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Lung lobby lambastes smoking stars Aykroyd under fire over on-screen prop Sunday, December 19th, 2004 By Chris Cobb OTTAWA -- The American Lung Association is shining a critical spotlight on Hollywood stars in a high-pressure effort to get them to butt out on screen. And one of the first targets on the association's new anti-smoking website launched this week is Canada's own Oscar winner Dan Aykroyd, who has incurred the wrath of clean-lung advocates for puffing on a pipe towards the end of Christmas with the Kranks. The association rates movies with icons of lungs -- black for heavy depictions of smoking and pink when none of the characters smoke. Aykroyd's neighbourly Kranks movie gets a light grey rating. In other reviews of the week's top 10 movies and DVDs, SceneSmoking.org also has harsh words for Andy Garcia and his cigar-chomping Ocean's Twelve character Terry Benedict. "There won't be an Ocean's Thirteen if some of the thieves and Benedict don't quit their cigar habits," notes one of the 50 young people the association has hired in the Sacramento, Calif., area to monitor smoking content in newly released DVDs and movies. Other stars are on the black list for either smoking in movies or flaunting their personal smoking habits during interviews. High on the list are Ben Affleck, Jennifer Aniston and her husband Brad Pitt, Ann Archer, Lara Flynn Boyle, Drew Barrymore, Tom Arnold and Aykroyd's sometime singing partner Jim Belushi, who has a well-advertised liking for cigars. Even Humphrey Bogart, the most famous screen smoker of all time, gets some posthumous negative comment on the website. Bogart died in 1957 of throat cancer in an era when smoking was at its most glamorous and few suspected it could kill. The lung association campaign is deadly serious and is motivated by recent U.S. studies that offer the most conclusive evidence yet that tobacco use by popular actors and actresses has a direct and pervasive influence on youngsters. According to the studies, conducted at Dartmouth College in New Hampshire, smoking is increasing among North American teenagers and at least half of those who start smoking say they were influenced by movie stars or other celebrities. "Star power sells movies," says the association on its website. "It can also sell tobacco use." The lung association is trying to get cigarettes, cigars and pipes banned as movie props unless the subject of the film is a real person or historical figure. "If the movie was about Winston Churchill, it would be acceptable to portray him smoking cigars," said Shelley Mitchell, senior project manager for the Thumbs Up, Thumbs Down anti-smoking project. -- CanWest News Service WINNEPEGFREEPRESS.COM
Blowing smoke I By PAUL MOLLON Owen Sound, Ont.-- Re Ontario Unveils Smoking Ban (Dec. 16): It's so comforting to know that Ontario Health Minister George Smitherman is looking after us and plans a complete ban on smoking. After all, banning alcohol in the Twenties was such a rip-roaring success, and aren't we all so happy that the current "war on drugs" has stamped out the use and abuse of all other mind-altering substances? The nanny state once again rides to the rescue. I'm quickly going to my cookie jar to flush all the high-fat, high-sugar goodies down the toilet. Mr. Smitherman will surely be coming for them next. http://www.theglobeandmail.com/servlet/ArticleNews/TPStory/LAC/20041218/LETTERS18-13/TPHealth/
Blowing smoke II By D. GRIFFIN http://www.theglobeandmail.com/servlet/ArticleNews/TPStory/LAC/20041218/LETTERS18-14/TPHealth/
The anti-smoking gun Friday, December 17, 2004 The campaign to discourage smoking and to protect the health of non-smokers is admirable, but the legislation proposed this week by Ontario Health Minister George Smitherman is so absolutist that it risks trampling fairness and common sense. Consider the case of Toronto. In 1999, the Toronto Board of Health drafted abylaw to ban smoking completely inbars and restaurants by 2001. The politicians found this to be extreme. They brokereda deal between an anti-smoking coalition and the bar and restaurant industry that permitted the existence of enclosed,separately ventilated designated smoking rooms. The city council passed the amended bylaw (which also extended the deadline for bars) by a vote of 50 to 1. Many of Toronto's bars and restaurants, fearful of driving away customers who chose to smoke, invested between $20,000 and $300,000 in such rooms. In May of this year, the Toronto Board of Health went over Toronto's head, urging Mr. Smitherman to close down the city-sanctioned smoking rooms by 2007. Mr. Smitherman, whose Liberal government had come into office keen to crack down on smokers, this week introduced provincial legislation that he said would, among many other controls, "eliminate so-called designated smoking rooms." (The bill would also ban smoking in Legion halls but permit it in nursing homes. Oh, the