Expert links tobacco use to cancers of the mouth

Former Chief Medical Director (CMD), Lagos State University Teaching Hospital (LUTH), Professor Onatolu Odukoya, has urged Nigerians to be wary of tobacco use, irrespective of its form, due to its strong link with cancers of the mouth.

Professor Odukoya, who gave the charge at a valedictory lecture to mark the sent-forth of Professor Jonathan Lawoyin, at the College of Medicine, University College Hospital (UCH), Ibadan, declared that evidences indicate that tobacco, whether in the form of snuff, cigar or cigarette, contained a cancer-causing substance called nitrosamine.

Unfortunately, he stated that a lot of nitrosamine was present in palm wine, thus the need for Nigerian researchers to verify whether drinking palm wine could lead to individuals having cancers of the mouth.

Professor Odukoya, who described cancers of the mouth as the sixth commonest type of cancer worldwide, stated “tobacco alone might not be linked with oral cancer in Nigeria, we should endeavour to do more studies that will establish a strong association between oral cancer and other causative factors of cancer.”

While pointing out alcohol, infections, radiation, HIV and injury as some other causative factors for cancers of the mouth, Professor Odukoya emphasised the need for individuals to eat well because malnutrition rendered individuals more susceptible to different disease, including cancers.

He stated: “we have found out that vitamins E, A and C can help to prevent the development of cancer, so the whole idea is that if you eat a balanced diet, you will be at a better advantage in not having this cancer.”

The expert, who stated that the commonest part of the mouth affected by cancer was the gum, lip and tongue, urged people to be watchful for any abnormal white or red patches in the mouth, a change in voice or hoarseness, sore throat that does not subside or pain or swelling in the mouth or neck that does not subside as they could be suggestive of an early stage of oral cancer.

Professor Odukoya said it was important that government supported more research into treatment and prevention of cancers of the mouth, adding that this would enable scientists to go into communities to screen and ensure early detections of this cancer.

According to him, “once cancer starts, it can be stopped and so everybody must get screened to ensure early detection and appropriate treatment instituted.”

Earlier, the Provost of the College of Medicine, Professor Olusegun Akinyinka, represented by the deputy provost, Professor Oluremi Ogunseyinde, described Professor Lawoyin, the first dean of the Faculty of Dentistry of the college, as a true Nigerian who gave his best to both the development of his profession and his fatherland.


Sade Oguntola via tribune.com

Canvassing for a Tobacco-Free Nigeria

Environmental activists task Jonathan, legislators on tobacco bill

THERE are fears that the National Tobacco Control Bill (NTCB) passed by the sixth session of the National Assembly (NA) about six months ago might have been swept under the carpet and might never by assented into law by President Goodluck Jonathan.

Environmental activists in the country expressed this fear, alleging breach of constitutional duty, which mandates that a bill passed by the two houses of NA be sent to the President, who should “within 30 days thereof signify that he assents or that he withholds assent (with reasons)” to the bill that is presented.

The activists under the aegis of Environmental Rights Actions/ Friends of the Earth Nigeria (ERA/FoEN) said that nothing was yet to be communicated by the Presidency to the parliament on the NTCB, like several other bills passed at the twilight of the last assembly.

They therefore task the President to “work with the N/A to complete the process of the signing of the bill. Sign the bill immediately it is forwarded to his desk for signing and set in motion the structure and machineries to ensure the effective implementation of the bill all over Nigeria.”

Director of Corporate Accountability and Administration, ERA/FoEN, Akinbode Oluwafemi also called on the N/A; Special Adviser on N/A to the President, Senator Joy Emordi and every other official of the N/A to expedite the process of the bill and forward it to the President.

Oluwafemi said that Nigeria has till date failed to set a leadership role for the rest of Africa by taking preventive measures on the tobacco epidemic, safe environment through comprehensive tobacco control legislation.

The tobacco control bill seeks to regulate the manufacturing, sales and marketing of tobacco products in the country. The bill has measures that will tackle youth smoking, prohibition of the sale of cigarettes to persons under the age of 18 among other provisions.

Oluwafemi added: “Our nation is at that crossroad where we have to make a decision whether to complete the processes for the enactment of laws that would protect the present and the future generations from harms caused by multinational whose sole motive is profit and death through the use of tobacco.”

Programme Officer, ERA, Seun Akioye added that the consequence of inaction is already with Nigeria, as the country already adds to World Health Organisation’s (WHO) 5.8 million estimate of people that die each year due to a tobacco related disease.

