March 2013 - |

Monthly Archives: March 2013

Richard Carmona joining electronic cigarette cards

Former U.S. Surgeon General Richard Carmona, who stressed the danger of secondhand smoke and support a ban on all tobacco products, joins the board of directors for NJOY, the leading electronic cigarette companies in the country, a move that may increase the legitimacy of electronic cigarettes as a viable alternative to traditional cigarettes.

electronic cigaretteSenior public health official in the country under President George W. Bush from 2002 to 2006 will advise the Arizona-based company in the field of public health and regulatory issues. He will also supervise their studies with battery-operated devices that heat a liquid nicotine solution and create steam, which breathes users. Flagship private company NJOY King Product is the best selling electronic cigarettes.

Carmona, 63, is president of the health and welfare nonprofit Canyon Ranch Institute in Tucson and is a professor of public health at the University of Arizona.

In 2006, he published a comprehensive report, which concluded that breathing any amount of someone else’s tobacco smoke harms nonsmokers, and played an important role in smoking bans across the country. In testimony to Congress Committee in 2003, Carmona was critical about the possibility of a safe alternative to smoking tobacco.

“Definitely there is an argument that can be done to reduce the damage, but, obviously, more research needs to be done,” Carmona told the Associated Press. “I probably will [us] the biggest critic …. I still look at his work as a doctor of people, and I will look at the science…. If we can find an alternative that gave us harm reduction as people refuse to nicotine, I’m happy to participate in that science, and see if we can do it. “

There are two approaches to regulating tobacco use: one that says there is no safe way to use tobacco and pushes people to quit above all. Others support safer alternatives like smokeless tobacco and other nicotine delivery systems like gum or even electronic cigarettes, and methods to improve overall health.

Devotees insist e-cigarettes address both addiction and the behavioral aspects of smoking. Smokers get the nicotine without the more than 4,000 substances in cigarettes. And they get to keep a cigarette while puffing in and out something that looks like smoke. More than 45 million Americans smoke cigarettes, and about half of smokers try to quit each year, according to the Centers for Disease Control and Prevention.

“When he came on board, it is very difficult for anti-smoking people who consider themselves health campaigns to simply speak out against electronic cigarettes. They have to deal with the fact that one of the leaders of the community not only supports e-cigarettes, but is willing to be board of directors of the largest electronic cigarette company, “said David Sweanor, a Canadian law professor and tobacco expert who consults with companies and others on industry issues.

In an interview with AP, NJOY General Manager Craig Weiss said of Carmona to its board “is a very powerful step forward” in its mission to “stale cigarettes.”

The company does not disclose how much was to be compensated Carmona his new role.

The market of electronic cigarettes has grown to thousands of users in 2006 to several million worldwide.

Some of the largest tobacco companies in the country have moved to capture some of the growing revenue in the electronic cigarette market. Reynolds American, the second-largest U.S. cigarette manufacturer, began limited distribution of its first electronic cigarette brand Vuse. Lorillard Tobacco, the third-largest tobacco company in the country, has acquired the electronic cigarette maker Blu Ecigs last April. Some e-cigarettes are made to look like a cigarette with a tiny light on the tip that glows like the real thing.

E-cigarettes can be more regulated in the near future. Recent CDC study found that one in five smokers reported using an electronic cigarette, the evidence, and the agency says that more control is needed. And the Food and Drug Administration is expected to approve the regulatory body for the electronic cigarette later in the year, to treat them in the same way as traditional cigarettes and other tobacco products.

“We still have a one in five people in America smoke; … there is still a lot of work to do,” said Carmona. “Dismiss [electronic cigarettes] and do not even think … would be a disservice to the public who are looking for alternatives.”

Use of smokeless tobacco is increasing among children

As the leader of the Boy Scouts and coach several sports, Lower Franklin Township resident Todd Deihl sees himself as a role model for the children in their community.

06710121056_hd-tobacco-smokingChewing tobacco does not fit into that image, he understood.

“The boy saw me out one night to chew and I knew then I had to leave,” said Deihl, 48, who began using smokeless tobacco at 18.

Deihl was so uncomfortable with his 30-year-old habit; he always tried to hide it from their children. When his son Lee was 13, he knew that he wanted to create the best example.

“This is a bad habit, you stick your dirty fingers into the jar, and then put them in his mouth,” said Deihl, who will go through the week, the two banks in their prime. “I tried to be clean and neat about it. I always brush your teeth after chewing, and I went to the dentist regularly, but let’s face, it’s dirty.”