whims of power.) Tobacco is an addictive, health-destroying substance. But as long as it remains a legal product, the crusade to ensure that an Ontario region can't even let adult smokers light up in an enclosed, separately ventilated room is punitive law, not good law. There may be an argument that smokers who retire with their drinks or their food to those rooms shouldn't expect regular service there -- the health of the waiters is at issue -- but such subtleties don't seem to be a factor in the government's crusade. Neither does the good faith in which establishments built their separate rooms to comply with the Toronto bylaw. Mr. Smitherman this week proudlydescribed his government's proposed legislation as the "toughest, most comprehensive and far-reaching" in North America. He may well be right. Certainly his crusades have had an evangelistic zeal to them; consider his blanket ban, since aborted, on the sale in Ontario of sushi and other raw fish. What's missing is a sense of proportion. http://globeandmail.workopolis.com/servlet/Content/fasttrack/20041217/ESMOKING17?section=Travel
Canada's highest court to hear tobacco companies' appeal of legislation Greg Joyce Canadian PressDecember 19, 2004 VANCOUVER (CP) - The long-standing fight between British Columbia and three tobacco companies moved to the judicial big leagues Thursday after the Supreme Court agreed to hear an appeal by the companies. The nation's highest court agreed to hear an appeal of B.C. legislation known as the Tobacco Damages and Health Care Costs Recovery Act. Several provinces have been watching the case with a view to launching similar legislation of their own. However, the Supreme Court hearing means it could be years before any costs are recovered. The B.C. Court of Appeal, in a unanimous decision last May, ruled the B.C. government's legislation is constitutionally valid. "It's important and it's (the Supreme Court appeal) the right thing to do," said Dave Laundy, spokesman for the Canadian Tobacco Manufacturers' Council, which is also a part of the appeal. In May, the province's Liberal government got a green light to proceed with the lawsuit that seeks to recover $10 billion in health-care costs from tobacco companies. The lawsuit names Imperial Tobacco Canada, Rothmans, Benson and Hedges, JTI-Macdonald, the tobacco council and several foreign tobacco companies. Attorney General Geoff Plant said the case is important to the province. "I think the stakes are high for British Columbia because we believe that the actions of the tobacco companies in not telling the truth about their products have cost the health-care system billions of dollars over the years." The attorney general may prod other provinces to get involved. "We may well encourage other provinces to intervene in the Supreme Court of Canada decision here." The B.C. Appeal Court ruling overturned the decision of the B.C. Supreme Court, which twice previously - dating back to 1998 - had declared the legislation unconstitutional. Laundy said the legislation is unfair to the tobacco manufacturers because its wording restricts the industry from gaining evidence on health-related issues, including how many people have become ill from smoking. But Plant disagreed. "I don't think that's a fair characterization of what the provincial statute tries to do," he said. "It certainly tries to change some of the usual rules about evidence but it does so in the context of a completely new kind of lawsuit." The legislation alleges tobacco manufacturers failed to warn consumers of the dangers of smoking, marked light cigarettes as safe and targeted children in their advertising and marketing. A policy analyst and lawyer with the Canadian Cancer Society also said the case was of great importance to both sides. "Other provinces are watching this closely so a judgment by the Supreme Court that is favourable will really give a green light to provinces to move ahead with their own legislation," said Rob Cunningham. "Clearly, the stakes are high on both sides of the issue." In 1998, B.C.'s former NDP government became the first government in Canada to attempt to sue tobacco companies, but the suit was rejected by the courts as too broad. The suit said tobacco companies should be held liable for the tobacco-related illnesses that cost British Columbia an estimated $500 million a year in health costs. http://www.canada.com/health/story.html?id=941120d0-4a97-4528-8eed-db32e4e9e586
Italy's Smoking Ban Plan Meets Resistance Published Monday, December 20, 2004 By ALESSANDRA RIZZO http://www.theledger.com/apps/pbcs.dll/article?AID=/20041220/API/412200849