“According to figures from a 2006 survey conducted in 11 hospitals in Lagos, two persons die each day from a tobacco-related disease.

Our government can however step up this challenge and enact a law that will protect the young, the poor and those who have been deceived into tobacco addiction by the tobacco multinationals glamorous tobacco advertising. This bill is for today, tomorrow and the future. This bill is for our children and us, “ he said,

 

 

 

By Wole Oyebade via  GUARDIAN

ERA urges Jonathan to speedily sign Tobacco Control Bill

...Says death toll from tobacco consumption rising

Environmental Rights Action/Friends of the Earth Nigeria (ERA/FoEN) has urged President Goodluck Jonathan to speedily sign the National Tobacco Control Bill forwarded to him for assent by the National Assembly, a move which it says will check the rising death toll resulting from tobacco consumption in the country.

The comprehensive bill, sponsored by Senator Olorunimbe Mamora, was on May 31, 2011 passed by the sixth session of the National Assemby, and seeks to regulate the manufacture, sale and marketing of tobacco products in Nigeria.

It however requires the president's approval before it can be fully enforceable. Speaking with newsmen yesterday at a press briefing which held in Lagos, Akinbode Oluwafemi, director, corporate accountability and administration, ERA/FoEN, said the time had come for the nation to enact laws that would protect present and future generations from the harm caused by multinationals driven by profit rather than the protection of life.

"The consequences of not doing the right thing are dire, especially for a developing country like ours," he said, adding that the World Bank has declared that over 5.8 million people die each year of tobacco-related diseases globally; while a 2006 survey conducted in Lagos revealed that two persons die of same on a daily basis.

Oluwafemi therefore called on the president to work with the National Assembly towards completing the process of signing the bill, and set in motion the structure that would ensure full compliance across the country. "Our government should stand up and be counted for the protection of the young, the poor and those deceived into tobacco addiction by enacting a law that will protect all," he said.

SOURCE: BUSSINESSDAY

Sign Tobacco Control bill now, Mamora urges president

Senator Olorunnimbe Mamora, who  sponsored the National Tobacco Control Bill, said the country has a lot to benefit from the signing of the bill.

What prompted you to sponsor the National Tobacco Control Bill in the Senate?

It is out of concern for the welfare of Nigerians in general. I felt as a senator of the Federal Republic of Nigeria then and a medical practitioner, I should take up the challenge.

What was the bill out to achieve?
Essentially to control tobacco smoking and the use of tobacco, to regulate the sale, manufacturing, advertising and promotion of tobacco in the country. It was passed in May, this year by the Senate and was concurred by the House of Representatives. It is now before Mr President for his signature.

How do you feel now that the President has not assented to the Tobacco Control bill?
Naturally, I don’t feel good about it. But I am hopeful that Mr President will invariably sign the bill, thereby making it become an Act of the National Assembly. Signing the bill into law has a global dimension because it will put Nigeria on a high pedestal in terms of being a member of the international body of the nations that has taken interest in the health of its citizenry. The bill has socio-economic importance apart from health implications. The President should not only sign the bill but should also ensure that the provisions in the law are enforced.

Concerns over Jonathan’s failure to sign Tobacco Control Bill

•President Goodluck Jonathan and Vice-President Namadi Sambo, with winners of the Nigeria National Merit Award. With them are (from left): Prof. Andrew Jonathan, Afigo Okpewho, Chairman Governing Board Nigeria National Merit Award, Oluwafeyisola Adekoke

A 28-year old graduate of Economics from Delta State, Dickson Dudu, was rushed to the Lagos University Teaching Hospital (LUTH) by some kind-hearted Nigerians after he slumped at the Ojuelegba bus stop. Dudu, an applicant, was in Lagos to attend an interview with a bank. His childhood friend disclosed that Dudu started smoking cigarette at the age of 15 when “we were in JSS 3”. He was very addicted to tobacco such that he can’t do without it unless he is asleep or in the lecture room. He has been having respiratory problems in the past three years and has been receiving treatment in the hospital.

His relations withdrew him from LUTH and took him to a private specialist hospital in Ikeja. He was examined by the doctor whose report showed that Dudu has developed lung cancer.  He died after two weeks in the hospital bed. An autopsy carried out by the hospital revealed that he died of a heart-related disease caused by his addiction to tobacco smoking.

