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Thursday, December 09, 2004
news of the day

Editorial: Prohibit patio smoking

Dec. 7, 2004. 01:00 AM 

The intent of the city anti-smoking bylaw is twofold — to provide a smoke-free environment in enclosed public places for everyone's benefit, and to discourage smoking by eliminating places where people can smoke.

 While it may be true that few non-smokers would choose to frequent an enclosed outdoor patio in winter, there may be some hearty souls who would enjoy a coffee in the frosty air.

 And that should be reason enough for the city to enforce the smoking ban in enclosed outdoor patios attached to restaurants and bars, as it intends to do.

 But there is another reason. Any bar or restaurant owner who would be willing to enclose an outdoor patio would do it for one reason only: to create a more hospitable environment for smokers, who now have to brave the cold and mean street. In other words, to make it easier for their customers to smoke.

 But that would defeat the secondary rationale of the bylaw, which is to make it more difficult for people to smoke. If society wants to discourage smoking, as all the medical evidence suggests it should, it cannot make an exception just because winter is here.

 Applying and enforcing the bylaw in enclosed outdoor bar and restaurant patios makes just as much sense as banning smoking indoors.

Puffing in prison,Cons roll their own 'tobacco'

http://www.thestar.com/NASApp/cs/ContentServer?pagename=thestar/Layout/Article_Type1&c=Article&cid=1102373417772&call_page=TS_

EditorialOpinion&call_pageid=968256290204&call_pagepath=Editorial/Opinion&pubid=968163964505&StarSource=email

 

 


By FRANK LANDRY, LEGISLATURE REPORTER Wed, December 8, 2004

Forget about du Maurier and Players -- convicts are now smoking Earl Grey and orange pekoe. The Winnipeg Sun has learned inmates in Manitoba's provincial jails are getting around a year-old smoking ban by making "tobacco" from nicotine chewing pieces and used tea leaves.

'ALL VERY COMMON'

"It's all very common," said Pat Joyce, a spokesman for the Manitoba Government Employees Union, which represents more than 900 corrections officers. "We expected that would be part of the regimen when the smoking ban was brought in."

Smoking and cigarettes were banned last November from provincial jails, which include Headingley Correctional Centre and the Remand Centre in Winnipeg. The ban does not apply to federal prisons, such as Stony Mountain Institution.

Speaking on the condition of anonymity, a corrections worker confirmed some inmates are making their own smokes.

The creative puffers are taking nicotine chewing pieces purchased in jail canteens and placing them in hot water to remove the nicotine. The liquid is mixed with tea leaves.

Rolling papers are fashioned from pages ripped out of Bibles.

Lighters are made using two AA batteries, some tin foil and staples, the source said, noting the recipe was outlined in a recent e-mail circulated among staff. Puffers are going virtually undetected by blowing smoke into vents inside jail cells, he said.

"The boys are fairly creative once they set their minds to it," said the source. "It's almost phenomenal to see what they've done."

Paul Peterson, director of operations in the corrections division of Manitoba Justice, said he hasn't come across any evidence inmates are making cigarettes but confirmed an alert was sent to staff that this could be going on.

"I don't know if it's true or not," Peterson said. "It may be one of these modern urban myths."

Tory justice critic Gerald Hawranik said the NDP government is cracking down on puffers who light up in restaurants but is letting inmates get away with smoking indoors.

"The province is coming down harder on restaurants than it is on prisoners," he said.

Justice Minister Gord Mackintosh said smoking scofflaws will not be tolerated in jails. "The department has been directed to ensure there are enforcement mechanisms in place and follow up on any allegations that are made about breaches," he said.

Peterson said inmates caught with contraband -- including smokes -- can be given written warnings and lose privileges.

http://www.canoe.ca/NewsStand/WinnipegSun/News/2004/12/08/772626.html

 


How inmates are making cigarettes -MB

By FRANK LANDRY, LEGISLATURE REPORTER Wed, December 8, 2004

- Three nicotine chewing pieces are placed in hot water. The nicotine eventually rises to the top, appearing as a yellow-brown layer. - The liquid nicotine is mixed with tea leaves, which have already been boiled to remove flavour.

- The "tobacco" is dried for between eight and 10 hours.

- Pages from Bibles are formed into rolling papers. Glue from envelopes is used to hold the "cigarettes" in place. Bibles are ideal because the pages are thin and burn evenly.

- "Lighters" are made using two AA-batteries, tin foil and staples.

http://www.canoe.ca/NewsStand/WinnipegSun/News/2004/12/08/772627.html

 


Southwestern Ontario

The Southwestern Ontario region was also found to differ significantly from the province as a whole on some key health indicators: 

  • Less folic acid supplementation prior to pregnancy – only 40% of women took folic acid before their last pregnancy (essential for the healthy development of a baby’s spine, brain and skull during the early weeks of pregnancy) compared to 52% in Ontario.
  • Greater exposure to second-hand smoke – 28% reported being exposed to environmental tobacco smoke most days as compared to 25% in Ontario.
  • More unmet health care needs – 14% had an unmet health care need compared to 12% in Ontario.

 Dr. Iris Gutmanis, Director, of the Southwest Region Health Information Partnership, says, “Although similar to recently released national reports, this report is unique in that it provides us with a picture of health and lifestyle behaviours of the residents of Southwestern Ontario. Information in this report will be of great assistance in future program planning and evaluation.”  

The Executive Summary and full report (.pdf version) can be found at:  www.srhip.on.ca

 *smoking ban in effect for 3  years now

http://www.publichealthgreybruce.on.ca/HOME/NewsEvents/2004/2004Aug31-HealthBehavioursReport.htm

 


Researchers eye good bacteria -ON
Friday, May 3, 2002
A London centre for probiotics probes a tie to infections causing premature births.

By DAVID DAUPHINEE, Free Press Health Reporter - London Free Press

The bad boy of Western culture may hold a key to one of the more intractable problems in medicine -- a high rate of premature births and the illness and death that often follow.

Enter one bacterium with a 3.5-billion-year-old family tree. And wearing a white hat.

"What we have tended to do as a society is say all bacteria are bad and that's not the case," Dr. Gregor Reid, director of London's new Canadian Research and Development Centre for Probiotics, said yesterday.

"All of us have more bacteria in us than human cells and if it wasn't for these bacteria, we wouldn't be alive."

London doctors and scientists are eager to explore whether so-called good bacteria can prevent infections responsible for up to 70 per cent of premature births in some groups of women.

The Canadian rate of premature birth is about seven per cent, a level that for 30 years has withstood nearly everything science has thrown at it.

Financially, pre-term labour comes at a health-care cost of $400 million a year. More important is the human toll -- it is among the leading causes of newborn death and illness.

By contrast, care and survival of preemies has improved dramatically in recent years, says Dr. Alan Bocking, chair of the University of Western Ontario's department of obstetrics and gynecology.

What's known is a vaginal infection can trigger hormones responsible for the onset of labour.

Scientists hope to show that by restoring a healthy environment of bacteria in the vagina, many infections can be averted or stopped.

The potential benefit is enormous -- vaginosis alone plagues a million Canadian women a year, many of whom never know they have the infection and that it may affect a pregnancy.

London's proposed study into premature births emerged yesterday as the city's new centre was unveiled before 200 international scientists, with an outpouring of optimism for their unorthodox field of study.

An invitation-only gathering of 70 world scientists in coming days will form a new international probiotics group.

Seminar participants yesterday painted a broad spectrum of potential benefits from probiotics, with the new London centre among world leaders.

London-North-Centre MPP Dianne Cunningham, Ontario minister of training colleges and universities, arrived yesterday with a cheque for $1.8 million -- the first recognition of probiotics by any level of Canadian government.

http://www.crdc-probiotics.ca/

 *how many times have we heard that smoking causes pre mature babies?

 


Cigs $600 a pack in jails-AB
LORI COOLICAN, EDMONTON SUN

The value of contraband tobacco and cigarettes inside provincial jails and remand centres has skyrocketed to as much as $600 a pack since smoking was banned in the institutions about two months ago. "The experience has shown in other jurisdictions basically the same things that we're starting to hear here in terms of a black market being created for cigarettes and prices going up," said Brad Odsen of the John Howard Society of Alberta.

"We know they went up tenfold and more in other jurisdictions and there's no reason to believe that wouldn't be the case here."

Guards' union rep Mike Rennich said a pack of cigarettes was already worth about $60 in the underground barter system at Edmonton's remand centre and provincial jail before the ban took effect.

If the price rose in keeping with jails in other provinces, that's $600 for a pack of smokes that would cost about $11 on the outside.

"I can believe that," Rennich said, adding a cigarette is now worth more than a marijuana joint to some inmates.

Guards are still finding cigarettes and they've noticed some of the men are improvising by smoking dried tea leaves, he said. Wires and paper clips are inserted into electrical outlets to get a spark, since lighters are banned.

While they aren't traded for big wads of cash, a "deck" of factory-made smokes or a pouch of loose tobacco is the most valuable form of currency behind the walls these days, Rennich said.

"They're used for payment on debts. They have poker games, so if a guy loses $2,000 and he's got 10 packs of smokes, he can probably write off the $2,000 by giving them up."

Along with any barter system "you've got a whole other realm of suppliers and consumers and debt and debt collection," Odsen said. "There are going to be some fairly serious concerns arising out of this."

One of those concerns is inmate safety, Rennich said.

"Anybody that has tobacco, you'd better be capable of keeping it. It's a violent place and the big dog rules. If he don't get them, he'll take them from you."

The good news is that violence has not increased substantially in the two months since the ban took effect, Rennich said.

"It's been really successful, and I give credit to the (Solicitor General's) department for implementing it over a six-month period and getting everyone prepared."

The Correctional Service of Canada is also considering a smoking ban in federal pens.

http://www.canoe.ca/NewsStand/EdmontonSun/News/2004/12/08/772703.html

 


Selling cigs gets more dangerous STORE ROBBERIES JUMP 25%

By JONATHAN JENKINS, TORONTO SUN

Wed, December 8, 2004

PITY THE poor convenience store owner addicted to the cigarette trade -- every sale brings his customer closer to death, while rising taxes choke off the trade and drive criminals to rob him. A new study sponsored by the Ontario Convenience Stores Association has found break-ins and robberies have risen in lock-step with cigarette taxes, wrecking businesses and putting lives at risk.

"If this was happening at government liquor stores, they'd be putting armed guards in," said Dave Bryans, the association's executive director.

Break-ins at convenience stores have soared 127% since 2001-2002, the association has found. Robberies are up in the same period by more than 25%.