Lawyers Argue Over Tobacco Payments December 20, 2004 GREENSBORO -- More than 200 tobacco growers watched Monday afternoon as attorneys for cigarette companies and farmers squared off over whether Big Tobacco should make one last payment to leaf growers. North Carolina Business Court Judge Ben Tennille told lawyers he hoped to make his ruling by Wednesday or Thursday. That ruling would have a big impact on thousands of growers in 14 states. These so-called "Phase Two" payments have compensated tobacco growers over for losses they were expected to suffer as a result of higher cigarette prices following the 1998 settlement. Cigarette companies say they aren't obligated to make a payment this month because Congress approved a tobacco buyout this fall. Tennille ruling's may be appealed to a higher court. http://www.wxii12.com/news/4011989/detail.html
Hwy. Dept. kicks off litter hotline-AR With roadside litter an escalating problem throughout the state, now over 60,000 cubic yards collected per year, the Arkansas State Highway and Transportation Department (AHTD) has announced a new violator reporting system and 24-hour, toll-free hotline to ask for motorist assistance in helping solve the problem. After the Tuesday, Dec. 14 launch, highway officials are encouraging motorists who spot a littering violation along any street, road or highway to call 1-866-811-1222 to report the situation. All types of trash and all types of vehicles are subject to be reported, whether a cigarette butt or whether thrown from a commercial vehicle, as long as the license plate number is provided. Litter reporting phone calls will be answered 24 hours a day by an office of the Arkansas Highway Police (AHP) who will record the incident. A letter will then be sent to the registered owner of the vehicle regarding the violation. "Information about recurring violations reported from the same vehicle will be tracked and may eventually result in a visit by an Arkansas police officer to investigate the problem," said AHP Chief Ron Burks. "Our goal is to let citizens know this is a problem we take seriously and will pursue thoroughly the enforcement of Arkansas' litter laws," added Burks. Reporting a litter violation will be quick and simple, while allowing the caller to remain unidentified. Motorists using the reporting system will need to provide the date and location that the littering occurred, a description of the vehicle including the license plate number and a description of the item discarded. Roadway signs currently in place to forewarn motorists of potential fines for littering will now include the toll-free number asking motorists to report people who litter. "We expect three benefits by implementing the new Litter Reporting System," said Director of Highways & Transportation, Dan Flowers, at a launch event held at the AHTD Central Offices. "Motorists who see the signs or become aware of the program will be reminded that they can be reported for littering by any other motorist and, then, may be more conscious of their own littering behavior. Second, the program will give citizens who see littering happen some remedy to the frustration of watching careless motorists trash the natural beauty of our state, and third, we hope that any person who receives the letter will be more thoughtful of their littering habits and will change their behavior." "Currently there are eight other states that have implemented similar violator reporting systems with great success, so it's time for Arkansas to begin a serious effort to curtail this escalating problem," said Highway Commission Chairman Prissy Hickerson. "Not only will a reduction in roadside litter improve the enjoyment of residents and visitors who travel our highways, but it's a great preservation of our natural environment and will save taxpayer money being spent on cleaning up the discarded trash of careless motorists," added Hickerson. The AHTD's violator reporting system is part of a comprehensive plan to curtail roadside litter in Arkansas. At the request of the Arkansas Highway Commission, the 2003 Litter Task Force was formed from federal, state and local governments and associations to review current litter prevention and removal activities and identify areas of improvement. Action teams were then established to focus on the areas of education and outreach, litter pick up, enforcement and legislative funding. In addition to the AHTD spearheading the litter reduction effort, representatives from associations and state agencies such as the Highway Police, Arkansas State Police (ASP), Chiefs of Police & Sheriffs Associations, the Departments of Environmental Quality and Parks & Tourism, Game & Fish Commission and the Keep Arkansas Beautiful Commission have diligently worked together to solve Arkansas' litter control problem. Additional programs and policies are still in development as a result of the Litter Task Force efforts to create incentives for litter enforcement and clean up activities. A recognition program for law enforcement officers who are highly involved in anti-litter efforts, a program for corrections facilities that utilize prisoners in highway clean up efforts and highly publicized enforcement priority weeks will greatly raise the level of litter control action across Arkansas. Also, an anti-litter citation guide is being distributed for easy reference by law enforcement officers, ASP will include litter laws on the inside cover of the Arkansas Drivers Manual and The Arkansas Law Enforcement Training Academy will include a section on litter law enforcement in their training curricula. http://www.sherwoodvoice.com/Pages/12-16-04/Hwy.%20Dept.%20kicks%20off%20litter%20hotline.htm