Mr John Inyang’s case is different. He never smoked all through his 32 years on earth. But Inyang is down with lung cancer, which he got from the environment where he lives. He lives with his two brothers who smoke at least a packet of cigarettes every day. He didn’t know that their smoking habit could be more harmful to him than the smokers. Such victims like Inyang are called passive smokers.

According to medical experts, passive smokers are people living among smokers and exposed to smoke concentration in their environment. Unless Inyang gets proper treatment, he may be counted among the estimated 46,000 non-smokers who die yearly from heart disease and lung cancer.

Tosin Adeyanju, an undergraduate student, has been on hospital bed for three months for tobacco-related disease. She said cigarette smoking made her lose weight considerably. Before she was admitted in the hospital, she ate less and smoked at least 10 sticks every day. According to Tosin, she preferred smoking to eating. Lanre Onigbongi, a medical doctor at the University College Hospital, Ibadan, said this is one of the myths associated with smoking.

Onigbogi said the others include perception that smokers appear calmer, sophisticated and successful. “The success factor is a myth because very poor people constitute a high percentage of chronic smokers. The habit makes them poorer because of the money they spend on treating tobacco-related diseases”. According to him, tobacco smokers are not calm but are actually very uneasy until they take a few puffs at a cigarette. This is caused by the presence of nicotine in cigarettes.

Mrs Grace Chukwuka, 45, has been married for 15 years without a child. She had experienced miscarriages on many occasions. Her husband had taken her to many hospitals in search of solution to her problem. Reports  showed that Grace used to smoke cigarettes during pregnancy. This, according to the report, put her and the unborn baby at risk. The dangers of smoking during pregnancy, medical experts say, include premature birth, birth defects and infant deaths. Experts explained that smoking can cause problems with the placenta-the source of the baby’s food and oxygen during pregnancy. For example, the placenta can separate from the womb too early, causing bleeding, which is dangerous to the mother and baby.

Another deleterious effect of the tobacco industry in Nigeria is the issue of youth markets. Today, Nigeria is one of the largest markets for tobacco products in Africa. Statistics show that youths form over 40 per cent of the Nigerian population and 20 per cent of the youths smoke.
According to a tobacco control activist, Dr Olusegun Owotomo, statistics show that about 93 million sticks of cigarettes produced yearly in Nigeria are consumed by smokers. He said between 150,000 and 300,000 children under 18 months get respiratory infections, such as pneumonia and bronchitis from second-hand smoke.

The harmful effects of tobacco led Senator Olorunimbe Mamora and ERA/FOEN to collaborate on a law to control the tobacco industry. The law was passed six months ago by the National Assembly, but has remained unsigned since then. Analysts are of the view that Nigerians are the worse for it. Mamora and Akinbode said the president must sign  the bill or give reasons why he has not assented it.
Addressing a news conference in Lagos yesterday, Akinbode said Nigeria has failed to set a leadership role for the rest of Africa.
Will Jonathan heed the call or allow the industry operate almost unregulated? Time will tell.

SOURCE: THE NATION

It’s sad the Bill isn’t law yet, say environmentalists

The  Environmental Rights Action (ERA), yesterday said it was sad that the the National Tobacco Control Bill (NTCB) is yet to be signed into law by President Goodluck Jonathan six months after the National Assembly passed it.

Its Director, Corporate Accountability and Administration, Mr Akinbode Oluwafemi, said there is the likelihood the Bill may not have gotten to the President’s desk for signature.

Oluwafemi, who spoke yesterday at a press briefing in Lagos, said President Jonathan would be mandated within 30 days to either sign the Bill into law or return it to the National Assembly with cogent reasons why it was rejected. He said the counting would start from the day it got to his table. “When it is returned by the President, if that is the case, two-third majority of the National Assembly can veto it to become a law,” he added.

He said the hopes of many Nigerians who had expected the President to sign the Bill before the United Nations high-level meeting in New York on Non-Communicable Diseases (NCD), was dashed. “At that meeting, many heads of states and government made a commitment towards eradicating the risk factors of NCD, one of which is tobacco use,” he added.

He said the government’s action showed it was not responsive to the health of the people, thereby lacking commitment to them. “Our leaders failed to show the world that the country is ready and determined to meet the Millennium Development Goals (MDGs) by providing the people with a safe and clean environment through comprehensive tobacco control legislation.