While teens across the country heard and accepted “no smoking” message – smoking among teens has dropped by more than 45 percent since 1997 – they do not seem to equate the danger of nicotine and other toxins in smokeless tobacco.

About 20 percent of adolescents and 2 percent of teenage girls use smokeless tobacco, according to the federal Centers for Disease Control and Prevention.

Deihl said it is peer pressure, teen got it started using chewing tobacco and drug addiction kept him to do so. Although he remembers his mother warning him that he lost his teeth, or worse, Deihl said he always pushed the idea of harmful results are far from his mind. When his friends started losing teeth, it was a wake-up call.

“I think I was lucky, I did not have these problems, but I do not want them either,” said Deihl, who joined the class of smoking cessation in the Sadler Health Center in Carlisle last fall. Because he threw a few times before and relapsed, he came with a friend, so that the two can support each other in their weak moments.

“This is it. I do not want to do that. I have that thought”, Deihl said. “I want to tell the kids not to start, you cannot even pick up. Chew on a toothpick. Do not give in to peer pressure.”

Spreading the message that no tobacco is safe

 “When people think of smoking, they think of lung cancer. Because they have not smoked a cigarette and inhaling, the children seem to think that it is safe to chew, but the same toxins are still getting into your system, but different, “said Shannon Mason, patient / community nurse educator and tobacco specialist with Pinnacle Health System in Harrisburg.

Smokeless tobacco includes chewing tobacco sold in pads that chew and spit, and snuff, which is freely available in soluble tablets or strips, or small pouches like tea bags.

Smokeless tobacco can cause cancer of the mouth, pharynx, larynx, esophagus, stomach and pancreas. According to the CDC, about 30,000 Americans are diagnosed with mouth and throat cancer each year, and about 8,000 die.

Other consequences of smokeless tobacco include gum disease and receding gums, which can lead to tooth loss and heart palpitations, increased blood pressure and irregular heartbeat, which lead to an increased risk of heart attacks.

“There’s no such thing as a safe tobacco,” said Marguerite Ferrara, Deputy Director for Education at the Susan P. Byrnes Health Education Center in York. She travels to schools throughout central Pennsylvania to talk about the dangers of tobacco.

Ferrara hears the same attitude all the time with a teenager: “How can it be bad for me, when I breathe?”

She said the large number of blood vessels in the mouth, which give access to the bloodstream, where the toxins take up residence. She speaks about gum disease, which result as a pack of tobacco is juicy against the gums. She is talking about cancer risk.

Visual warnings aid

It until it is released from the photos that start moaning.

“Children visually. You have to show them what is happening, and then all of them dirty,” said Ferrara. “I tell them:” Who would want to kiss that mouth? “

 Ugly pictures are necessary to compensate for the positive media reports that children see all the time – “cool” in the baseball dugout chewing or teens in films that chew and spit, Mason.

Studies have shown that exposure to pro-tobacco marketing and media more than doubles the chances of children and young people from tobacco.

To be fair, some sports players accepted the latest posts; chewing tobacco is dangerous and switched to chewing and spitting out the seeds.

For those who want to chew unnoticed, there is an alternative to spit – small packets of tobacco made for sucking, which do not require spitting. Spitless tobacco is also packed in the little round cans to look like candy into thin strips similar to strips of fresh breath.

But this type of tobacco is no less dangerous.

“They are sold in the” fun “taste like grape and cherry. Message” You can take it to be used anywhere, “Mason said. This makes it easy for teens to hide their tobacco use from their parents, she said.

In college, spotless tobacco is becoming more popular among women, said Dawn Vioral, health education coordinator and a certified specialist in the treatment of tobacco Sadler.

“The cost of the minimum – $ 3 to $ 5 can be compared with the price of a pack of cigarettes by $ 5 to $ 8, so many are switching to smokeless tobacco. Additionally, coupons for new types of smokeless tobacco are more affordable than they are for cigarettes,” said she said.

Disturbing combination

Some young people are becoming dependent twice – for cigarettes and smokeless tobacco. From 12 to 14 million Americans who use smokeless tobacco, a third of them under the age of 21 and more than half of them formed the habit before they were 13 years old, CDC reports.

“Smokeless tobacco is more powerful. A cord banks provide three to five times the amount of nicotine in one cigarette,” said Mason.

Experts are also concerned about the increasing use of electronic cigarette, a battery-powered device that delivers nicotine through vapor, not smoke. Long-term effects are still unknown.