The contribution of smoking, diet, screening and treatment to cancer mortality in the under-75s 20 Dec 2004 Cancer is a major cause of morbidity and mortality in England and Wales with 223,609 new cases of cancer registered in 2000. A new briefing paper The contribution of smoking, diet, screening and treatment to cancer mortality in the under-75s published by the Health Development Agency (UK) today reviews the impact that various measures have had in the treatment and reduction of certain types of cancer. http://www.medicalnewstoday.com/medicalnews.php?newsid=18079
National Academies news: Gulf War and Health 21 Dec 2004 The available evidence is too sparse or of insufficient quality to determine whether the majority of health problems that may be experienced by Gulf War veterans could be associated with exposures to fuels for military vehicles, propellents in Scud missiles, or substances given off by combustion sources such as oil-well fires, exhausts, and tent heaters, according to the latest report on the Gulf War and health from the Institute of Medicine of the National Academies. However, data from studies of occupational and environmental exposures to air pollution, vehicle exhaust, and other combustion products led the committee that wrote the report to conclude that exposure to such substances is associated with an increased risk of lung cancer. http://www.medicalnewstoday.com/medicalnews.php?newsid=18117
Potentially fatal toxicities occur with off-label use of cancer drugs 21 Dec 2004 Food and Drug Administration policies prevent pharmaceutical manufacturers from informing patients about potentially fatal toxicities that occur with some cancer drugs -- policies that should be revised immediately, according to Northwestern University researchers. http://www.medicalnewstoday.com/medicalnews.php?newsid=18111
Mobile phone radiation harms DNA, researchers say 21.12.04 1.00pm MUNICH/AMSTERDAM - Radio waves from mobile phones harm body cells and damage DNA in laboratory conditions, according to a new study majority-funded by the European Union. http://www.nzherald.co.nz/index.cfm?c_id=5&ObjectID=9004133
Pfizer Pulling Advertising for Celebrex 12.20.2004, 03:43 PM Pfizer Inc. says it will immediately pull advertising for its top-selling arthritis pain reliever Celebrex, whose safety was called into question last week after a study found an increased risk of heart attacks in patients taking high dosages of the drug. Pfizer spokesman Andy McCormick said the company was suspending Celebrex ads in newspapers, radio, TV and magazines. He said the company made the decision in discussions with the Food and Drug Administration. McCormick also said Pfizer plans to have its sales staff meet with doctors to explain the findings of the survey, which were made public on Friday. He said Pfizer plans to keep Celebrex on the market. The FDA said Friday it was considering warning labels for Celebrex or withdrawing the drug from the market. Celebrex is in the same class of drug, called a cox-2 inhibitor, as Vioxx, a rival pain reliever that Merck & Co. pulled from the market earlier this year after a study found the drug doubled the risk of heart attack or stroke. For the first nine months of the year, worldwide sales of Celebrex more than doubled from a year earlier to $2.3 billion, accounting for 6 percent of Pfizer's total sales of $37.6 billion during that period. Last year, Pfizer spent $87.6 million to advertise Celebrex, according to TNS Media Intelligence/CMR. It recently launched a new campaign for the drug and placed full-page ads in newspapers touting Celebrex's safety in the wake of Vioxx's recall. The heart attack risk in the study disclosed Friday occurred when patients took the drug at two to four times the usual dose for many months. News of the increased heart risk for Celebrex patients came in one of two long-term cancer-prevention trials. On Monday, the FDA said it had asked Pfizer to suspend its consumer advertising of Celebrex while the agency evaluates new and conflicting information on the drug. The National Cancer Institute, which was conducting the study for Pfizer, said patients in the clinical trial taking 800 milligrams of Celebrex had a 3.4 times greater risk of cardiovascular problems compared with a placebo. For patients in the trial taking 400 milligrams of Celebrex, the risk was 2.5 times greater. The average duration of treatment in the trial was 33 months. Pfizer's shares, which fell hard on Friday following the release of the news, fell another $1.48 or 6 percent to $24.27 in heavy trading Monday on the New York Stock Exchange. http://www.forbes.com/business/services/feeds/ap/2004/12/20/ap1721635.html