“Nigeria has failed to set a leadership role for the rest of Africa by taking preventive measures on the tobacco epidemic. It did not complete the work on the NTCB sponsored by Senator Olorunnimbe Mamora,” Oluwafemi said.
He urged the Special Adviser on National Assembly Matters to the President, Senator Joy Emordi and other legislators to expedite the process of the Bill and forward it to the President immediately.

SOURCE: Wale Adepoju via The Nation

Tobacco smoking: Stop the killer before it stops you

- CHIOMA OBINNA


He was walking and all of a sudden he slumped. Thanks to some kindhearted Nigerians who quickly rushed him to the hospital. Unfortunately, he died on the way to the hospital. Further investigations revealed that the victim who was about  28 years old and just finished his youth service never showed any sign of illness before his death.

It was also gathered that young promising graduate of Business administration  was asthmatic. An autopsy carried out by authorities of the hospital to determine the cause of his death revealed that he died of a heart-related disease following his addiction to tobacco smoking.

The victim is just one of the 5.4 million people killed by tobacco use annually and one in 10 adult deaths worldwide.

Mr. Emmanuel Egwu’s case is different. Emmanuel never smoked all through his 35 years on earth.  He had never for once tried to have a drag of cigarette.  Unfortunately, Emmanuel is down with lung cancer courtesy of the environment where he lives.  Emmanuel lives with his three brothers who smoked at least 20 sticks of cigarettes a day! Little did he know that their smoking habit could cause more harm to him instead of the smokers.

Such people as Emmanuel are called passive smokers or secondhand smokers.  According to medical experts, passive smokers are people living among smokers and they are exposed to smoke concentration in the atmosphere they live in. Studies have found that passive smoking is a cause of heart disease and lung cancer and can initiate or aggravate respiratory conditions such as asthma and bronchitis.  If proper care is not taken, Emmanuel may be counted among the estimated 46,000  nonsmokers who die  yearly from heart disease and lung cancer.

Before now, smoking was one habit fashionable and acceptable to the people but has been found  after many years of study and linkages with many ailments to be as deadly as the scorpion sting.

According to medical experts, tobacco smoke in any form and at whatever level, precipitates ill-health.   Smoking has been implicated in about 60 disease conditions including  tooth loss, diabetes, impotence, stomach ulcers, ocular histoplasmosis (fungal eye infection), acute necrotising ulcerative gingivitis (gum disease), hearing loss, osteoporosis, duodenal ulcer, reduced sperm count, dysmenorrhoea (painful periods), early menopause, psoriasis, colon polyps, cataracts, asthma, reduced fertility, buerger’s disease, angina optic neuropathy (vision loss), premature wrinkling, crohn’s disease and asthma amongst others. Clinical records have shown that the odds are said to be more than double for those who smoke in excess of more than 20 cigarettes a day.

Statistics from the World Health Organisation,WHO, estimates that about 1.3 billion people in the world are currently smoking and most of them are in developing countries including  Nigeria.

Globally, tobacco causes about 5.4 million deaths yearly compared to three million, two million and one million deaths caused by AIDS, tuberculosis and malaria respectively.  By 2020, WHO estimates that global death toll from smoking will hit 10 million.

According to an Independent Tobacco Control Activist, Dr. Olusegun Owotomo, statistics available show that about 93 million sticks of cigarette are produced yearly in Nigeria and every one of those cigarettes is consumed and that between 150,000 and 300,000 children under the age of 18 months get respiratory infections such as pneumonia and bronchitis from secondhand smoke. More than 40 per cent of children who visit the emergency room for severe asthma attacks live with smokers.

Despite these dangers, efforts are checking tobacco smoking is still not significant. According to WHO,  the global funding of tobacco control, is below 0 million compared to a billion for AIDS, five billion for tuberculosis and around a billion for malaria. As a result, while there has been a gradual decrease in the incidence of AIDS, tuberculosis and malaria, tobacco-related deaths have been on a sharp increase.

Smoking is a universal problem, which though may have peculiar geographical approaches in terms of solutions, yet remains one with universal determination in tackling.

Critical health watchers say  the ability of the tobacco industry to stage a come back in the country must be checked.

In a write-up, Dr. Olusegun Fakoya, anticipated a huge epidemic of tobacco-related diseases regretting that the resultant strain on public healthcare would be enormous as the majority of these smokers are poor people who have no means to access treatment themselves. Olusegun said with the  pathetic state of the country’s healthcare system, the impending chaos is best imagined.

