning in Brandon bylaw court.
Flannigan said tickets can be issued to business owners if they fail to remove ashtrays, fail to put up no-smoking signs or fail to warn patrons about the bylaw.
The absence of the general offence of permitting smoking in an establishment is something Flannigan calls the major weakness in the city bylaw. He said he hopes sweeping new provincial anti-smoking legislation coming in next month will address that gap.
"The only way I can see absolute compliance is if the proprietors were in a position where they could be charged with permitting smoking," said Flannigan.
"If you're charging individuals and it's not affecting the pocketbook of the proprietor in those cases, you're going to see the proprietor turn a blind eye to people who are smoking."
But Sims said other than doing what he's doing now - telling patrons when they come in that they're not allowed to smoke - he doesn't know what else he could do to prevent people from smoking.
"We're doing the best we can," he said. "And we shouldn't have to babysit these people. The bylaw people should be coming out more often."
Flannigan called the erroneous ticket one "silly mistake" among the "two to three hundred" tickets issued since the smoking bylaw came into effect more than two years ago.
The latest ticket was the second ticket handed to the Crystal Hotel under the smoking bylaw. The hotel successfully appealed the first ticket last summer.
Sims said the two people who were caught smoking in the Crystal Hotel on his watch on Feb. 20 were each fined $100.
http://brandonsun.com/displayad.cgi?adnum=637
Williston bans smoking in taverns, restaurants
WILLISTON, Vt. Smoking has been officially banned in all taverns and restaurants in Williston.
The town select board's three-to-one vote in favor of a ban yesterday makes Williston the fourth community in Chittenden County to enact such a policy.
Burlington and South Burlington imposed smoking bans this year.
Winooski's City Council approved an anti-smoking ordinance in July, but that law is on hold while the city hears appeals.
Williston's smoking ban was enacted amid little fanfare.
No one in the audience at yesterday's meeting commented on the ordinance.
http://www.wcax.com/Global/story.asp?S=2326980
California Court Cuts Philip Morris Smoker Award
Tue Sep 21, 2004 08:31 PM ET
LOS ANGELES (Reuters) - A California appeals court has ruled that a smoker's record-breaking $3 billion punitive damages award against Philip Morris was still "excessive" even after being reduced by a trial judge to $100 million and must be halved again.
The Second District Court of Appeal, a state court in Los Angeles, gave the estate of Richard Boeken the option of accepting the lowered amount of $50 million or going to trial again, according to an opinion published on Tuesday.
Philip Morris said in a statement that the company would appeal the decision to the California Supreme Court.
http://www.reuters.com/newsArticle.jhtml?type=domesticNews&storyID=6297736
Lawyers seek revival of suit over tobacco sales to Calif. teens
SAN DIEGO Attorneys trying to revive a class-action lawsuit argued in court that the once-popular "Joe Camel" campaign was strategically designed to recruit underage smokers.
Lawyers representing Californians who began smoking as teens say tobacco companies should NOT be allowed to use the First Amendment to illegally market cigarettes to children.
http://www.wavy.com/Global/story.asp?S=2328329
Infact Welcomes Long-Awaited Start of Trial
Department of Justice Lawsuit Signals Public Demand for Holding Tobacco Industry Accountable for Deadly Abuses
WASHINGTON, Sept. 21 /PRNewswire/
The trial begins as global momentum continues to build behind the
Framework Convention on Tobacco Control (FCTC), the world's first public
health and corporate accountability treaty. The global tobacco treaty becomes
international law after the 40th country ratifies; 31, including Norway and
India, have already done so. While the Department of Justice case will
potentially bring the tobacco industry to task in the United States, the FCTC
will change the way it does business in countries around the world.
Infact spokespeople will be available for comment throughout the trial.
Infact is a membership organization that protects people by waging and
winning campaigns challenging irresponsible and dangerous corporate actions
around the world. Through bold campaigns and a commitment to win, for over 25
years Infact has forced corporations-like Nestle, GE and Philip Morris/Altria-
to stop irresponsible and dangerous actions. Infact is an NGO in Official
Relations with the World Health Organization (WHO). The Network for
Accountability of Tobacco Transnationals (NATT) includes 75 NGOs from more
than 50 countries working for a strong, enforceable Framework Convention on
Tobacco Control. For more information visit http://www.infact.org or
http://www.iwr2002.org.
Contacts------
lobyists support spending money on lawsuit
Companies hid dangers of smoking, lawyers say
WASHINGTON
Tobacco companies, desperate to maintain their hold on tens of millions of American smokers, worked together for years to deceive the public about the dangers of cigarettes and to encourage young people to start smoking, government lawyers said yesterday at the start of a racketeering trial.