TAX HIKE BLAMED

While the study also found just over half of all robberies and break-ins involved cigarettes, the association is certain the rising tax-take on smokes is behind most of the increase.

Bryans said the association is calling for a freeze on further tax hikes and an end to a proposal that cigarettes be hidden from view, which would pose a security risk.

STORES 'LESS SECURE'

"Even a few seconds distraction can provide an opening for criminals to strike," association president Howard McIntyre said.

"The government's proposal would simultaneously make convenience stores less secure and more profitable for criminals."

Cigarette sales account for 40% to 60% of all sales in convenience stores, and without them, a difficult business would become all but impossible, Bryans said.

"We're as addicted to selling cigarettes as the smokers are to buying them, and as the governments are to taxing them," Bryans said.

http://www.canoe.ca/NewsStand/TorontoSun/News/2004/12/08/772854.html

 


Pollution jumps in Canada: report

Last Updated Wed, 08 Dec 2004 14:18:26 EST

OTTAWA - Canada has more pollution than it had 10 years ago and neither industry nor government is doing much to reverse the trend, says a report released on Wednesday.

About 4.19 billion kilograms of pollutants – including some that can cause cancer, asthma and other health problems – were released into the country's air, land or water in 2002, says Shattering the Myth of Pollution Progress in Canada: A National Report.

Overall emissions of chemicals that were tracked continuously from 1995 to 2002 jumped by 49 per cent to 296 million kilograms, the report says.

In the Toronto area, emissions rose by 167 per cent.

The report, co-authored by Environmental Defence Canada and the Canadian Environmental Law Association, condemns both government and industry for not doing enough to reduce pollution.

It says Canada lags behind other industrialized countries in tackling the problem.

"The increase shows that there's a lot more work to be done here in Canada in terms of really reducing pollution," Jennifer Foulds, a spokesperson for Environmental Defence, told CBC News Online.

"We haven't really seen real progress."

Most of the 2002 pollution – 3.87 billion kilograms of chemicals, including some that make people sick and contribute to smog and acid rain – went into the air.

Ontario had the most overall pollution of all the provinces in 2002 and includes the country's dirtiest industry, Inco's nickel smelter in Copper Cliff, near Sudbury.

Although the average emissions per source decreased slightly in 2002, the national total went up because there were thousands more sources of pollution than eight years earlier.

The report is based on information from 1995 to 2002 submitted by industry to the National Pollutant Release Inventory, a federal database that tracks emissions across Canada.

In 2002, the most recent year for which numbers are available, the database monitored emissions of 274 chemicals, including carbon monoxide and sulphur dioxide from 4,652 facilities.

http://www.cbc.ca/story/canada/national/2004/12/08/pollution_report_041208.html

 


December 8, 2004

Industry's 'Dirty Air' Secret Exposed
New air pollution data analyzed for the first time; national trends show pollution getting worse
 

Ottawa, Ontario - Canadian industries spewed out close to 4 billion kilograms (3,868,307,111) of harmful air pollutants that damage human health and cause smog and acid rain, says a new national report released today by Environmental Defence and the Canadian Environmental Law Association.

For the first time, the report reveals the companies that are sending up unacceptably large amounts of air pollutants, known as criteria air contaminants, such as particulate matter (linked to asthma, bronchitis and heart disease) and sulphur dioxide (a leading cause of acid rain).

The national report, Shattering the Myth of Pollution Progress in Canada, found that 96% of reported air pollution in 2002 was made up of pollutants associated with respiratory illnesses. The analysis, completed using the newly-updated www.PollutionWatch.org, is based on pollution data submitted by industry to Environment Canada for its national pollution reporting program - the National Pollutant Release Inventory (NPRI). The 2002 data are the most recently available for Canada. PollutionWatch.org is an interactive web site that tracks pollution across Canada.

"These numbers leave me breathless," said Paul Muldoon, Executive Director, Canadian Environmental Law Association. "We have enough studies linking poor air to asthmatic conditions and other respiratory illnesses that Canadians should see these numbers as warning signals telling us that the efforts to date do not go far enough to curb pollution. An aggressive plan to plug the source of pollution will benefit Canadians' health, environment and economy."

Shattering the Myth of Pollution Progress in Canada lists the Top 10 facilities emitting PM 2.5, the size of particulate matter of most concern for human health. This is the first time that Canadians can see the top facilities that are producing these harmful pollutants.

Top 10 Facilities in Canada Releasing PM 2.5 to the Air in 2002 (as reported to NPRI)
 

Rank Facility Company Total Amount (kg) Province
1 Boundary Dam Power Station SaskPower 2,717,723 SK
2 Copper Cliff Smelter Complex Inco Limited 2,545,840 ON
3 Nanticoke Generating Station Ontario Power Generation 2,224,400 ON
4 Kimberly-Clark, Inc. Kimberly-Clark Corporation 1,256,636 ON
5 Holyrood Thermal Generating Station Newfoundland and Labrador Hydro 1,194,000 NL
6 Kamloops Pulp Division Weyerhaeuser Canada Limited 1,188,415 BC
7 Sundance Thermal Generating Plant TransAlta Corporation 1,124,930 AB
8 IMC Canada Ltd. (IMC Potash Belle Plaine) IMC Global Inc. 1,067,400 SK
9 IMC Potash - K2 Plant IMC Esterhazy Canada Limited Partnership 873,600 SK
10 Stelco Hamilton Stelco Inc. 866,554 ON

The report also ranks those facilities releasing pollutants declared toxic under the Canadian Environmental Protection Act, pollutants linked with cancer, and pollutants known to cause reproductive or developmental harm.

Using www.PollutionWatch.org, Shattering the Myth of Pollution Progress in Canada also found that pollution generally increased 49% between 1995 and 2002. Releases of pollutants to the air rose by 21%, while releases to water increased by 137%. The analysis is based on a core set of chemicals that industry reported to NPRI consistently over eight years.

"Despite an equally dramatic rise in anti-pollution rhetoric from governments and industry touting various pollution reduction measures, our air, land and water is being subjected to increasing amounts of contamination," said Dr. Rick Smith, Executive Director, Environmental Defence. "For the past several years, we've been inundated with so-called good news from industry and governments about lowering pollution. Our report clearly shows that the only thing getting better is industry and governments' ability to sugar-coat the truth on pollution reduction."

A recent report by the Paris-based Organization for Economic Cooperation and Development (OECD) called on Canada to do more to improve its environmental performance, including introducing 'polluter pays' laws and strengthening compliance and enforcement of environmental regulations. Similarly, the federal Environment Commissioner's latest annual report said Canada's reputation as an environmental leader is slipping.

Shattering the Myth of Pollution Progress in Canada recommends immediate action, led by the federal government, to significantly reduce pollution across Canada:

  • virtual elimination of releases of carcinogens to the air and water by 2008;
  • interim target of 50% reduction in releases of CEPA toxics to the air and water by 2008;
  • interim target of 50% reduction in releases of respiratory toxins to the air by 2008;
  • interim target of 50% reduction in releases of pollutants known to cause developmental and reproductive harm to the air and water by 2008.

"This report arrives just in time for the holiday season. Instead of a brighter, cleaner future, Canada's children didn't even get a lump of coal - they got the emissions," Smith said.

Shattering the Myth of Pollution Progress in Canada is available to download for free from the PollutionWatch web site - www.PollutionWatch.org.

About PollutionWatch (www.PollutionWatch.org) is a collaborative project of Environmental Defence and the Canadian Environmental Law Association. The web site tracks pollution across Canada based on data collected by Environment Canada through the National Pollutant Release Inventory (NPRI). NPRI does not include pollution data from all chemicals or sources. Visitors to the PollutionWatch web site can identify polluters in their home towns by searching by postal code, access "quick lists" of the largest polluters in the country, get pollution trends from 1995-2002, or create their own ranked lists of polluters by province, industrial sector, or corporation.

-30-
For more information, or to arrange an interview, please contact:
Jennifer Foulds, Environmental Defence, (416) 323-9521 ext. 232; (647) 280-9521 (cell)
Fe de Leon, Canadian Environmental Law Association, (416) 998-0997 (cell)

http://www.environmentaldefence.ca/pressroom/releases/20041208.htm

 


Respiratory symptoms in relation to residential coal burning and environmental

tobacco smoke among early adolescents in Wuhan, China: a cross-sectional study

Päivi M. Salo 1, Jiang Xia 2, C. Anderson Johnson 3,Yan Li 4, Grace E. Kissling 5, Edward L.

Avol 6, Chunhong Liu 2, Stephanie J. London * 1

1 Epidemiology Branch, National Institute of Environmental Health Sciences, National Institutes

of Health, MD A3-05, PO Box 12233, Research Triangle Park, NC 27709, USA

2 Wuhan Public Health and Anti-Epidemic Station, No. 24 N. Jianghan Road, Wuhan,

Hubei 430022, China

3 Institute for Health Promotion & Disease Prevention Research, USC Keck School of Medicine,

1000 South Fremont Ave., Unit 8, Alhambra, CA 91803, USA

4 Wuhan Health Bureau, 2 YiYuan Road,Wuhan, Hubei 430014, China

5 Biostatistics Branch, National Institute of Environmental Health Sciences, National Institutes

of Health, MD A3-03, PO Box 12233, Research Triangle Park, NC 27709, USA

6 Department of Occupational & Environmental Health, USC Keck School of Medicine, CHP

236, 1540 Alcazar St., Los Angeles, CA 90089, USA

* Corresponding author

E-mail: Päivi M. Salo salo1@niehs.nih.gov,  Jiang Xia xiajiang@public.wh.hb.cn,  C. Anderson Johnson carljohn@hsc.usc.ed

Yan Li yanli@public.wh.hb.cn,  Grace E. Kissling kissling@niehs.nih.gov, Edward L. Avol avol@hsc.usc.edu

Chunhong Liu liups@public.wh.hb.cn, Stephanie J. London london2@niehs.nih.gov

2 Abstract

Background: Cigarette smoking and coal burning are the primary sources of indoor air pollution

in Chinese households. However, effects of these exposures on Chinese children’s respiratory

health are not well characterized.

Methods: Seventh grade students (N=5051) from 22 randomly selected schools in the greater

metropolitan area of Wuhan, China, completed an in-class self-administered questionnaire on

their respiratory health and home environment.