A big thanks to the recent passage of the National Tobacco Control Bill by the National Assembly. He said the Bill when signed by the President will be one of the ways of forestalling the inevitable doom associated with the current kid-glove approach to the unimaginable disaster associated with smoking.

The Nigeria Tobacco Control Bill is a comprehensive law to regulate the manufacturing, advertising, distribution and consumption of tobacco products. It is a bill aimed at domesticating WHO Framework Convention on Tobacco Control,FCTC.

WHO FCTC  is an evidence-based treaty that reaffirms the right of all people to the highest standard of health. It represents a paradigm shift in developing a regulatory strategy to address addictive substances; in contrast to previous drug control treaties, and asserts the importance of demand reduction strategies as well as supply issues.

The  Bill is a comprehensive law providing for regulations of supply and demand measures relating to tobacco products. However, the recent prohibition of smoking in public places in the Bill would at least save non-smokers from dying of tobacco-related diseases.

A study on “The use of tobacco products among Nigerian adults: A general population survey” by Isidore S. Obot, Department of General and Applied Psychology, University of Jos, showed that Nigerian men smokes more than females, adding that the poor, uneducated smoke more than the relatively rich and educated.

According to the study,  “Smokers had a higher incidence of health problems and both nonsmokers and heavy smokers were less aware of the risk of smoking than light smokers.” The study suggested that  health education should be a major component of tobacco and health policy in Nigeria.

“Exposure to environmental tobacco smoke (ETS) increases the risk of respiratory symptoms and lower respiratory tract illness in children, and it also increases the frequency and severity of asthma symptoms. There is evidence that parental smoking causes acute and chronic middle ear disease.”

Analysis of chemicals in the urine of women who live with smokers demonstrates that tobacco smoke carcinogen, are absorbed by nonsmokers from second-hand smoke. Women who live with smokers absorb five to six times more chemicals linked to lung cancer than do women who live with nonsmokers.

It has also been discovered that the risk of wives developing lung cancer doubled when the husbands smoked over 20  cigarettes a day. There was also an increased incidence of emphysema and asthma, although to a lesser degree.

Many studies have also shown that when parents smoke, their children cough. Babies are most at risk, with the highest percentages for bronchitis and lung ailments in infants under a year old.

Although, cigarette packets carry warnings approved by health authorities, none lists the diseases caused by smoking. The introduction of photo warnings was a desperate action by concerned governments over a habit that refused to abate despite numerous interventions.

Warnings on packs

Critical observers are calling for the inclusion of  large, graphic warnings, which is proven to motivate people to stop using tobacco and reduce the appeal for people not yet addicted to it.

Permanent Secretary, Lagos State Ministry of Health, Dr. Femi Olugbile, said the effective enforcement of the bill when passed into law is also imperative. “Introduction of bold warnings that would  take no less than 30 per cent of the space on cigarette wrappings.

In particular, the introduction of photographic warnings showing cancerous growths caused by cigarettes as obtained in countries like Thailand, Brazil, Canada and Britain, will go a long way in making an informed decision on the part of (potential) smokers to tobacco smoke, death tolls and crippling heart attacks, strokes, cancers and respiratory diseases that are becoming prevalent will be reduced.”

However, Akinbode Oluwafemi, Programme Manager, Environmental Rights Action/Friends of the Earth, Nigeria,ERA/FoEN, sees the passage of the Tobacco control Bill as not an attack on smoker.

Youth markets

Another aspect of tobacco activities is the issue of  youth markets.  Today, Nigeria has become one of the largest markets in Africa. Statistics show that youths form over 40 percent of the Nigerian population and 18 per cent of the youths smoke. Unless drastic steps are taken, many youths may become addicted.  A situation experts say  signifies social concern and also portends dire economic consequences.

Measures for Tobacco ControlComplete ban of advertisement, including points of sale.High taxes on cigarettes to discourage more people going into the venture.Protection of non-smokers from the often underestimated harmful effects of second-hand smoking.Expansion of smoke-free public places.Assistance to tobacco farmers to discourage the planting of tobacco.Assistance to pro-tobacco victims to ameliorate the resultant harmful effects of smoking.

Provision of adequate support to states instituting litigations for damages.