Justice Department lawyers referred to numerous statements by industry executives that created doubt among smokers about whether the habit was harmful and whether they really needed to kick it.
"Defendants' strategy of denial worked, and they knew it," Justice lawyer Sharon Eubanks told Judge Gladys Kessler of U.S. District Court.
nFor the Journal's in-depth series on RJR, Lost Empire, visit us online at www.journalnow.com
Lawyers say they hid the dangers
"Nicotine patch therapy in 101 adolescent smokers : efficacy, withdrawal symptom relief, and carbon monoxide and plasma cotinine levels"
Nicotine patches NOT effective –report done in 2001
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10632247&dopt=AbstractCurrent
How to help nicotine-dependent adolescents quit smoking
Current Psychiatry Online
Practical Clinical Reviews September 22/04 Vol. 3, No. 9 / September 2004
Effect on quit rates. Psychiatric comorbidity may reduce quit rates during smoking cessation treatment.6 When smokers are trying to quit, watch for remission, worsening, or emergence of psychiatric conditions.
Assessing adolescent smoking
CO levels typically reflect smoking in the previous few hours, whereas the half-life of cotinine is longer (1 day or more). Also, factors such as environmental pollution or marijuana use can inflate CO levels. Thus, cotinine levels have greater accuracy and specificity, reflecting only the amount of nicotine consumed.
Unfortunately, most laboratories do not measure cotinine levels, and the expired-air CO test (CO Breathalyzer) is relatively expensive for most clinicians.
Until cotinine testing becomes widely available, we recommend a combination of self-report and expired-air CO level to monitor abstinence.
We have found daily smoking to be a good indicator of nicotine dependence, and anyone who smokes daily would receive significant health benefits from quitting. Hence, any daily smoker who wants to quit, regardless of DSM-IV nicotine dependence status, is a candidate for treatment.
Behavioral therapy
Unlike adults, adolescents usually lack smoking-related medical consequences, such as heart or lung disease.
For adults, first-line FDA-approved medications for smoking cessation include nicotine replacement therapies (NRT) in transdermal, gum, inhaler, and lozenge forms and sustained-release bupropion. Nortriptyline, doxapine, and clonidine have shown effectiveness for smoking cessation but are not FDA-approved for this indication.15 Selegiline and mecamylamine have shown initial efficacy and are being examined in larger clinical trials.
For adolescents, little is known about what medications might help them stop smoking. Nicotine replacement therapies and bupropion SR have been most explored in adolescent smokers. The effect of psychiatric comorbidity on the quit rate is not well-studied in adolescents.
The transdermal nicotine patch (TNP) has shown modest results in preliminary trials among adolescents. One study found 11% abstinence at 6 weeks,16 and another found a <5% quit rate.17 A third study reported an 18% abstinence rate with a combination of TNP and contingency management therapy.18 Discussion of contingency management and other behavioral therapies is beyond the scope of this article.
A recent study comparing TNP, nicotine gum, and placebo in adolescent smokers found the lowest drop-out rate and highest compliance among the TNP group. Three-month abstinence rates were 17.6% for TNP, 6.5% for nicotine gum, and 2.5% for placebo. The difference between the TNP and placebo groups’ abstinence rates was statistically significant.19
Bupropion SR. In an open-label pilot study, our group treated 16 adolescent smokers weighing >90 lbs with bupropion SR, 150 mg bid. Average age was 18, and two-thirds of patients had ADHD. The endpoint abstinence rate—as measured by self-report and CO levels—was 31%, which is similar to rates reported in adult smokers treated with this dosage of bupropion SR.20
The adolescents did not gain weight during the study, which may be important to this age group. Reported side effects were similar to those in adults, with one adolescent reporting an allergic reaction (urticaria). We are conducting a larger follow-up study using bupropion SR with and without behavioral therapy.
We suggest:
• using behavioral therapy and patient education as first-line treatment for nonregular adolescent smokers
• using medication and behavioral therapy as first-line treatment for regular smokers and medication as second-line treatment for nonregular smokers who do not respond to behavior therapy/ patient education.
Offer a treatment for at least 6 to 8 weeks before considering a change in therapy. One definition of initial success is no tobacco use over 7 days by self-report and biological verification (such as CO levels).
Behavioral therapy is relatively low-risk and helps many adult smokers. Despite a lack of evidence, some sort of behavioral therapy in combination with pharmacologic therapy might also help adolescent smokers.
Medication. Based on the limited published evidence, we consider TNP and bupropion SR first-line medications for adolescent smokers who want to quit.