Germany Tells Some Patients to Stop Using Celebrex Mon Dec 20, 2004 11:43 AM ET FRANKFURT (Reuters) - Germany's drug regulator on Monday told patients with cardiovascular risks to stop using Pfizer's arthritis drug Celebrex after new data emerged linking it to an elevated risk of heart attacks. The drug regulator said in a statement it was not "justifiable" to treat patients with a history of heart attack and stroke with Celebrex. The regulator urged the use of alternative drugs or to cut down the dose if a patient cannot be treated without Celebrex. Pfizer last week said Celebrex more than doubled the risk of heart attack in a large cancer-prevention trial, a setback that comes just weeks after Merck & Co. recalled its similar Vioxx drug due to heart safety risks. Pfizer said doctors should be made aware of the health risks in prescribing Celebrex to their patients, but the company does not plan to recall its popular arthritis drug. Celebrex is one of Pfizer's biggest products, with 2003 sales of $1.9 billion. http://www.reuters.com/newsArticle.jhtml?type=topNews&storyID=7141603
Genetic Mutations Not Being Detected Early Enough In Families with Hereditary Colorectal Cancer According to the results of a study recently published in the Journal of Clinical Oncology, a genetic mutation that can cause colorectal cancer is not being detected early enough. These findings have led to the recommendation that families at risk for developing colorectal cancer be more closely monitored. Colorectal cancer is the second leading cause of cancer related deaths in the United States. Colorectal cancer is a malignancy that involves both the large intestines (colon) and a distal portion of the colon known as the rectum. Hereditary nonpolyposis colorectal cancer (HNPCC) is a syndrome caused by specific genetic mutations that is characterized by an increased risk of colon cancer, as well as other cancers such as ovarian, stomach, liver, brain and skin. Genetic abnormalities among 4 genes (MLH1, MSH2, MSH6, and PMS2) can be detected by genetic testing and those found to have HNPCC have an 80% lifetime risk for developing colon cancer. The average age for colorectal cancer diagnosis among this group is 44. MLH1 and MSH2 mutations account for approximately 90% of all patients diagnosed with HNPCC. Mutation of the MSH6 gene occurs in 7-10% of families with HNPCC and mutation of the PMS2 gene accounts for less than 5% of families diagnosed with HNPCC. Patients with HNPCC typically undergo colonoscopy every 1-2 years starting at ages 20-25, or starting at 10 years younger than the youngest person to have developed colon cancer in the family. Patients with HNPCC who have a family history of cancer outside of the colon undergo rigorous and frequent screening for that type of cancer beginning at a young age. In this recent study, the goal was to more closely evaluate the involvement of the MSH6 mutation in families suspected of HNPCC. Patients were chosen from 706 families who had been identified as not having an MLH1 or MSH2 mutation, but were suspected of having a form of HNPCC from family history of cancer. These patients were then subjected to MSH6 testing. This information was then compared to data collected from families with MLH1 and MSH2 mutations. Results of the study found 27 families with 24 different MSH6 mutations, which represented 3.8% of the total families. The average age of onset for colorectal cancer in these patients was 10 years later (54years) than for patients with MLH1 and MSH2 mutations. When compared to other malignant tumors, colorectal cancer was less frequent among MSH6 families than those with MLH1 and/or MSH2 mutations; however, non-HNPCC associated tumors were increased. Researchers concluded that the later onset of colorectal cancer as well as the lower incidence, may contribute to the lower number of identified MSH6 mutations in families that are suspected of HNPCC. However, further analysis reveals that in approximately half of these families, one or more of the family members developed colorectal or endometrial cancer in their 40s. This has led researchers to recommend equally rigorous surveillance of cancer for families with MSH6 mutations, as that for families with MLH1 and MSH2 mutations. Patients with a strong family history of colorectal cancer who test negative for MLH1 or MSH2 should speak with their physician about testing for MSH6, as well as the frequency of screening. Reference: Plaschke J, Engel C, Kruger S, et al. Lower Incidence of Colorectal Cancer and Later Age of Disease Onset in 27 Families With Pathogenic MSH6 Germline Mutations Compared With Families With MLH1 or MSH 2 Mutations: The German Heredity Nonpolyposis Colorectal Cancer Consortium. Journal of Clinical Oncology. 2004; 22: 4486-4494. http://patient.cancerconsultants.com/news.aspx?id=32833