20 tips on how to stop smokingBelieve in yourself. Believe that you can quit.Sit down and write your own list, customised to your personality and way of doing things. Create your own plan for quitting.Write down why you want to quit (the benefits of quitting):Ask your family and friends to support your decision to quit.Set a quit date. Decide what day you will extinguish your cigarettes forever.Talk with your doctor about quitting. Support and guidance from a physician is a proven way to better your chances to quit.Begin an exercise programme. Exercise is simply incompatible with smoking. Exercise relieves stress and helps your body recover from years of damage from cigarettes.Do some deep breathing each day for  three  to five  minutes. Breathe in through your nose very slowly, hold the breath for a few seconds, and exhale very slowly through your mouth.Visualise your way to becoming a non-smoker.Develop your own creative visualizations.Cut back on cigarettes gradually (if you cut back gradually, be sure to set a quit date on which you WILL quit).

Quit smoking “cold turkey”.

Many smokers find that the only way they can truly quit once and for all is to just quit abruptly without trying to slowly taper off. Find the method that works best for you: gradually quitting or cold turkey. If one way doesn’t work do the other.

Find another smoker who is trying to quit, and help each other with positive words and by lending an ear when quitting becomes difficult.

Have your teeth cleaned.

After you quit, plan to celebrate the milestones in your journey to becoming a non-smoker.

Drink lots of water.

Learn what triggers your desire for a cigarette, such as stress, the end of a meal, arrival at work, entering a bar, etc. Avoid these triggers or if that’s impossible, plan alternative ways to deal with the triggers.

Find something to hold in your hand and mouth, to replace cigarettes. Consider drinking straws.

Write yourself an inspirational song or poem about quitting, cigarettes, and what it means to you to quit. Read it daily.

Keep a picture of your family or someone very important to you with you at all times.

Whenever you have a craving for a cigarette, instead of lighting up, write down your feelings or whatever is on your mind.

 - SOURCE

‘There is no good in smoking’

 

  Abah

Betty Abah, project officer of Environmental Rights Action (ERA), has been campaigning against smoking for years. She speaks extensively with OSEYIZA OOGBODO on smoking issues.

Why do people smoke?

Smoking is basically a habit that is most times associated with peer pressure, meaning many people, especially the young ones, find themselves deeply entrenched in the habit before they even realise why they are doing it or if it has any benefit at all. Unfortunately, at that point, most must have become deeply addicted and can’t get out. Some say they smoke to get pressures off their mind and then eventually realise that it worsens whatever situation they are trying to escape from, because when you come down with a tobacco-related cancer, you will realise, too late, that that even dwarfs the so-called pressure. And you know that cancer is no child’s play. Tobacco is evil and a completely senseless one because it has no profit whatsoever. 

What are the dangers in smoking?The dangers associated with smoking are legion. It adversely affects every part of the body and is the cause of several forms of cancer including cancers of the lungs, cervix, breast, skin, oral as well as heart attacks, stroke, impotence, and also several types of respiratory diseases. It is well known in medical circles that it is the leading cause of lungs cancer, and that between 85 to 90 percent of lungs cancer cases are as a result of tobacco use. So, if you take up two packs of cigarette a day, then you can be sure you are a candidate for lungs cancer. And why it is so very painful is the fact that many non-smokers fall victim of smokingrelated diseases and even death because of exposure to tobacco smoke, what is called Second Hand Smoking (SHS) or Environmental Tobacco Smoke (ETS).In China for instance (which has the highest rate of tobacco use in the world), according to the World Health Organisation (WHO), tobacco use kills over a million people every year, about a quarter of the entire global casualty rate, and out of this, about 300,000 are non-smokers who are victims of SHS. I stayed briefly at a cosmopolitan hotel in a city last year while attending a meeting and I had to browse at the lounge. For the two hours or so that I spent there, it was as if I had smoked a whole pack of cigarettes. One of the receptionists, a Lebanese, I think, smoked non-stop and filled up the ash tray in front of him continuously. After some time I had to walk up to him to demand why he had to force me and about a dozen others in the room to smoke. He apologised limply and promised to reduce his smoking rate.Imagine what happens to his colleagues who have to put up with him for several hours every day in that fully air-conditioned and sealed place. Imagine the danger that people across this country face every minute owing to ignorance and also as a result of non-implementation of smoke-free laws.