Results: Coal burning for cooking and/or heating increased odds of wheezing with colds [odds

ratio (OR) =1.57, 95% confidence interval (CI): 1.07-2.29] and without colds (OR=1.44, 95%

CI: 1.05-1.97). For smoking in the home, the strongest associations were seen for cough

(OR=1.74, 95% CI: 1.17-2.60) and phlegm production (OR=2.25, 95% CI: 1.36-3.72) without

colds among children who lived with two or more smokers.

Conclusions: Chinese children living with smokers or in coal-burning homes are at increased

risk for respiratory impairment. While economic development in China may decrease coal

burning by providing cleaner fuels for household energy use, the increasing prevalence of

cigarette smoking is a growing public health concern due to its effects on children. Adverse

effects of tobacco smoke exposure were seen despite the low rates of maternal smoking (3.6%)

in this population.

 http://www.ehjournal.net/content/pdf/1476-069X-3-14.pdf


Reexamining the effects of gestational age, fetal growth, and maternal smoking on neonatal mortality
Cande V. Ananth  and Robert W. Platt
BMC Pregnancy and Childbirth 2004, 4:22     doi:10.1186/1471-2393-4-22

Published 1 December 2004

Abstract (provisional)

Background

Low birthweight (<2,500g) is a strong predictor of infant mortality. Yet low birthweight, in isolation, is uninformative since it is comprised of two intertwined components: preterm delivery and reduced fetal growth. Through nonparametric logistic regression models, we examine the effects of gestational age, fetal growth, and maternal smoking on neonatal mortality.

Methods

We derived data on over ten million singleton live births delivered at [greater than or equal to]24 weeks from the 1998-2000 U.S. natality data files. Nonparametric multivariable logistic regression based on generalized additive models was used to examine neonatal mortality (deaths within the first 28 days) in relation to fetal growth (gestational age-specific standardized birthweight), gestational age, and number of cigarettes smoked per day. All analyses were further adjusted for the confounding effects due to maternal age and gravidity.

Results

The relationship between standardized birthweight and neonatal mortality is nonlinear; mortality is high at low z-score birthweights, drops precipitously with increasing z-score birthweights, and begins to flatten for heavier infants. Gestational age is also strongly associated with mortality, with patterns similar to those of z-score birthweight. Although the direct effect of smoking on neonatal mortality is weak, its effects (on mortality) appear to be largely mediated through reduced fetal growth and, to a lesser extent, through shortened gestation. In fact, the association between smoking and reduced fetal growth gets stronger as pregnancies approach term.

Conclusions

Our study provides important insights regarding the combined effects of fetal growth, gestational age, and smoking on neonatal mortality. The findings suggest that the effect of smoking on neonatal mortality is largely mediated through reduced fetal growth.

http://www.biomedcentral.com/1471-2393/4/22/abstract


Smoking is "bad for the brain"

Wed Dec 8, 2004 07:14 PM GMT

LONDON (Reuters) - Smoking not only damages health, it is bad for the brain too, according to a Scottish study spanning nearly 60 years.

Professor Lawrence Whalley and his team looked at how the cognitive abilities of 465 people, half of them smokers, changed over their lifetime.

They were first tested in 1947, at 11 years old and examined again between 2000 and 2002 when they were 64.

Smokers performed significantly worse in five different cognitive tests than did both former smokers and those who had never smoked.

When social and health behaviour was taken into account -- factors like education, occupation and alcohol consumption -- smoking still appeared to contribute to a drop in cognitive function of just less than 1 percent.

The link between cognitive ageing and impaired lung functions could be that smoking subjects the vital organs, including the brain, to oxidative stress, suggests Whalley, of the Department of Mental Health at the University of Aberdeen.

The study he and colleagues at the University of Edinburgh produced appears in New Scientist magazine.

http://www.reuters.co.uk/newsArticle.jhtml?type=topNews&storyID=635494


Top court considers beef ad campaign case

By GINA HOLLAND, ASSOCIATED PRESS WRITER
Dec 8, 2004 8:24 PM
WASHINGTON (AP) - A food fight broke out at the Supreme Court on Wednesday, with justices considering whether the government can force farmers to pay for ad campaigns with catchy phrases like "Beef: It's what's for dinner" and billboards featuring milk mustaches on celebrities.

Farmers are challenging the multimillion-dollar beef promotion program, saying they shouldn't have to pay for ads they disagree with.

The eventual ruling could jeopardize more than 100 federal and state campaigns for other products - eggs, mangoes, popcorn and even alligators.

The programs are billed as a way to help farmers of all sizes with generic ads, but they have faired poorly in courts. Lower courts have already struck down the "Got Milk?" dairy promotion, advertisements calling pork "the other white meat," and the beef program.

Attorney Gregory Garre, representing cattlemen who support the beef campaign, told justices the whole industry has benefited from increased exports to other countries and consumer education.

"The part that's good can't save the whole thing," Justice Antonin Scalia said.

And Justice Anthony M. Kennedy said, "There is something offensive" about forcing farmers to pay for ads they do not support.

Still, the court seemed divided on how to settle the case.

"Every time we pay general taxes we're supporting government speech we may not agree with," Scalia said.

Some justices also seemed concerned that a ruling against the government would hurt efforts to force cigarette makers to pay for ads warning about the dangers of smoking.

"The ultimate beneficiary of the advertising is the consumer," Bush administration lawyer Edwin Kneedler said, defending the beef campaign.

He said the government believes beef should be part of Americans' diets, and formed the program to help small farmers who could not mount a national campaign on their own.

Justice Ruth Bader Ginsburg and several other court members appeared skeptical of claims the beef program was government speech, giving the cattle farmers no right to challenge it. She said government public health experts would not encourage people to eat lots of red meat.

Beef producers are required to pay a $1 per-head fee on cattle sold in the United States, which generates more than $80 million a year for ads, research and educational programs on mad cow disease. Federal officials oversee how the money is spent.

Producers get back $5.67 for every dollar they contribute in increased prices because of the program, supporters contend.

However, Harvard Law School professor Laurence Tribe, representing farmers who oppose the program, said the money never makes it to the 850,000 individual cattle producers. Instead, he said, restaurants, grocery stores and slaughterhouses get the benefits.

Tribe said the ad campaign is intended to help, but "the road to hell is often paved with good intentions."

Among the complaints are that the ads do not specifically promote American beef, helping beef importers who do not have to contribute, and that generic promotions do little good for specialized farmers.

The government was sued by ranchers who sell cattle in South Dakota and Montana. They won an appeals court ruling that found the 20-year-old program violated the First Amendment.

The federal government and Nebraska cattlemen appealed to the high court, which has dealt before with questions about government authority to force farmers into joint programs.

In 1997, the court upheld advertising programs for California fruit. But in 2001, justices struck down a mandatory campaign for the mushroom industry.

The court has never decided, however, if such programs are government speech.

Many groups and 34 states are supporting the government. Justices were told that in California alone, 48 mandatory programs are used to promote produce like grapes and lettuce.

The cases are Veneman v. Livestock Marketing Association, 03-1164, and Nebraska Cattlemen v. Livestock Marketing Association, 03-1165.

http://newsobserver.com/24hour/business/story/1907223p-9851505c.html


Cigarette discounts cited in US racketeering trial

Source: Reuters  08 Dec 2004 23:50:59 GMT

WASHINGTON, Dec 8 (Reuters) - Cigarette makers have revved up price promotions in recent years, a strategy they know will lead to more underage smoking, an economist testifying in the U.S. government's racketeering trial against the industry said on Wednesday.

Frank Chaloupka, an economist at the University of Illinois, told a federal judge that spending on cigarette price promotions had soared in recent years, and that the industry has long known discounts are especially attractive to teenagers.

"Once defendants gained this knowledge, defendants have increasingly concentrated more and more of their growing marketing budgets on price-related marketing strategies," Chaloupka said in written testimony submitted to the court.

His testimony on behalf of the government is aimed at bolstering the government's charge that tobacco companies have continued marketing cigarettes to underage teens, even though they deny doing so.

During the testimony, a lawyer for the Justice Department showed U.S. District Judge Gladys Kessler examples of cigarette coupons, price displays, giveaways and other special offers.

"These types of promotions will in fact increase youth smoking," Chaloupka said.

Chaloupka cited statistics compiled by the Federal Trade Commission that show the six largest cigarette manufacturers spent more than $7.8 billion on price discounts to retailers and wholesalers in 2002.

Spending on the discounts and other promotional allowances now makes up the biggest portion of the industry's advertising and promotion budgets. Between 2001 and 2002 it more than doubled to $9.66 billion, according to figures compiled by the FTC.

Chaloupka will be questioned by tobacco industry lawyers on Thursday.

Cigarette makers have denied targeting underage teens and say price discounts reflect sharp competition in the industry. That competition has become especially fierce of late as the major tobacco companies have tried to defend their market from increasing number of discount cigarette makers.

Filed in 1999, the government suit targets Altria Group Inc. <MO.N> and its Philip Morris USA unit; Loews Corp.'s <LTR.N> Lorillard Tobacco unit, which has a tracking stock, Carolina Group <CG.N>; Vector Group Ltd.'s <VGR.N> Liggett Group; Reynolds American Inc.'s <RAI.N> R.J. Reynolds Tobacco unit and British American Tobacco Plc <BATS.L> unit British American Tobacco Investments Ltd.

The tobacco companies deny they conspired to promote smoking and say the government has no grounds to pursue them after they drastically changed marketing practices as part of the 1998 settlement with state attorneys general.

http://www.alertnet.org/thenews/newsdesk/N08379326.htm


Efforts are Underway to Increase the Cigarette Tax

December 8, 2004

If  you're a smoker, this might be a reason to quit. One organization will try to increase the tax on cigarettes in Mississippi again this year.

Last year, "The Communities for a Clean Bill of Health" called for a 50-cent tax on every pack of cigarettes. This year they're asking for a dollar. The current tax is 18 cents.

Coalition members say raising that amount would discourage people from smoking and generate funds to offset the cost of treating people for smoke-related illnesses. One coalition member says Medicaid has paid millions of dollars to treat smoke-related illnesses.

If it passes, this will be the first time Mississippi has raised its tax on cigarettes since 1985.

http://www.wdam.com/Global/story.asp?S=2667621&nav=1Pw1TzAB

 


Skycity Queenstown Casino to Become Smokefree  -AU

8 December 2004

AUSTRALIA – (PRESS RELEASE) -- Skycity Queenstown Casino said today that it is prepared for the introduction of smoke free legislation on 10 December 2004 and that a smooth transition is expected as the days count down to the enactment of the new law.

