Tobacco- December 27, 2013


NEW! Health Equity Resource:  A Practitioner’s Guide for Advancing Health Equity:  Community Strategies for Preventing Chronic Disease (Health Equity Guide)!
A Practitioner’s Guide for Advancing Health Equity:  Community Strategies for Preventing Chronic Disease (Health Equity Guide) is a new tool developed by DCH to help public health practitioners address the well-documented disparities in chronic diseases.  This resource offers community examples and ideas on how to maximize the effects of several policy, systems, and environmental improvement strategies with a goal to reduce health inequities and advance health equity.  There are four sections in the Health Equity Guide:

Reports and Articles
Silver Falls State Park Oregon considers limits on smoking at state parks
KATU: December 18, 2013
GRANTS PASS, Ore. (AP)  The Oregon Parks and Recreation Department is contemplating a rule to ban smoking out in the open air on hiking trails, picnic areas, waysides and common areas of state campgrounds.

Spokesman Chris Havel said on Wednesday that the agency is following through on a 2012 executive order from the governor to reduce the public’s exposure to secondhand smoke by Dec. 31, 2014.

Havel added that a smoking ban would also help limit discarded cigarette butts.

“An outright prohibition on smoking in all outdoor areas of a park — that is not workable, it is not reasonable, and it really doesn’t meet any state park goals,” he said from Salem. “This is helping us control a problem with plastic pollution — cigarette butts. People drop them. They just don’t go away. They are a significant problem in some areas.”

A series of public hearings is scheduled in the second week of January, and the parks commission is to take up the issue at its February meeting. The rule wouldn’t take effect until 2015.

The proposed ban would not apply to designated personal campsites or the beach, which is managed by state parks. People could also smoke in their cars and camping units. Fines would be between $60 and $110, though warnings are more likely, parks spokesman Richard Walkoski said.

Oregon 13th Healthiest State In The Nation
OPB: December 17, 2013
The health of Oregonians ranks 13th highest in the nation, according to a new report from the United Health Foundation.
The ranking looks at everything from health policies to the environment.
Over the last two decades, Oregon’s ranking has climbed from 28th to 13th.
This year, Dr. Jeff Mason of United Health Care says he was impressed by how active Oregonians seem to be.
“You’re number one in the country in terms of physical activity, with only 16.2 percent of the population saying they’re physically inactive,” he said. “And that ‘s really a high score and Oregon’s to be commended on that.”
The bad news is that more Oregonians are smoking than were two years ago.
The Centers for Disease Control and Prevention shows the percent of adults smoking dropped from 19.7 percent in 2011 to 17.9 percent in 2012.

Big Tobacco Bullies
New York Times: 12.15.13
With ever more Americans and Europeans giving up smoking, tobacco companies have increasingly focused on developing countries as markets for their addictive and deadly products. Now, as some of those nations try to regulate cigarettes by, for example, requiring warning labels, Big Tobacco is using trade and investment agreements to challenge and intimidate them.

New study shows e-cig users exhale nicotine and fine particles into the air where bystanders are breathing
The research group at Roswell Park Cancer Center has just published a nice paper in which they measure the amount of nicotine, fine particles, and several other toxins in the air around someone using e-cigarettes.  They also collected the same information for conventional cigarettes.

The e-cigarettes were used for 5 minutes and, separately, two cigarettes were smoked during a 30 minute period.

There were significant increases in nicotine and ultrafine particles following use of both products, with the cigarettes producing about 10 times as much nicotine and 7 times as much particulate matter as the e-cigarettes.

Bottom line:  For a given level of consumption, e-cigarettes pollute the air less than conventional cigarettes.

But they pollute the air than nonsmokers are breathing,

The fact that e-cigs are only 1/7 or 1/10 as polluting as cigarettes doesn’t mean that they cannot generate substantial pollution in the real world.  It is not unusual for bars and casinos where a lot of people are smoking have particulate pollution levels of 500 mcg/m3 ro 1000 mcg/m3.  What the new study means is that the same density of vapers would lead to pollution levels of about 70 to 140 mcg/m3, which is still 5-10 times what is considered acceptable.

Thus, this study adds to the case that e-cigarettes should not be allowed anywhere that cigarettes are not allowed.