“This is very attractive to young people,” Vioral said.” They use it in places where there is no smoking allowed. “

FDA refuses cigarette warning fight

The FDA will not request for review of the most recent court decision against his rule requiring graphic warning labels on cigarette packs, some of the Obama administration said on Tuesday.

Instead, the agency will go back to the drawing board to develop new warnings he hoped to pass legal review, they said.

imagesThe U.S. Court of Appeals for the District of Columbia ruled in a 2-1 decision in August that the tobacco companies’ First Amendment rights would be violated graphic warnings proposed FDA. Furthermore, the court ruled that the FDA had failed to show that the warnings will reduce smoking. It was the last in a series of judgments against the FDA rules.

A further appeal against the decision would go to the Supreme Court.

The regulation requires that cigarettes sold in the U.S. are graphic images warning of the dangers of smoking, including photos of rotting teeth, diseased lungs, the child enveloped in smoke, and the body on the autopsy table.

The images were accompanied by such phrases as “cigarettes are addictive,” “Cigarettes cause cancer” and “Smoking can kill you.” They had to take at least half of the front and back of cigarette packs and 20% from the top of the pack.

A group of the largest tobacco companies, including RJ Reynolds, sued the FDA shortly after the regulation was released. A federal judge dismissed the warning notices in March, after previously placing a ban on the alert.

“In these circumstances, the attorney general determined after consultation with the [Department of Health and Human Services] HHS and FDA, not to seek Supreme Court review of the first questions that amendment at the present time,” Attorney General Eric Holder wrote a letter to House Speaker John Boehner ( R-Ohio) last week. “If the Court of Appeal had to postpone new rules to FDA at a later date, will not be able to claim the full Supreme Court review at that time.”

Howard Koh, MD, MPH, Assistant Secretary of Health for HHS, admitted recently been court cases in his blog on the Huffington Post on Tuesday, but said that the FDA is “to conduct research in support of the new rule-making under the Tobacco Control Act.”

This law, passed in 2009, gives the FDA the authority to regulate tobacco products.

“FDA is committed to reducing morbidity and mortality from tobacco use by bringing science-based regulation of the production, marketing and distribution of tobacco products”, Koh wrote.

He told MedPage Today earlier this year that the fight against tobacco use is one of the key public health initiative for the second term of President Obama in the White House.

The American Cancer Society Cancer Action Network called for FDA to continue to develop new graphic warnings that he believes that the body must be in accordance with applicable law.

“At present, warnings are not changed in the last 25 years and is widely considered to be ineffective because of the danger of exciting and deadly products,” President Chris Hansen said in a statement late Tuesday. “Large, graphic health warnings on cigarettes has been shown that encouraging adults to quit and prevent children from starting in the first place.”

Cigarette Warning-Label Ruling won’t be appealed by U.S.

The U.S.A Justice Department won’t ask the Supreme Court overturned a lower court ruling that struck down rules requiring graphic health warnings on cigarette packs.

imagesAttorney General Eric Holder, in a letter to Congress on March 15, said the Food and Drug Administration will create new rules to first amendment concerns raised by the Court of Appeal, in a 2-1 decision that found the requirements violated free speech rights of tobacco companies.

“If a Court of Appeal had to postpone the new FDA regulations at a later date, will not be able to claim the full Supreme Court review at that time,” Holder said.

The FDA has been accused in 2011 R.J. Reynolds, a unit of Reynolds American Inc (RAI), Lorillard Tobacco Co, Commonwealth Brands Inc, Liggett Group LLC and Santa Fe Natural Tobacco Co, the company argued that the mandates on cigarette packs, cartons and ads, passed as part of Family Smoking Prevention and Control it violated the First Amendment because the government is using “threats and fear” to motivate people to stop using the legitimate product.

Tracheotomy hole

The Government argued that the nine images chosen agency for placement on the packaging and advertising of the true image requires Congress to show the negative health consequences of smoking. One image was a man with cigarette smoke coming from a tracheotomy hole in his throat. The other was a corpse with a chest guard on autopsy table.

Schedule should cover the top half of the front and back of cigarette packages and 20 percent of printed advertising.

The U.S. Court of Appeals in Washington ruled on August 24 that the visual images, along with a phone number 1-800-QUIT-NOW, are “provocative attempt evoke emotion” and “intimidate consumers” stop buying the products of companies.

Department request that the full appeals court to reconsider the decision was rejected in December.