Under the Smokefree Environments Amendment Act 2003, from 10 December 2004, no smoking is permitted inside any workplace. Smoking will be restricted to open-air venues. Existing outdoor balconies located around the complex will become the complex's designated smoking areas under the new law.

Skycity Queenstown Casino General Manager, Paul Wilson, said that smokefree legislation has been inevitable for some time and that the venue was designed with this eventuality in mind.

"Skycity Queenstown Casino opened in December 2000 with a number of outdoor balconies," he said.

"This week, we will simply continue to phase out our internal smoking areas. When we open at midday on Thursday 9 December, we will already be smokefree so that come midnight, our staff and customers will be accustomed to any changes," he said.

Mr Wilson adds that staff have been trained and will be instrumental in assisting customers to understand the new legislation and how it affects them.

"Quite simply, under the new legislation, staff and customers will still be able to smoke if they choose to – they will just be limited to the designated outdoor smoking areas."

Although there are obvious benefits with the new smoke free legislation (including a healthier working environment for staff, cleaning and ventilation cost reductions) Mr Wilson says that Skycity is aware that there is likely to be a downside for the business, but adds that it is likely to be short lived.

The Skycity Group has estimated an approximate $10 million impact across its operations this financial year as a direct result of the new smoke free legislation. However as evidenced by overseas experience, this is expected to abate within 12 months.

As well as the designated smoking balconies, other changes at Skycity Queenstown Casino from 10 December will include the removal of cigarette vending machines as the new law requires stricter rules around the sale and promotion of cigarettes. From 10 December, cigarettes will be sold at Skycity behind the counter at Wild Thyme Bar.

Skycity has also progressively installed signage throughout the complex to direct customers to the nearest smoking area.

For staff, Skycity Queenstown Casino will continue to offer external locations in which to smoke, located within the building precinct. For those keen to give up the habit, Skycity has promoted the national smoking Quitline, offering advice and support as well as heavily discounted vouchers for the purchase of nicotine gum and patches for its staff.

Mr Wilson says Skycity saw the introduction of smoke free as an opportunity to contribute to the welfare of its staff by getting alongside the nation's leading treatment provider and putting in place a cost effective process for those willing to give up their smoking habit.

"Staff simply phone up the Quitline with proof of their employee details to receive two months supply of nicotine replacement for just $15, which would normally cost around $200," he said.

At Skycity Hamilton, existing outdoor smoking balconies will also be utilised under the new legislation and at Skycity Auckland, eight new outdoor smoking balconies have been constructed to become the new designated smoking areas.
http://www.casinocitytimes.com/news/article.cfm?contentID=147085


Fitch Outlook: US Tobacco Industry Entering a Pivotal Year

 December 08, 2004 1

CHICAGO--(BUSINESS WIRE)--Dec. 8, 2004--The U.S. tobacco industry faces an uncertain future and at a minimum will likely encounter additional regulation in the near-to-intermediate timeframe, according to Fitch Ratings' 2005 industry outlook. The outlook is based on continued uncertainty regarding the resolution of pending litigation, including the Department of Justice (DoJ) case and the Engle and Price cases in Florida and Illinois, respectively. The best case scenario is that favorable rulings will occur in mid-2005, although appeals and settlement proceedings could delay ultimate resolution.
After surviving a tumultuous year in 2003, U.S. tobacco companies did not see any ratings changes in 2004. The competitive environment, while remaining intense, has allowed the major firms to return to some predictability not seen since 2002. Fitch's tobacco company and industry ratings already incorporate a moderate level of litigation, although material adverse monetary verdicts could result in Negative Rating Watches or downgrades. Conversely, favorable resolution of Engle, Price, and the DoJ case could result in upward rating revisions. If penalties are not monetary but restrict marketing and manufacturing of tobacco products, ratings would likely be affirmed.

Further complicating the industry's outlook, smoking bans continue to be implemented at state and local levels, making it challenging for consumers to find legal smoking venues. Nonetheless, overall cigarette consumption declines continue at low, single-digit levels, which are manageable.

Full discussion on each of the major tobacco lawsuits, as well as discussion on the potential break-up of Altria Group and the tobacco quota buyout can also be found in the report.

The full report 'US Tobacco Industry Report: All Eyes on Mid-2005,' is available on the Fitch Ratings web site at www.fitchratings.com.

prospects for tobacco


Franklin council rejects call to ban smoking in restaurants -WI

Business owners rejoice, but supporters of ban pledge to keep fighting

By ANNYSA JOHNSON Posted: Dec. 7, 2004

Franklin - The Franklin Common Council on Tuesday rejected a call by a citizens group for a ban on smoking in restaurants, saying it would infringe on the rights of property owners and hinder the city's ability to attract new businesses.

"The right to breathe clean air ends when you enter another's private property," Ald. Steve Olson told the standing-room-only crowd in the Franklin Public Library before moving to reject the ban.

The measure failed on a 4-2 vote with Aldermen Tim Solomon and James Bergmann opposed.

Restaurateurs applauded the decision. But members of the group Fresh Air for Franklin said they will re-group and may consider direct legislation to override the council's decision.

"Obviously, we are disappointed," said Regis Brost, a spokesman for the group that drafted the proposed ordinance.

"We will go back, re-educate, reach out and come back," he said. "At some point, there will be new faces on the Common Council."

Debbi Schaefer, who owns the Hideaway at 9643 S. 76th St., echoed the sentiments of the restaurant contingent.

"I'm happy beyond belief," said Schaefer, who estimates about 70% of her regular customers smoke. If that went through, I'd have probably gone under."

Tuesday's vote followed nearly three hours of debate between anti-smoking activists and restaurant owners, smokers and non-smokers.

It turned on issues of public health and free enterprise, individual rights and personal responsibility.

"Everyone has a right to breathe clean air," said Franklin Health Officer Bill Wucherer, who supported the measure. Wucherer cited a local survey that found that 63% of Franklin residents support a restaurant smoking ban.

Proponents cited numerous studies and statistics on the effects of second-hand smoke, pointing out that both the both the Environmental Protection Agency and U.S. Centers for Disease Control and Prevention have declared it a Class A carcinogen.

And they said government has an obligation to protect citizens from public health risks.

About "53,000 people a year die from second-hand smoke," said Lauren Schauer. "Even with ventilation, the carcinogens are still there."

But restaurant owners, particularly those along the city's borders, said they would lose business to neighboring communities if a ban passed.

Some questioned the validity of the research and findings on second-hand smoke, pointing to others that appear to refute those findings. They argued that smoking is legal.

Communities across the country are banning smoking in public places, from workplaces to entire cities.

Fresh Air for Franklin had asked the council to adopt an ordinance that would have banned smoking in establishments that derive 30% or more of their gross sales from food.

The group has collected 2,500 signatures in support of the ban, said Lori Hislop-Kaczmarek a cardiac nurse who is spearheading the effort.

Under Wisconsin law, if the petition is deemed sufficient - some ordinances don't quality - the common council must either adopt it or send it to a referendum. If a majority of the electorate supports the measure it becomes law.

Had it passed, Franklin would have become the second community in Milwaukee County to impose such a ban. Wauwatosa passed one last year that takes effect in 2006.

Franklin Mayor Fred Klimetz had tried to persuade the council to draft a resolution asking Milwaukee County and the Intergovernmental Cooperation Council to consider a countywide ban, saying it would make a larger dent in second-hand smoke exposure and avoid putting any one community's restaurants at a disadvantage. Solomon moved to advance that measure, but it died for lack of a second.

http://www.jsonline.com/news/metro/dec04/282158.asp



Posted at 3:40 am by looped_ca
Make a comment

Wednesday, December 08, 2004
what the paper's said

Smoking a 'solace' for the mentally ill

SHANE HOLLADAY, EDMONTON SUN Tue, December 7, 2004

The high number of mentally ill people who smoke is cause for serious concern, but some mental health advocates warn weaning them off nicotine may not be the best course. "It's certainly something we struggle with," Peter Portlock, executive director of the Canadian Mental Health Association, said yesterday.

"People have been reluctant to force that issue because it's such a source of solace for these folks."

A recently published study of American smoking habits suggests nearly half of those who smoke in the U.S. have psychiatric illnesses.

People with a mental illness are between two and eight times more likely to be lighting-up compared to the general population, said the study, which was published recently in the magazine Archives of General Psychiatry.

"The mentally ill represent 30% of the population, but smoke 46% of cigarettes," said the study's authors.

The study also showed how the tobacco industry tailored its marketing partly toward the psychological needs of consumers.

Portlock said the association does worry about the health impacts of smoking and that psychiatric patients are particularly vulnerable to smoking ads.

But for those struggling to cope with a mental illness, health concerns like the effects of smoking get sidelined, he said. "It provides some kind of solace and gratification in lives that often don't have much solace or gratification."

Les Hagen, executive director of Action on Smoking and Health, said many people forget addiction itself is a form of mental illness.

"Yes, it is a challenge to get people with mental illnesses to quit, but it can be done through appropriate treatment and care," Hagen said. "It's important to try."

http://www.canoe.ca/NewsStand/EdmontonSun/News/2004/12/07/769327.html


Peel Crime Stoppers  -ON

    MISSISSAUGA, ON, Dec. 7 /CNW/ - The Peel Regional Police Central Robbery Bureau and Peel Crime Stoppers are seeking the public's assistance in solving an armed robbery that occurred in Mississauga.
    On Monday, December 6th at about 7:55 p.m. the victim was working at the Convenience 4 U variety store located on Tamarack Gate in Mississauga. Thefirst culprit entered the store, selected a bag of potato chips and engaged the victim in conversation. The two other bandits then entered the store with one remaining by the front door while the other attended the cash counter.
    The thugs then produced a handgun and butcher knife, stormed the counter, demanded cash and began taking cigarettes. During the robbery the victim was able to flee the store and flag down a passing motorist. The three bandits then fled and were last seen running towards Council Ring Road.
    Description:
    -----------
        -  Culprit No. 1: male, dark skinned, 18-25 years 6'1" with an  average build. He was wearing a dark jacket with the hood up, and
           spoke with an unknown accent.
        -  Culprit No. 2: Male, 18 - 25 years, 5'6" - 5'8" tall, slim build, wearing a mask and dark jacket.
        -  Culprit No. 3: male wearing dark clothing.
    If you can assist in solving this crime or any other crime, Crime Stoppers would like to hear from you. If police make an arrest as a result of your call, you could become eligible for a cash reward. Remember with Crime Stoppers/Gun Stoppers you never have to give your name, you never have to testify in court and there is no call display. Crime Stoppers can be reached 24 hours a day, 7 days a week, by calling toll free 1-800-222-8477, that's 1-800-222-TIPS.