Study links milk drinking with ovarian cancer December 20 2004 at 11:22AM Washington - A US study based on research in Sweden shows that consuming milk could increase the risk of ovarian cancer. During this time a total of 266 women were diagnosed with ovarian cancer, of whom 125 had serious ovarian cancer. http://www.iol.co.za/index.php?click_id=31&art_id=qw1103524743335B243&set_id=
Another child with ties to Fallon diagnosed with leukemia By SANDRA CHEREB ASSOCIATED PRESS RENO, Nev. (AP) - The toddler of a military family with ties to the Fallon area has been diagnosed with childhood leukemia, officials at Naval Air Station Fallon said Monday. State health officials could not immediately be reached to comment on whether the case is the latest in a childhood leukemia cluster that has stricken the rural farming community 60 miles east of Reno. Since 1997, 16 children with ties to Fallon have been diagnosed with leukemia. Three have died. In a town the size of Fallon, with about 8,300 residents, just one case of childhood leukemia would be expected in five years, according to health officials. The latest case involves a 28-month old boy whose father is a Navy hospital corpsman, base officials said. The toddler became ill earlier this month and initially was examined by doctors at Banner Churchill County Hospital and the naval base, officials said. He was flown last Thursday to Children's Hospital in Oakland, Calif., where doctors on Saturday confirmed a diagnosis of acute lymphocytic leukemia, officials said. Base spokesman Zip Upham said Navy officials alerted the state Health Department after the diagnosis was confirmed. Upham said the boy's father wasn't based in Fallon but has been attending surgical technician school in San Diego, Calif., since April. His wife and children have been staying in Fallon near family members, Upham said. State and federal health experts studied Fallon's cancer cluster for more than two years, testing water, dirt and taking blood samples from residents searching for clues into why so many children were developing leukemia. Tests could not pinpoint a cause. "We were hoping we'd get more information here," Dr. Malcolm Smith of the National Cancer Institute said in February when a final report was presented to the community. "The studies didn't do that - but they certainly told us a great deal about what does not exist as health threats to the community." The studies turned up no link to high levels of naturally occurring arsenic in Fallon's water supply, a pipeline carrying jet fuel to the Navy base, pesticide spraying, high tungsten levels, or an underground nuclear test conducted 30 miles away about 40 years ago. Dr. Thomas Sinks of the Centers for Disease Control and Prevention said at the time, "All of us would love to be able to identify what causes childhood leukemia. "We simply can't afford to be disappointed every time we fail." http://www.lasvegassun.com/sunbin/stories/nevada/2004/dec/20/122010213.html
Doctors say herbal blend can help cancer patients Abram Katz, Register Science Editor 12/19/2004 Yale University, the Ivy League bastion of Western science, is turning to ancient Chinese formulas to develop new medicines for the 21st century. These intriguing preliminary results must be expanded and reconfirmed, doctors said, but a crucial principle is clear — combinations of compounds could be the key to treating a variety of intractable diseases. Specifically, researchers believe that modernized "polychemical" Chinese remedies hold hope for diseases of aging like cancer, Alzheimer’s disease and other neurodegenerative diseases. http://www.nhregister.com/site/news.cfm?newsid=13586119&BRD=1281&PAG=461&dept_id=517515&rfi=6
Judge Osteen's Ruling on the Tobacco Industry's EPA Lawsuit: Summary and Practical Implications R.J. Reynolds Tobacco Company 7/23/98 Court Findings A Federal Court has ruled that the EPA wrongly classified secondhand smoke as a Group A (known human) carcinogen. Contrary to statements by the EPA Administrator, the Court’s ruling was not merely procedural. Among other things, the Court found (pp. 89-90) that EPA:
The Court noted as "particularly relevant" the fact that the EPA’s own internal risk assessment experts had told the Agency that the Risk Assessment did not support a Group A classification (p.64): "EPA’s Risk Criteria Office, a group of EPA risk assessment experts, concluded that EPA failed to reasonably explain how all relevant data on ETS, evaluated according to EPA Risk Assessment Guidelines’ causality criteria, can support a Group A classification." The Court concluded that: "EPA produced limited evidence, then claimed the weight of the Agency’s research evidence demonstrated ETS causes cancer." Bottom Line It may be politically correct to attack secondhand smoke, but it is not scientifically correct nor, in the Court’s opinion, legally correct. The Court’s ruling clearly confirms that:
Practical Implications
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