Brian Hatchell, spokesman for Reynolds, and Robert Bannon, a spokesman for Lorillard, did not respond to phone calls and e-mails seeking comment on the letter to the owner.

The fact is, R.J. Reynolds Tobacco Co. v. U.S. Food and Drug Administration, 11-5332, U.S. Court of Appeals for the District of Columbia (Washington).

New income gun will not differ from state income cigarettes only start collecting: Phillip Morris

What is the real reason the government can tax the weapons and bullets?

imagesStand-up comedian Chris Rock once put forward the idea that America can dramatically reduce violent crime, charging a blanket rate of $ 5,000 for a bullet.

“Because if a bullet cost $ 5000 will be no more innocent civilians,” a comic thought.

“People will think twice before they killed somebody, if a bullet cost $ 5,000.”

This is Chris Rock funny guy. Some people consider him a genius. But the increase in chatter about plans to reduce the number of violent Americans by introducing strict new taxes on guns and ammunition creates disturbing impression that some of our legislators are taking their cues from the comic.

Some of the fantasy placed in violence at the center of political ideas that America can tax its way to less Trigger Happy nation, or if not, just the price of some potential killers from the market.

In Maryland, for example, legislation has been introduced to add a 50-percent tax on most of the ammunition and create a $ 25 annual registration fee of weapons.

The legislation of the State of Nevada is preparing that would impose taxes of $ 25 per gun and 2 cents per bullet. Not to be out done, Massachusetts has introduced measures that would place a 25 percent tax on the sale of a weapon and ammunition.

This is not a $ 5,000 bullet. But this is still a problem on several levels.

Money raised from the Massachusetts ammunition and gun tax hike supposedly be used to fund mental health programs, police training, and programs for victims of violent crime.

Who can resist such great material society?

But here’s why this effort – and others like it – is doomed to failure, as a politician, even if they become law. That’s the problem, according to David Lynskey, the person who is the author of the measure of Massachusetts:

“We know that smoking has a significant impact on public health. Similarly, the use of firearms has a significant impact on health and social security,” he told the Los Angeles Times.

This is a smoke screen in a nutshell. So, what does all this talk cessation of violence have to do with cigarettes?

This is a clever marketing attempt to marry the gun violence and smoking as something identical health risks. After all, cigarettes are directly responsible for the deaths of more Americans, the weapons each year.

That is why the anti-gun groups are desperately trying to alter the anti-smoking tax template as a way to place a new financial burden on those in the market of arms and bullets.

But it will not work, and I’m not talking about complicated Second Amendment, which speaks of the right to bear arms, while remaining silent on the regulation of tobacco products.

I say disingenuous practice of many state governments, including Ohio, until recently, still balancing their budgets on the backs of smokers, using the $ 246 billion, 25-year agreement with the major tobacco companies to pay their bills. This historic settlement was created to promote smoking cessation programs, which the state agreed to work until they decided – most of them anyway – that they wanted to use the money to pay their bills, instead.

The same pattern will be repeated with new taxes draconian gun.

Last year, for example, Massachusetts has collected $ 821 million of tobacco settlement payments and tobacco taxes to the state. However, he spent a little over $ 4 million for smoking cessation programs. This is a pittance.

Why so few?

Ohio is much worse in the number of tobacco according to the Centers for Disease Control. In 2012, he collected $ 1.1 billion in tobacco revenue generated from state taxes on tobacco products and what, if anything is left of his part in the 1998 tobacco settlement, but allocated none of the money to fight smoking programs.

$ 10.1 billion, the state received from the Big Tobacco settlement a long time to play in the many, not the health-related costs, less than 10 years after the state agreed to spend on anti-smoking efforts.

So why is the gun tax should be otherwise?

As many as 18,500 residents of Ohio will die this year as a result of their own smoking, and annual health care costs associated with smoking in the state, is expected to top $ 4.3 billion.

However, the state will not use any of their tobacco revenues to counter the deadly reality.

The picture is clear.

Our cash hungry federal and state governments are willing to use the last fatal tragedy, to soak up the law-abiding Americans buying guns and bullets in the name of reducing violence.

Yes, something needs to be done to help curb the carnage.

But as experience with tobacco money showed the government officials were merely smoke on public health problem, their efforts to tax guns and ammunition are not so much to reduce violence, since they are at filling state coffers with cash.

Gov legislate for plain cigarette packs this year

Minister wanted to introduce plain packaging for cigs through Australia with legislation, after becoming convinced that the branding is the main factor.