For further information: Contact: A/Det. S. Rowe, Peel Crime Stoppers,
(905) 453-2121 ext.: 4876;
Archived images on this organization are available through CNW E-Pix at
http://www.newswire.ca.


Smoking ban will devastate pub and bar sector  -NL

    ST. JOHN'S, NL, Dec. 7 /CNW/ - The owners of Newfoundland and Labrador pubs, bars, taverns and nightclubs are shocked by the provincial government's announcement that it will introduce legislation to ban smoking in bars, says the Canadian Restaurant and Foodservices Association (CRFA).
    "Only three years ago, Newfoundland and Labrador changed its legislation to limit smoking to drinking establishments, while banning it in restaurants,"
says St. John's pub owner and CRFA Director Brenda O'Reilly. "The 2001 legislation is working well, and there's no public outcry for a change. Nor
has there been any consultation or discussion with the industry that would be hurt by a smoking ban."
    The pub, bar and nightclub sector is struggling to recapture the sales lost since 9/11 and the subsequent sharp drop in tourism, says Luc Erjavec, CRFA's Vice President, Atlantic Canada.
    "These are small businesses in every sense of the word," says Erjavec.  "With average annual revenues of just $205,000 and razor-thin profit margins
of just 4.4%, a smoking ban will devastate the pub and bar sector in this province."
    A recent CRFA survey of liquor-licensed establishments in New Brunswick reveals that more than 70% of bars, pubs, taverns, legions and nightclubs have been hurt by that province's smoking ban, which came into effect Oct. 1. Liquor sales at these establishments fell by an average of 24% in the first
month of the ban.

    "New Brunswick's ban hasn't stopped smoking or exposure to second-hand smoke. It has simply driven smokers out of pubs and bars, and into homes and cars," says Erjavec. "There is a sensible solution to concerns about second- hand smoke that won't devastate small business. Designated smoking rooms`(DSRs) have proven effective in Nova Scotia, Prince Edward Island, British Columbia and cities like Calgary and Toronto. DSRs can effectively control customer and employee exposure to second-hand smoke while giving small business a chance to survive."

    "This government said it would help small business," says O'Reilly.  "Instead the government is forcing pub and bar owners to pay the price for a smoking ban while it continues to permit the sale of tobacco and to rake inthe taxes. This is a completely hypocritical proposal."     Newfoundland and Labrador's $452-million restaurant and foodservice industry is one of the province's largest employers, providing 13,200 jobs in communities across the province. The industry provides one in seven jobs for young people under the age of 25.
    CRFA is one of Canada's largest business associations with 17,500 members representing restaurants, bars, caterers, hotels and other foodservice
establishments in Canada's $46-billion foodservice industry.

For further information: CONTACT: Luc Erjavec, Vice President, Atlantic
Canada, (902) 456-6993 (cell); Brenda O'Reilly, Owner/Operator, O'Reilly's
Irish Pub, (709) 689-3735 (cell)
http://www.cnw.ca/en/releases/archive/December2004/07/c2327.html


Monessen Guard Suspended For Smoking Returns To Work -PA

POSTED: 10:20 am EST December 7, 2004 UPDATED: 12:38 pm EST December 7, 2004

GREENSBURG, Pa. -- A guard who was suspended from the Westmoreland County Prison for smoking is back at work.

 The county's prison board on Monday approved the return of Sgt. Richard Planey of Monessen.

 Earlier this year, the prison board approved a tobacco-free policy at the jail which went into effect Oct. 4. Under the policy, inmates and staff are both prohibited from smoking and using tobacco, and all tobacco products as well as lighters and matches are considered contraband.

 Planey was suspended last month. Another employee, a part-timer, was fired last month after an inmate said the guard was smuggling cigarettes into the jail to sell to inmates.

 Warden John Walton said the policy hasn't resulted in any other problems.

http://www.thepittsburghchannel.com/news/3977347/detail.html


Owens asks lawmakers to approve college scholarship program -CO

DENVER (AP) - Gov. Bill Owens asked state lawmakers Tuesday to approve a college scholarship program for low-income families that requires participants to knuckle down, pass pre-college high school courses and stay out of trouble.

Owens said the incentive program will allow students to get a higher education, while at the same time reduce the amount of time spent in remedial courses for college freshmen.

''For all too many of our high school students, earning a college degree is just a dream,'' Owens said.

To qualify, students must pass pre-collegiate high school courses, maintain a minimum grade point average, not use drugs, alcohol or tobacco and stay out of trouble.

''This new program will tackle the two biggest barriers to college access, lack of academic preparation and money to pay for college,'' said Rick O'Donnell, executive director of the Colorado Commission on Higher Education.

The initial $50 million for the program will come from surpluses earned in the student loan fund administered by CollegeInvest. The program is expected to provide $2.5 million in grants a year for students who enter into high school beginning next year.

Sen. Abel Tapia, D-Pueblo, said education is important to the state's economy.

''Education is our greatest economic driver,'' Tapia said.

 AP-WS-12-07-04 1957EST

http://www.casperstartribune.net/apdata/wire_detail.php?wire_num=91061


< B>W.Va. Cigarette Sales Drop 9%
December 6, 2004
Health Officials Credit Tax Hike for Decrease in Purchases

A May 2003 increase in the state cigarette tax appears to have reduced consumption by up to 9 percent.
The director of the West Virginia Division of Tobacco Prevention said Monday that his agency got information last week on the number of tax stamps sold since the tax was increased from 38 cents per pack to 55 cents.
Bruce Adkins said Department of Health and Human Resources officials are analyzing the information to take into account issues like whether border-state sales might have increased during that period.
But since studies have shown that most smokers are convenience buyers -- picking up cigarettes on their way to or from somewhere -- he doesn't expect cross-border sales to play much of a role.
Adkins spoke at the opening of a two-day conference devoted to reducing tobacco use in West Virginia.
According to the state's Tobacco Prevention Program, West Virginians spend up to $890 million a year on tobacco-related health care, and more than one in five state residents die each year due to a smoking-related illnesses.
The Associated Press
Website: http://www.wvdhhr.org/bph/oehp/tobacco/

http://wowktv.com/news/index.cfm?newsItemID=1588


Second-hand smoke solution -AZ
It seems that we are all aware of the health risks of smoking cigarettes as well as the danger of inhaling second-hand smoke. At ASU, it has long been a challenge for nonsmoking students to get through a day at school without inhaling cigarette smoke from their peers.
Whether you are walking to class, reading outside or having lunch outside the Memorial Union, it is likely you have just received a large helping of second-hand smoke, whether you are aware of it or not. It seems that inhaling second-hand smoke should be the last thing we have to worry about when coming to school.
There are many smokers on campus who are allowed to smoke anywhere they please, except inside buildings. This causes a problem for the students who make the choice not to smoke because their efforts to live healthier are negated by unwanted cigarette smoke all around them.
Don't get me wrong -- we are all entitled to our freedom: smokers and nonsmokers alike. However, the well-being of one party is currently being jeopardized. It is time we do something to help balance the situation.
For example, within the Maricopa Community Colleges, they have implemented designated smoking areas that still give people who want to smoke the option to do so and make it easier for the nonsmokers to get through the day with much less smoke inhalation.
The Maricopa Colleges recognize that as an academic institution they have a responsibility to ensure a healthy learning environment for their students, and as a result they have a policy called "Tobacco-Free Environment."
The policy states: "As an institution providing education, we are responsible to provide knowledge and guidelines about prevention, control and treatment of the abuse/misuse of alcohol, illegal and legal drug uses and misuses."
ASU needs a policy on smoking that is fair to all of its students and protects the health and well-being of the nonsmoking student body. Designated smoking areas would be a great solution to help the problem that nonsmokers are facing ever day at school.
Any smokers who oppose this should note that two-thirds of smoke from a cigarette is not inhaled by the smoker, but enters the air around the smoker. In addition, second-hand smoke has at least twice the nicotine and tar as the smoke inhaled by the smoker.
Nonsmokers, our health and well-being is currently ignored. What are we going to do about it?
--Laura Saldivar
communication junior

http://www.asuwebdevil.com/issues/2004/12/07/opinions/689518


Cigarette smuggling ring busted  -Germany

6 December 2004

FRANKFURT - A smuggling gang that sneaked 180 million cigarettes into Germany hidden in building materials has been broken up thanks to the extradition of a 45-year-old Polish national to face German charges, customs agents said.

The agents have spent four years tracking down the gang, which operated between 1997 and 2001. The German chiefs of the group have already been caught and convicted, but the overall boss had to be tracked down in the Ukraine. Kiev extradited him a week ago.

Tobacco is a popular item for smuggling because of high taxes in Germany. The state lost revenues of EUR 19 million when street hawkers sold the bootleg

cigarettes to smokers.
Showing a roomful of captured cigarettes, customs agents said they had been found in hollowed-out timber, six-metre-long pipes and in building panels on trucks carrying building supplies from Ukraine to Germany. 