Will your children buy candy, gum or little cigars?
CDC Director Tom Frieden explains the distinction between traditional cigars and little cigars, which are designed to look like a typical cigarette but which evade cigarette taxes and regulations. Frieden notes that a key part of prevention efforts must be action that will eliminate loopholes in restrictions on tobacco marketing, pricing and products that encourage children and youth to smoke.

Mayor Emanuel, Chicago City Council Take Bold Action to Protect Kids from Flavored Tobacco Products
CTFK: 12.11.13
WASHINGTON, DC – Mayor Rahm Emanuel and the Chicago City Council have taken bold action to reduce youth tobacco use by prohibiting the sale of flavored tobacco products, including menthol-flavored cigarettes, within 500 feet of schools. This ordinance, approved today by the City Council, will help prevent young people from becoming addicted to tobacco and starting on a path that all too often leads to serious disease and premature death.

FDA’s anti-smoking campaign to target teens

The Washington Post: December 9, 2013
Early next year, half a century after the U.S. surgeon general first proclaimed the deadly effects of smoking, the Food and Drug Administration will launch a public health campaign unlike any the federal government has ever attempted.

Slick, data-driven and well-funded, the effort could cost up to $600 million over the next five years, all of it paid for by the tobacco industry under a 2009 law.

It will feature carefully crafted anti-smoking messages targeting specific types of teenagers, from rural kids who watch “Duck Dynasty” and drive pickups to gay and lesbian teens who prefer the nightclub scene.

In contracting with top-flight advertising firms, conducting intense demographic research and micro-targeting subsets of the 12-to-17-year-old crowd, the FDA is hoping to take a page from the marketing playbook of corporate America.

Youth Smoking Rates Reach Record Lows in 2013
Overall youth smoking declined significantly in 2013, and smoking rates fell to record lows for all three grades surveyed (grades 8, 10 and 12), according to the Monitoring the Future survey released annually by the National Institute on Drug Abuse and conducted by researchers at the University of Michigan’s Institute for Social Research. For all three grades combined, the percentage of students who reported smoking cigarettes in the past month fell from 10.6 percent in 2012 to 9.6 percent in 2013. The data is based on annual surveys of 40,000 to 50,000 students in about 400 different secondary schools.
firevaporecig Is There Fire Where There’s Vapor?: The E-Cigarette Debate
OPB: December 12, 2013
E-cigarettes have exploded in popularity in recent years with proponents claiming they offer a safer alternative to conventional tobacco products and a more effective cessation method than traditional nicotine replacement therapies like gum and transdermal patches. E-cigarettes vaporize an “e-liquid” to which different levels of nicotine and flavorings are added. A study by Drexel University School of Public Health professor Igor Burstyn suggests that contaminants in e-cigarettes are below levels that would pose health risks.

E-cigarettes and youth: An examination of the public health and policy concerns over increased rates of youth use and exposure to e-cigarettes
Respiratory Health Association
This white paper from a Chicago-based advocacy organization summarizes the available research on e-cigarettes and youth and explores different policy options to help limit youth access to e-cigarettes.

South Dakota smoking ban: Three years later
Three years after South Dakota voters extended a smoking ban in public buildings to bars, restaurants and casinos, some of the health benefits proponents promised have shown up in statistics. Reductions have been observed in hospitalizations and smoking prevalence according to the State Department of Health, and members of the hospitality industry have also noted positive outcomes.

Everyday discrimination is associated with nicotine dependence in African American, Latino, and White smokers
Nicotine & Tobacco Research
In this study, a total of 2,376 African American, Latino, and White smokers completed an online survey about everyday discrimination experiences and indicators of nicotine dependence. Regression analyses indicated that everyday discrimination was positively associated with indicators of nicotine dependence. Researchers concluded that greater nicotine dependence is a potential pathway through which discrimination may influence health.

Out smoking on the big screen: Tobacco use in LGBT movies, 2000–2011
Tobacco Control
A content analysis of American movies with lesbian, gay, bisexual and transgender (LGBT) themes or characters found that tobacco use was depicted in 87% of movies with an average of four occurrences of tobacco use per hour. Only 15% of movies and 3% of all depictions of tobacco use conveyed any harms of tobacco use. Researchers concluded that movies may contribute to smoking among LGBT people.


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