For adult smokers, clinicians often combine medication and NRT to increase success rates.15 No data suggest that combining TNP and bupropion SR may be more effective than monotherapy in adolescents, but the combination might help those who do not respond to either agent alone.
We recommend starting bupropion SR treatment at least 1 week before the patient’s quit date. Titrate the dosage based on the package insert and patient tolerance.
Start NRT according to package instructions, and titrate dosages based on response:
• increase if the patient reports substantial craving and withdrawal symptoms, such as irritability and anxiety.
• decrease in case of toxicity (such as nausea).
In our experience, adolescent smokers require slightly lower NRT dosages than adults, although this varies among individuals.
Drug brand names
Bupropion SR • Zyban *causes adolescents to commit suicide.
Clonidine • Catapres
Doxapine • Sinequan
Mecamylamine • Inversine
Nortriptyline • Pamelor
Selegiline • Eldepryl
Disclosure
The authors report no financial relationship with any company whose products are mentioned in this article or with manufacturers of competing products.
http://www.currentpsychiatry.com/2004_09/0904_Upadhyaya.asp
A critique of NRT Regulation
*says no harm done by smokeless tobacco, no conclusive evidence of an increased risk of myocardial infarction, or oral cancer. Long-term use of NRT could therefore be seen as an extension of the treatment period rather than the development of a new dependence. The limit of 18 years does seem to be arbitrary. For most other medicines, 12 years or age of puberty are the cut-off limits.
http://www.ash.org.uk/html/regulation/html/nrtcritique.html#_Toc532097130
Casinos install equipment to remove cigarette smoke
DES MOINES, Iowa The Iowa health department and the state attorney general say high-tech air-handling systems the state's casinos are installing to remove clouds of cigarette smoke do not make the air safer to breathe.
http://www.wqad.com/Global/story.asp?S=2332419
Gas station cashier throws cigarette cartons at would-be robber
By The Associated Press
Wednesday, September 22, 2004
A gutsy 62-year-old gas station cashier chased off a would-be thief by pitching cartons of cigarettes at him, police said.
http://pittsburghlive.com/x/tribune-review/trib/newssummary/s_253938.html
Lyle slams plans for ban on smoking - UK
By Helen Russell Sep 22 2004
SMOKERS also need consideration when the issue of banning smoking in pubic places comes up for debate.
That’s the view of Councillor Richard Lyle, who is leader of the SNP Group of North Lanarkshire Council.
Councillor Lyle admitted that he is a committed smoker and he believes that the wishes of smokers are being ignored in the smoking debate.
He made the impassioned plea as the council’s planning and environment committee considered the response to the Scottish Executive on the document “Smoking in Public Places”.
The report, which was prepared by officials, supported in broad terms the ban on smoking in enclosed public places.
However, the council made it clear that this is not a ban on an individual’s right to smoke, rather it is an attempt to stop smokers making others ill while doing so.
Lyle-slams-plans-for-ban-on-smoking
Ghost shuts New Delhi university 23.09.2004 6.20 am
Students at a New Delhi university have been given an unexpected week off - thanks to a ghost on the campus. There have been no new classes at the Indian Statistical Institute's Delhi branch since Friday, and most of the students have gone home for a week.
The reason is that students have become convinced the institute is haunted. They say a ghost is roaming the corridors, knocking on doors, jostling the students on the stairs, and leaving strange and unexplained odours of after shave, deodorant and cigarette smoke lingering around the buildings.
The students believe they recognise the strong smell of after shave and deodorant as that worn by a student who died suddenly from a rare heart condition during a class at the institute just a month ago.
Knock, knock Casper here
Tobacco Companies Deny Conspiracy to Push Smoking
September 22, 2004 1:19:00 PM ET
By Peter Kaplan
WASHINGTON (Reuters) - A tobacco industry lawyer acknowledged on Wednesday that some executives may have acted wrongly, but said cigarette companies have never engaged in a conspiracy to mislead the public about the dangers of smoking.
No conspiracy here
San Francisco supervisor wants to extend smoking ban outdoors
SAN FRANCISCO A law proposed by a San Francisco supervisor would really crack down on smoking.
Supervisor Michela Alioto-Pier has proposed legislation that would ban smoking in all outdoor recreations area regulated by the city. That would include parks, gardens, piers and playing fields.
Under the proposed ordinance, people who light up in those area would be slapped with a 250-dollar fine.
But Assemblyman Leland Yee, who represents San Francisco, says he plans to reintroduce a law that would ban smoking cigarettes on the state's beaches that died in committee last year.
http://www.kesq.com/Global/story.asp?S=2333556