DPA

http://www.expatica.com/source/site_article.asp?subchannel_id=52&story_id=14400&name=Cigarette+smuggling+ring+busted+


Raise your glass: High court considers constitutionality of shipping wine -USA
By HOPE YEN Associated Press Writer

The Supreme Court is considering whether states may bar people from buying wine directly from out-of-state suppliers, a big-money question that could lead to sweeping changes in how alcoholic beverages are regulated and sold.
Justices were hearing arguments Tuesday in three appeals involving bans in Michigan and New York on direct shipments that cross state borders. The dispute pits regulators and wholesalers against out-of-state wineries that want to sell alcohol to consumers, mostly over the Internet or by phone. California produces more than 90 percent of the nation's wine.
"It seems to be restraint of trade," said Juanita Swedenburg, owner of a family run winery in Virginia who is challenging New York's regulations.
The case involves a clash between two parts of the Constitution, with lower courts divided over which section should rule.
On one side is the 21st Amendment, which ended Prohibition in 1933 and explicitly granted states authority to regulate alcohol sales. Twenty-four states have laws that generally require outside wineries to sell their products through licensed wholesalers in the state. Michigan and New York allow instate Internet or telephone sales of alcoholic beverages. Some other states allow such sales, others do not.
The Constitution also implicitly prohibits states from passing laws that discriminate against out-of-state businesses. That provision has been embraced by wine makers who hope to reach faraway Internet customers looking for favorite U.S. vintages unavailable in their home states.
While the 2nd U.S. Circuit Court of Appeals sided with New York in upholding the state restrictions, the 6th Circuit, based in Cincinnati, Ohio, struck down Michigan's laws as unconstitutionally protectionist.
"Michigan wineries enjoy both greater access to consumers who wish to have wine delivered to their homes and greater profit," the 6th Circuit stated, in ruling for wine consumers Ray and Eleanor Heald of Troy, Mich. "Out-of-state wineries, on the other hand ... may be shut out of the Michigan market altogether if unable to obtain a wholesaler."
The stakes are high in the $21.6 billion wine industry. States collect millions of dollars in alcohol taxes and claim the established system helps stem fraud and underage drinking. They argue they have less enforcement power over out-of-state sellers who aren't licensed.
"Allowing Internet sales of a highly dangerous and highly regulated product, such as alcohol or tobacco, is a genuine concern for state regulators," attorneys general from Ohio and 32 other states argue in a friend-of-the-court brief backing Michigan.
"The question is, `Do you think alcohol is a socially sensitive product that should be regulated by states and monitored by parents?' For more than 50 years, it has been," adds Georgetown law professor Viet Dinh, who is helping represent wholesalers.
Owners of family owned wineries such as Swedenburg disagree. They say there are other, less-restrictive ways to control underage drinking, such as requiring shipping companies to verify recipients are 21 or older, that don't burden wineries with hefty middlemen's fees.
Since 1980, the number of wineries has quadrupled nationally to more than 3,700 this year, and their survival depends on state laws that give them a fair shake, the National Association of American Wineries argues in a friend-of-the-court filing.
"There is great and growing demand for the products of America's small wineries, which are eager to meet it, but discriminatory laws in many states prevent most wineries from selling to willing consumers," said the group, which represents more than 3,000 small wineries.
Tuesday's case only involves wine sales, but industry groups representing distributors for beer and other alcohol also have asked the high court to rule for continued state regulation, believing that the justices' decision eventually could apply to them.
The Washington-based Institute for Justice says the 24 states that ban direct interstate shipments are Alabama, Arizona, Arkansas, Connecticut, Delaware, Florida, Indiana, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Mississippi, Montana, Ohio, Oklahoma, Pennsylvania, New Jersey, New York, South Dakota, Tennessee, Utah and Vermont.
The cases are Granholm v. Heald, 03-1116; Michigan Beer & Wine Wholesalers Association v. Heald, 03-1120; and Swedenburg v. Kelly, 03-1274.
http://www.timesdaily.com/apps/pbcs.dll/article?AID=/20041207/APF/412070573


Miscellany: PR firms, the UN and Iraq

08 December 2004

By Noel TurnbullPR firms and their clients
While it may surprise many people, PR firms do have internal debates and debates with others about whether they should take on specific clients or not.
Most Australian PR companies, for instance, won’t work for tobacco companies although the fact that doing so precludes taking on work for State and Federal health departments is a powerful encouragement.
One view – enunciated by people like Ian Kortlang - is that PR firms are just like barristers and should act on the cab rank principle. The other view – which I share incidentally – is that the analogy is nonsense because the constraints on barristers don’t apply to PR firms and, anyway, PR firms have a right and obligation to choose.
It’s normally hard to ascertain what particular PR firms do and don’t do because they don’t often disclose clients or discuss their client choices. These thoughts were prompted by a recent discussion at a meeting of PR practitioners about the James Hardie case and the role of their spinners – including two leading Australian PR firms, Jackson Wells Morris and Gavin Anderson & Company. Who were their other clients and what did they think of the situation? We couldn’t answer the second but – thanks to www.disinfopedia.org we were able to answer the first. This website has been set up by the US Center for Media & Democracy - publishers of the wonderful free e-newsletter, Weekly Spin – and is an excellent starting point if you want information about PR firms and their clients.
Now it should be said that client lists need to be handled with extreme caution. They can often be historical rather than current. They don’t stipulate the nature, duration and scope of any client relationship. Without this data they can be misleading. For instance, on the face of it a list that includes two competing companies could look like a conflict of interest when it is not at all. Many companies – including my former company – don’t publish or disclose their client lists at all. Jackson Wells Morris is one that does on the other hand.
The second reason for caution is that you don’t know why the client hired the firm in the first place. For instance, it would be absolutely inappropriate to draw any conclusions about the sort of issues, the nature of work or any motivations at all from the presence of any company on a client list. In particular it would be inappropriate to draw any conclusion that any of the companies on the lists had experienced, or might experience, issues similar to those Hardie has. Many clients also employ different PR firms for different purposes. Moreover, as we don’t know exactly what the two firms are doing for James Hardie judgments of any sort on that would be inappropriate as well. Nevertheless, who’s who is still interesting.
So here goes:
According to www.disinfopedia.org GA’s clients include: ABN AMRO Asset Management, American Express, Austereo, Australia Post, Australian Agribusiness Fund, Australian Constructors Association, Australian Dental Association, Australian Rugby Union, Australian Vice Chancellors Committee, AWB Ltd, Baulderstone Hornibrook, Becton Dickinson, Bonlac, Brisbane Airport, Cable & Wireless, Central Equity, Chesterton International, City of Sydney, Clayton Utz, CSFB, Deloittes, Department of Health-Medicare, Eastern Distributor Motorway, Eli Lilly, Firbank Grammar School, Fonterra, Foxtel, Game Fishing Assoc of Australia, Hemophilia Foundation, Department of Health and Aging, HIH Liquidator, ICAP, Indigenous Land Corporation, Indonesia Tourism and Culture Board, Integral Energy, James Hardie, JP Morgan, Kelloggs, Lane Cove Tunnel, Liability Reform Steering Group, Lucas Heights, Mars, McDonalds, McKinsey, Merck, Monash University, Morgan Stanley, Meat New Zealand, National Australia Bank, Novartis, Nutrasweet, OPSM, Oracle, Orbis, Paul Batchelor, PBL, Pfizer, PwC, Promina, Property Council of Australia, Qantas, Real Estate Institute, Standards Australia, State Street, Sunbeam, Sydney Airport, Towers Perrin, UNICEF, Verizon, Vodaphone, Volkswagen and Zenith Corporation. There are other names - Australian and overseas - on the disinfopedia list as well.
JWM client list, again according to www.disinfopedia.org , includes: Australian Airports Association, Australian Nursing Homes & Extended Care Association, Insurance Council of Australia, Investment and Financial Services Association, Medicines Australia, NRMA, Tenix, RMIT, University of Sydney, Clubs NSW, Warner Bros, Commonwealth Bank of Australia, Deutsche Bank, Lend Lease, National Australia Bank, the Rivkin Report, Orlando Wyndham, Equal Opportunity for Women in the Workplace Agency, Department of Employment and Workplace Relations, Chubb Insurance, Colgate Palmolive, British American Tobacco, Fairfax, News Limited, Achohol Education and Rehabilitation Foundation, Mission Australia, Aventis, Novartis, Pfizer, KBR, Qantas, Hydro Tasmania and others (including some pro bonos such as the Bundanon Trust).
What does it all mean? I know little about Gavin Anderson, despite once sharing a common part-owner, and from what I did know always thought they were prone to wankery and self-promotion. JWM would have been a great outfit to buy and John Wells is astute and good company. Perhaps it means nothing beyond a minor contribution to more transparency in the industry.
PS: Before anyone at either firm – or anywhere else – decides that the appropriate answer to this is to mention some of my own firm’s past problems I freely disclose that we got ourselves involved in a messy issue as a result of the actions of an individual. The settlement exonerated the firm. Mea culpa needed, therefore, for incompetence on the CEO’s part but not for any ethical sins.
Arts (1)

The Major Performing Arts Board has announced a major review of corporate governance guidelines for various arts bodies.

Being on a number of arts boards which have excellent corporate governance (appropriate committee structures, risk management strategies, independent audits, robust business planning systems etc etc) practices the review seems to Miscellany to be both sensible and relatively easy to comply with.

However, there is some irony involved in the announcement was the welcoming reaction from Australian Major Performing Arts Group Chair Ian Renard. Ian is an excellent Melbourne University Chancellor, former very hard-working and successful State Library of Victoria Chair, outstanding lawyer, world expert on riparian rights………..and a former AMP Director who, we suspect, must have been quite ecstatic when he removed himself from that Board a few years ago. It just reminds us that – for all the talk about alleged unworldliness in the arts – the arts probably still needs to be selective in adapting business sector experiences to the arts.
Arts (2)
Last week The Melbourne International Arts Festival thanked Robyn Archer for three great years as Artistic Director (BTW the author has an interest in MIAF as President).
During the night Age Arts Editor, Ray Gill, presented the annual Age Critics Award to the performance the Age critics considered the outstanding act in the 2004 Festival. While the standards of criticism in Australia as a whole are generally not great, The Age award - voted on by people like Hilary Crampton and John Slavin - is considered worth winning.
But, chatting after to a friend from the US, they mentioned a difference between arts and the media here and there. In the US critics tend to pay for their tickets to performances they review – just as restaurant critics in Australia both pay and try to be anonymous in their dining. In Australia, on the whole, critics tend to get free tickets. Finance pages – which are the most spin-drenched and sourced pages in most newspapers – always disclose journalists’ shareholdings. Travel pages disclose if the writer was a guest of the organizers of the tour or not. Yet crits don’t have any such acknowledgment. Sporting events are the same. News organizations argue that this is not an area where declarations or payment are needed because they are covering an event as news. Arts bodies argue that without free tickets many worthy shows would never get publicity and all Australian festivals organizers are delighted by the support they get from media such as The Age. In Melbourne we would be in diabolical without it.
After a few more glasses friend and I agreed: the US media needs to be more fastidious about the small things to obscure their spectacular sins on the big things!
The UN and the oil scandal
“The witch-hunt against Kofi Annan and the United Nations over the Iraq oil-for-food scandal is, quite simply, a scandal all on its own. The leaders of this lynch mob in the US Congress and the rightwing commentariat are not gunning for Mr Annan so much as trying to destroy the UN as an institution. That would be a disaster – for all of us, including, especially, the US”.
Now if Kevin Rudd had said that the Murdoch media right wing attack dogs would be savaging him for endangering the alliance and demanding his resignation.
Fortunately for Kevin – if sadly for Australia – he didn’t say it. It was The Financial Times weekend editorial this week.
The editorial also pointed out that all of the roughly 36,000 contracts were approved by a UN Security Council sub-committee dominated by the US and the UK. There was not one objection to oil-pricing scams even though UN staff brought them to the attention of the committee on no fewer than 70 occasions.
Miscellany doesn’t pretend to know how much substance there is in the various allegations. But we do know that many of them were originally sourced from a UK banker working with a Mr Chalabi – source of so much misleading information on WMD.
Governing Iraq
Many claim that Iraq is being governed from Washington – not from Baghdad. While this is undoubtedly true in many respects it is profoundly wrong in one sense – if Iraq is being governed from anywhere it is largely (in geographic terms) from Amman.
The weekend FT reports that diplomatic staff, and many elements of the Iraqi government, can be found in Jordan along with hundreds of millions of dollars of Iraq reconstruction money. It quotes the Iraqi minister for human rights as saying Amman was more convenient as a location because “we don’t have direct connection between Baghdad and the rest of the world.” If you want to catch Iraqi PM, Iyad Allawi, you are also more likely to find him there too.
Another example of the coalition of the willing’s remarkable Middle Eastern success?

http://www.crikey.com.au/columnists/2004/12/08-0004.html


When innovation beats disease, millions are saved

By FRANK GREVE Knight Ridder Newspapers Posted on Tue, Dec. 07, 2004

WASHINGTON - Malaria outbreaks, the spread of HIV/AIDS, avian flu and other global health disasters always make news. Successful public-health campaigns against killer diseases often don't.