220px-Plain_cigarette_packagingThe legislation was announced by the Queen’s speech in May, the smoking is expected to be banned in cars. The ban is very hard for police and in general for law and they believe in group pressure that will have the main impact to the drivers ban using phones.

David Cameron referred to the possibility of plain pack introducing, without any timetable Ministers and of smoking ban reduces in the UK.

We have to follow what they have done in Australia. The evidence suggests it is going to detect youth. There is going for legislation.

The move comes after Lancet study of 19 countries in the UK down the health wellbeing. It found Britan’s space of decline of premature mortality of the Australian members and European Union members. The main reason consists in the durability of the public health, including drinks, drugs and diets.

Smoking causes more the 100,000 deaths every year in the UK. Despite a enormous reduction in the number of smoking since the 1950s, it still estimate a five part of British population of smokers. There is already a full ban on cigarette ads, and in one of the Labor government’s most of smoking places was banned. The 2009 Health Act opened display of tobacco products from April a year ago and will come into force only in April 2015.

Ministers are looking to see the troubled families, and can start to design for improving the diets of more than 120,000 families.

Researchers show that poorer families are far more inclining to obesity, immune to public health messages. In schools research is showing that wealthier families are taking up healthy food options.

The Department of Health started a consultation in March 2011 on plain packs which ended last August for department by the University of Sterling found that “plain packs colors have negative message, projected a less desirable smoker identity, and expose the reality of smoking.”

The study also found that non-smokers tended to find plain packaging less appealing than did smokers, and younger respondents tended to find it less appealing than did older respondents. Around two thirds of smokers say they started smoking before they were 18.

The study also found

Since December in Australia cigarettes must be sold in uniform drab olive-green packets with graphic health warnings. The only marker of difference between products is the brand name written on the packet in a uniform style. New Zealand has promised to follow the Australian lead.

The Australian attorney-general, Mark Dreyfus, has defended the packaging saying “it is anti-cancer, not anti-trade”. There has been some evidence that smokers are now trying to cover up the packaging with plasters.

Electronic cigarettes use

A lot of Americans are informed about electronic cigarette smoke, smoking being a need for gov evaluation and regulation.

images!The CDC found a enormous number of smokers who have tried double the number of them from 10% to 21% in 2011. The numbers grew from 2,5 to 7,4 %; published in the journal Nicotine and Tobacco Research.

Appreciatively 6 from 10 adults in the U.S are aware of the battery power that heat liquid nicotine solution and create a lot of vapors that are inhaled by the smokers.

 “These finding sort of tantalizingly score, the need for more studies of e-cigarettes use and its impacts.” Until there is regulatory authority, it’s going to be more difficult, reassuring around things.”

Some of the largest of tobacco companies have entered in the electronic cigarette market as a part of the industry diversify the traditional cigarette business. The second U.S cigarette producer has begun limited distribution of its first e-cigs. Some of electronic cigarettes are made like cigarettes with tiny light tip glows.

The FDA says that electronic cigarettes have not been completely studied. The federal agency plan to assert regulatory authority over electronic cigarettes and to treat them like traditional cigarettes.

The Food and Drug Administration has said their tests found the specific liquid in some of electronic cigarettes contains toxins beside nicotine. Some public health experts affirmed about carcinogens the same to those found in nicotine therapy, because all nicotine in all tobacco products is extracted from tobacco.

According to some results, the CDC reported about some awareness of e-cigarettes increased from 40% to 60%.

McAfee mentioned about electronic cigarette use that remained unclear. For example, a formal smoker could experiment with them, or could have used an lectronic cigarette for quitting. Current smokers have to use electronic cigarettes in place where tobacco smoking is allowed.

More than 45 million Americans smoke cigarettes, and about half of smokers try to quit each year.

First marketed overseas in 2002, e-cigarettes didn’t become easily available in the U.S. until late 2006. Now, the industry has grown from the thousands of users in 2006 to several million worldwide. Analysts estimate sales could double to $1 billion in 2013. Some companies have even started running TV commercials.

Devotees tout e-cigs as a way to break addiction to real cigarettes. They say the devices address both the nicotine addiction and the behavioral aspects of smoking — the holding of the cigarette, the puffing and exhaling something that looks like smoke — without the more than 4,000 chemicals found in cigarettes.

“The bottom line is … the impact of e-cigarettes on public health remains uncertain,” McAfee said.