Former President Jimmy Carter's persistence made one initiative work. A casual bureaucratic request from President Lyndon Johnson sparked another successful campaign. Drugs donated by two U.S. companies, Merck & Co. Inc., and Pfizer, powered two more victories, and a Brazilian public health doctor's innovative vaccination scheme produced two more. In one of the most remarkable successes, a provincial health officer's pragmatism led to a nationwide downturn in HIV/AIDS in Thailand, a country famous for its sexual liberalism.

A new book titled "Millions Saved" and released on Tuesday chronicles 17 successful efforts based on nominations by leading global health authorities and thoroughly checked by other public health experts. The book was produced by the Washington-based Center for Global Development, a non-profit group devoted to international aid.

"It's one of those projects where you say, `Damn, I wish we'd done that,'" said James Sherry, vice president of the Washington-based Global Health Council. "It's a great compilation of positive examples so people can see what's possible."

Among the book's winners:

_Since 1996, vaccination campaigns have nearly eliminated measles as a cause of childhood death in southern Africa. The number of cases fell from 60,000 in 1996 to 117 in 2000. Dr. Ciro de Quadros, a public-health innovator from Brazil, used a three-part strategy: a "catch-up" campaign to vaccinate all children in an age group within a few days; sustained routine coverage to suppress new outbreaks; and regular follow-up campaigns to squelch outbreaks in the susceptible population.

_The Thai government's "100 percent condom program" for commercial sex workers and other high-risk groups cut Thailand's new HIV cases by 80 percent among high-risk populations between 1991 and 2001. The tactic averted an estimated 200,000 new cases. An epidemiologist in Thailand's Ratchaburi province, Dr. Wiwat Rojanapithayakorn, devised the program. "It was not possible to stop people from having sex with sex workers," he told the book's writers, "so the most important thing was to make sure that sex is safe."

_Disabling guinea-worm infections are down by 99 percent in 20 African and Asian countries. Outbreaks plummeted from 3.5 million in 1986 when the campaign started to fewer than 35,000 in 2003. Former President Carter made it work by persuading many heads of state to get involved.

_A World Health Organization eradication campaign wiped out smallpox worldwide in 1977. It began in 1965 when then-President Johnson asked federal bureaucrats to come up with an initiative to mark the upcoming "International Cooperation Year." Epidemiologists at the U.S. Communicable Disease Center - now the Centers for Disease Control and Prevention in Atlanta - seized the opportunity and proposed ending smallpox.

_Egypt's strong public-education campaign cut infant diarrhea deaths 82 percent between 1982 and 1989. Persuading parents that their children should drink a water solution of glucose, salt and other minerals was critical.

_A parasitic disease called onchorcerciasis, or "river blindness," no longer blights rural west Africa, thanks to a long multi-partner campaign. It's prevented 600,000 cases of river blindness and assured that some 18 million children in a 20-country area will never get the disease. Merck's open-ended donation of its highly effective drug Mectizan to anyone who needed it, for as long as it was needed, made the difference.

_Bangladesh's strong family-planning program increased contraceptive use from 3 to 54 percent over two decades. The number of children per woman dropped from 7 to 3.4, staving off economic and social disaster.

_The Pan American Health Organization eliminated polio in the Americas between 1985 and 1991. The secret was de Quadros' relentless vaccination strategy.

_Trachoma, a form of blindness resulting from chronic "pink eye," is down 90 percent among Moroccan children younger than 10. A combined strategy of surgery, face washing and improved public hygiene made the difference, along with a 1998 Pfizer pledge of $60 million worth of its antibiotic Zithromax.

_China cut tuberculosis by 40 percent between 1990 and 2000 and enhanced the TB cure rate in half of its provinces. The key: health workers who monitored patients daily for six months to assure that patients took their antibiotics.

_Since the early 1990s, Polish men, once the world's heaviest smokers, have cut back sharply, thanks to big warnings on packs and bans on tobacco advertising, sales to minors and most public smoking. Poland's lung-cancer rate among men 20 to 44 is down 30 percent, preventing some 10,000 tobacco-linked deaths a year and adding four years to the life expectancy of Polish men.

Nancy Birdsall, the president of Global Development, said in an interview that she'd like lawmakers to read "Millions Saved" because many of them consider international public health programs a waste of money.

Contrary to expectations, she said, "most of these programs were implemented by big bureaucracies in very poor countries."

The evaluators selected the winners based on five criteria. Programs had to be ambitious - nationwide or larger. They had to improve health in a big way. The improvement clearly had to be due to the public-health intervention rather than, say, a rising standard of living. Programs had to produce strong results for at least five years. And they had to be cost-effective.

The Bill & Melinda Gates Foundation paid for the work.

For more info.:

To read more about "Millions Saved," or obtain a copy of the book, go to www.cgdev.org

http://www.thestate.com/mld/thestate/news/nation/10361909.htm



Posted at 7:20 pm by looped_ca
Comments (1)

Monday, December 06, 2004
This is the day!

STUPIDGATE: McGUINTY IMAGE CONSULTANT GETS AD DEAL
Dec 2, 2004

NDP Leader Howard Hampton has blown the whistle on the latest example of McGuinty Liberal cronyism – the anti-smoking Web site stupid.ca.

The NDP has learned the McGuinty Liberals have handed the stupid.ca campaign contract to prominent Toronto ad firm Bensimon-Byrne and its wholly-owned subsidiary Mighty digital, direct + design. Heading that firm as Chief Creative Officer is Peter Byrne, Dalton McGuinty’s image consultant and the Ontario Liberal Party’s election ad guru.

“The McGuinty government has taken a worthwhile anti-smoking campaign and turned it into another example of Liberal cronyism,” Hampton said.

Before the election, McGuinty promised to put the public good ahead of special interests and political cronies. “You have a choice between a [Conservative] government that undermines public institutions to serve private interests or [a Liberal] one that puts the public first,” he said in his democratic renewal platform.

Stupidgate proves that’s just another Liberal broken promise.

“Dalton McGuinty has disappointed ordinary Ontarians by practising the politics of cronyism – just like the Conservatives,” Hampton said.

It’s the second example of Liberal cronyism in the last week. On Wednesday, a company headed by the federal Liberal Party’s most senior Ontario official was handed a 20-year,
$475-million electricity contract.

“Dalton McGuinty needs to go cold turkey and kick the cronyism habit,” Hampton said. “Ordinary Ontarians shouldn’t have to pay a penny more to the premier’s Liberal pals.”
http://www.publicpower.ca/issues-news/printer_702.shtml


Hospitality Sector launches Website -ON

There is a reasonable alternative to a complete smoking ban in Ontario. But so far, the Liberal government has ignored it. Instead, Ontario Health Minister George Smitherman plans to introduce a new law that will drive customers away from local bars and pubs, and put many of those establishments out of business.

Experience shows that smoking bans have a devastating impact on many bars and pubs – especially those with a high percentage of customers who smoke.
 They have quite a bit of evidence to support the fact that bans kill the hospitality sector.  It is called last call ontario, lastcallontario.ca due to evidence of the hospitality loses.  

It is sponsored by the Canadian Restaurant and Foodservices Association, the Ontario Accommodation Association and the Ontario Restaurant, Hotel and Motel Association.  With no affiliation to pro smoking  groups.

http://lastcallontario.ca/


Researchers Add More Pieces to the Puzzle of Finding Cure for Common Childhood Cancer

    SAN DIEGO, Dec. 5 /PRNewswire/ -- Acute lymphoblastic leukemia (ALL) is a malignant disease caused by the abnormal growth and development of white blood cells (WBC) in the bone marrow and blood.  ALL is the most common cancer occurring in children with an annual rate of approximately 30 to 40 new cases per million.  Despite recent advances made in treatment of childhood ALL, numerous important biologic and therapeutic questions still need to be answered in order to achieve the goal of curing every child with ALL. Clinical trials for children and adolescents with ALL are generally designed to compare potentially better therapy with therapy that is currently accepted as standard, or to explore the various biological factors that seem to contribute to better or worse outcomes.


    Several studies presented during the 46th Annual Meeting of the American Society of Hematology (ASH) explore these various questions and continue to move science closer to finding a cure for this devastating childhood disease.   "ALL is the most common childhood cancer, representing 23 percent of cancer diagnoses among children," said Richard Larson, M.D., Professor of Medicine and Director of the Hematologic Malignancies Clinical Research Program University of Chicago.  "Clinical trials exploring ways to better treat these children are of the utmost importance.  Each study brings us one step closer to finding a cure for this devastating childhood illness."

    Pharmacogenetics of Minimal Residual Disease Response in Children with Acute Lymphoblastic Leukemia (ALL) [Abstract 451]    In this study, which was a cooperative effort between several institutions belonging to the Children's Oncology Group, researchers at the Cincinnati Children's Hospital and Medical Center explored whether the presence of minimal residual disease (MRD), the level of leukemia cells present in the blood after remission induction therapy, was related to different variants of genes that normally occur in populations.  These inherited genes include polymorphisms, or single nucleotide alterations, at a particular locus or site on a chromosome.  Nine specific genes which are known to have different DNA sequences were studied.  More than 1,000 children were enrolled across multiple protocols and measured for MRD at day eight and day 28 of remission induction therapy.  MRD refers to the quantification of very small numbers of leukemia cells in bone marrow, which are not detectable by microscopic
examination.
    Results indicate that the presence of MRD at the end of induction, a known adverse risk factor for ALL, is importantly influenced by pharmacogenetic (the interrelation of hereditary constitution and response to drugs) polymorphisms.  Results also demonstrate the value of an early endpoint such as MRD versus the more common endpoint of five or 10-year survival rates for determining the variables likely to influence outcome, which aids in the more prompt development of relevant pathophysiologic studies.  More specifically, there was a strong correlation between the presence of MRD and the MTHFR A1298C genotype.  The presence of an A allele (genotype A/A or A/C) versus the presence of a C allele only (genotype C/C) corresponded to a higher incidence of MRD (31 percent to 19 percent, respectively).  This is significant because methylenetetrahydrofolate reductase (MTHFR) is an enzyme critical to folate metabolism.  Folate is necessary for DNA synthesis and repair, and leukemia cells depend on folate for their growth.  Therefore, variations in MTHFR could potentially detract from a child's ability to clear residual leukemia following standard treatment.  Similar to MTHFR, the MDR1 2677 G/G genotype had a higher incidence of MRD than the other MDR1 2677 genotypes (39 percent and 25 percent respectively).  None of the other pharmacogenetic polymorphisms considered in this trial were
associated with the presence of MRD.  There was, however, a trend toward an association between VDR (vitamin D receptor) genotype and MRD presence.  "There is a strong need for additional studies to determine the impact of these specific polymorphisms on overall survival," said Stella Davies, MBBS, Ph.D., MRCP, Cincinnati Children's Hospital and Medical Center and lead investigator.  "It is our hope that we will someday be able to tailor
chemotherapy regimens to each child using his or her genotype, thereby maximizing results and ultimately improving outcomes."

    Outcome for Adolescent and Young Adults 16-21 Years of Age (AYA) with Acute Lymphoblastic Leukemia (ALL) Treated on the Children's Cancer Group 1961 Study [Abstract 683]     Adolescents with acute lymphoblastic leukemia (ALL) represent an
understudied subset of the patient population.  Adolescents 16 to 21 years of age are eligible for entry onto both children and adult cooperative group trials; however, the rate of participation of adolescents in ALL trials is quite low.  Pediatric and adult trials often deliver substantially different
therapy.  Because adolescents have worse event-free survival rates than younger children with ALL, specific studies aimed at improving outcomes for adolescents are critical for helping this understudied patient population.
    Researchers at the University of Chicago Children's Hospital led a clinical trial which included adolescent and young adults to determine the effects of intensification of chemotherapy on treatment outcome.  Treatment was stratified based on early marrow response to chemotherapy.  Two hundred and sixty-two young adults ranging from 16-21 years of age were enrolled in the Children's Cancer Group (CCG) 1961 protocol.  The study
design was based on findings from CCG 1882, which demonstrated that an intensive chemotherapy regimen including high-dose intensity for vincristine, asparaginase and intravenous methotrexate without rescue (augmented BFM) produced a significant improvement in event-free survival and survival for
patients with a slow early marrow response (>25 percent blasts in bone marrow on day seven of therapy) compared to a standard BFM therapy.  BFM, or Berlin Frankfurt Muenster, refers to the 1976/79 trial of ALL in children which produced impressive disease-free survival rates with a protocol that began with eight weeks of intensive therapy, followed by eight weeks of maintenance therapy, and then another six weeks of intensive treatment (delayed intensification).  Augmented BFM included treatment intensification in early treatment phases and added two additional intensified treatment blocks prior to maintenance therapy.  For rapid early responders, CCG 1961 attempted to determine whether early treatment intensification, late treatment intensification, or both would improve event-free survival.  Patients with slow early response were randomized to the full-augmented treatment arm (increased intensity and increased duration) or the full-augmented treatment arm with additional pulses of idarubicin/cytoxan during the intensification phases of therapy.
    The five-year event-free survival rate for adolescent patients in this study was 68 percent; the five-year survival rate was 77 percent.  For rapid early responder patients randomized to the augmented intensity arms (both standard and increased duration), the five-year event-free survival rate was 83.2 percent compared with 60.8 percent for patients treated on the standard intensity treatment arms.  Within the augmented intensity arms, increased duration made no difference in the event-free survival rate.  There was no difference in five-year event-free survival for the two slow early response treatment arms as well (78 percent for augmented therapy with additional pulses of idarubicin/cytoxan versus 74 percent for the augmented only treatment arm).
    Five-year event-free survival for patients with <50,000 white blood cells (WBC) at diagnosis was 73.2 percent versus 54 percent for those with >50,000 WBC.  A high WBC count is known to negatively impact the response rate. Unlike for younger patients, there was no difference in outcome for males and females for this adolescent-young adult population.  These results indicate that early augmented intensity therapy appears to improve outcome for adolescent ALL patients with a rapid early response to induction therapy. "Cancer that occurs during adolescence poses a special challenge.
Although we now have a better understanding for one successful treatment model in this age group, much more needs to be done to better comprehend the reasons behind the lower overall survival rate in adolescents," said James Nachman, M.D., University of Chicago Children's Hospital and lead investigator. "Identifying improved treatments for adolescents with leukemia through increased clinical trial enrollment of this age group should be a top
priority."
    Outcome of Dana-Farber Cancer Institute (DFCI) Consortium Protocol 95-01 for Children with Newly Diagnosed Acute Lymphoblastic Leukemia (ALL) [Abstract 679]
    Although survival outcomes for children with ALL have significantly improved in the past several decades, treatment-related morbidity is still an unfortunate reality with chemotherapy.  As cure rates have improved, research has also focused on the recognition and reduction of treatment-related morbidity.  One such study, designed to explore new treatment regimens that minimize therapy-related morbidity without compromising efficacy, is a study led by researchers from Dana-Farber Cancer Institute/Children's Hospital Boston.
    A total of 491 eligible patients, ranging in age from infancy to 18 years, were enrolled in the study and broken up into two sub-groups, high risk and standard risk patients.  High risk patients had at least one of the following criteria: a white blood cell count greater than or equal to 50,000 per micro-liter, age less than or equal to 1 year or greater than or equal to 10 years, leukemia cells present in spinal fluid, the presence of a mass in the chest, T-cell immunophenotype, or a Philadelphia chromosome.  All other patients were considered standard risk.  Of the patients enrolled in the study, 219 were considered high risk and 272 were classified as standard risk.
    This study included three randomized comparisons.  First, both standard and high risk patients participated in a randomized comparison of Erwinia- and E. coli-derived L-asparaginase.  Secondly, standard risk patients were randomized to receive intrathecal chemotherapy (medicine injected into the spinal fluid to help prevent leukemia from spreading to the central nervous system), with or without cranial radiation (those not receiving cranial radiation received an additional dose of intrathecal chemotherapy), in order to determine whether the substitution of intrathecal chemotherapy for cranial radiation was associated with fewer and less severe late neurocognitive impairments.  And finally, high risk patients were randomized to receive doxorubicin (administered during induction and consolidation therapy), with or without dexrazoxane, a drug used to reduce the incidence and severity of heart problems associated with doxorubicin.  Median follow-up for patients was 4.6 years.
    The overall outcome of patients treated on this study was favorable, with a five-year event-free survival (EFS) of 81 plus or minus 2 percent for all patients.  Data suggested that Erwinia-derived L-asparaginase was less toxic, but also less efficacious than E. coli-derived L-asparaginase.  Intrathecal chemotherapy without cranial radiation provided adequate central nervous system prophylaxis for standard risk patients when given in conjunction with an effective systemic chemotherapy regime.  Dexrazoxane did not appear to interfere with the anti-leukemic effect of doxorubicin, and preliminary data suggested that it prevented cardiotoxicity. 
    Results showed that treatment with Erwinia-derived L-asparaginase was associated with a decreased incidence of toxicity compared to those treated with E. coli-derived therapy (10 percent versus 24 percent, respectively), but it was also associated with a significantly higher rate of relapse (19 percent versus 8 percent, respectively).  The five-year event-free survival rate for the Erwinia group was 78 percent compared with 89 percent for the E. coli group.
    In the central nervous system treatment arm for standard risk patients, the five-year event-free survival for patients with cranial radiation in addition to the intrathecal chemotherapy was 87 percent compared with 82 percent for those who did not receive radiation (but instead received additional doses of intrathecal chemotherapy), a result which was not statistically significant.   There were four relapses (4.8 percent) in the non-irradiated patients and no relapses for those who received radiation therapy, but three of the four relapse patients were also randomized to receive Erwinia asparaginase, which could have contributed to the poorer response rate.  Only 1.9 percent of non-irradiated patients who received E. coli asparaginase had central nervous system relapse.
    There was no significant difference in five-year event-free survival for patients receiving dexrazoxane/doxorubicin when compared to those receiving doxorubicin alone, suggesting that the cardioprotectant agent did not negatively impact anti-leukemic outcomes.
    "Although currently available therapies lead to cure in over 80 percent of children with ALL, treatment remains non-specific and toxic, leading to serious, long-term side effects in many children, and even death in a small subset of patients," said Lewis Silverman, M.D., Department of Pediatric Oncology, Dana-Farber Cancer Institute/Children's Hospital Boston and lead investigator.  "With advances in our understanding of leukemia biology and pharmacogenomics, our hope is that, in the future, more effective, biologically-targeted and patient-specific therapies can be developed, which will minimize morbidity and improve cure rates.  But while we await the development of such agents, finding safer, less toxic ways to utilize currently available agents without compromising efficacy remains a priority."

    Obesity and Body Weight Independently Predict Relapse and Survival in Preadolescents and Teenagers with Acute Lymphoblastic Leukemia (ALL).  A Retrospective Analysis of Five Children Cancer Group (CCG) Studies [Abstract 992]
    Age is among the most important factors that contribute to successful treatment of ALL.  Studies have suggested that children with ALL have far better outcomes than adults, but the reasons for this trend are still not fully understood.  One possible explanation could be body size, since pharmacokinetics might be different for smaller children and larger adults.  Taking it one step further though, does body size matter among patients in the same age group?

    A study led by researchers from the Children's Oncology Group explored whether or not obesity and absolute body weight independently predicted outcome in preadolescents and teenagers with ALL.  This was a retrospective analysis of data from 4,356 patients ranging in age from two to 20 that was collected over five Children Cancer Group studies.  Patients with Down's syndrome and/or central nervous system disease at diagnosis were excluded. Obesity status was defined as body mass index (BMI) of >95 percentile per CDC growth charts and determined at time of diagnosis. &nbs