Why are you campaigning against smoking?I am involved in this campaign as a life-saving measure especially because tobacco- related deaths which happens mostly among young and productive people are completely preventable. I am involved in passing the message that we don’t have to be a dumping ground for the rejects of the earth. As you know, tobacco multinationals are highly stigmatised in Western countries and strict anti-smoking policies are running them out of business, so what is happening is that Nigeria and other developing countries have been targeted as fertile soil for them to recoup lost grounds, to maximise profit. This is also made possible because like many third world countries, we have weak legislations. As you might also have known, until recent years, tobacco multinationals were invited here and greatly pampered with tax exemptions and all kinds of incentives by the government. So, I think the onus is on us as Nigerians to speak out against this evil trend.No company, no matter the jobs it creates, should be tolerated if their end products sicken and kill the best of the land, because at the end it worsens the economy and places additional burdens on an already overstressed health system. It kills them young. And mind you, many of our youths who are hooked on drugs now begin by taking the readily available cigarette, and of course you know how much drugs ruins lives. That’s why we are up against this menace.

Is it true that there is a law against cigarette adverts?Yes, the anti-smoking law prohibits all forms of Tobacco Advertising and Promotions (TAPs). But even before this bill, one of the provisions of WHO’s Framework Convention on Tobacco Control (FCTC), which Nigeria signed and ratified, banned tobacco advertisement. That’s why you don’t see all the tobacco adverts, jingles, and promotional fashion and music shows anymore. But tobacco companies are slippery by nature so they still try to do one thing or the other to promote their deadly product, but no doubt, it’s a dying trade. 

Does smoking affect the environment in any way?Smoking affects mostly the people who use and those who stand or sit by smokers. But it has also been proven over time that tobacco plants kill the soil and endanger other crops, that’s why when you look at a tobacco farm, you hardly see any other crops planted alongside. I have been to the tobacco farming communities in Ago-Are in Oyo State, and I have seen others, so I can tell you it’s true. They are as deadly as they come. 

Adverts say smokers are liable to die young. If this is true, why are people smoking?Majority of people who smoke do so not because they like the habit but because they are hooked on it. This is especially true with long-term smokers. The manufacturers deliberately increase the rate of nicotine in each pack of cigarette to ensure that they can’t get out of the trap. Nicotine is a highly addictive substance and works very fast in the body once it has contact with it, that’s why you see someone who has been diagnosed with lungs cancer as a result of tobacco use but is still smoking heavily. That’s why you see that people expose their families to poverty because of their smoking habit and yet are not about to quit and save money because they are in nicotine bondage. And that is exactly why we try to discourage young people, not to try at all, before they get addicted.But sadly, it is the same young generation that is being targeted by the tobacco companies. As they are gradually losing their aging customers to death and disinterest, they just have to make up for that gap and keep selling the poisonous thing. Sad. In developed countries, there are several cessation programmes in the forms of counselling classes, toll-free quit lines, nicotine therapies, among others, but you hardly find them here because often, health is not a priority of our government. So, if you are hooked, it takes a lot of determination and atimes, the sheer grace of God to get out and live a normal life. 

What are the statistics on how smoking is killing or making Nigerians sick?Like many other things in this country, there is yet to be definite statistics, but one of the few we have is that of a survey carried out by the Lagos State Ministry of Health in 2006 which showed that out of 29 hospitals surveyed, two people die of tobacco-related ailments daily. Also, that in that year, the state recorded more than 9,000 cases of tobacco-related ailments and the Lagos State Government spent as much as N216,000 on each of them.

SOURCE

Smoking: Costly habit, captive addicts

The World Health Organisation (WHO) has declared smoking injurious to health but smokers are still puffing away. OSEYIZA OOGBODO takes a look into this highly addictive practice and its attending dangers.
Smoking for a long time has donned a toga of controversy as to its religious, social, economic and health implications. But, some time ago, the World Health Organisation (WHO) ruled: smoking is injurious to health.

Regardless of this development and the attending compliance at tobacco smoking reduction practically the world over, Nigeria’s case is peculiar: her residents keep smoking in both designated and undesignated areas as if unaware of the WHO proclamation. Betty Abah, an anti-smoking advocate, who is a member of the tobacco control team of the NGO, Environmental Rights Action (ERA) confirms that Nigerian smoking is actually on the increase. “According to the World Health Organisation’s global report two years ago, tobacco use is on the increase in the country especially among young women. It’s not to say women smoke more here, but it implies that more and more women are taking up the habit. It is especially so in tertiary institutions, which is a sad case because the impact of tobacco on the female body is faster and even more deadly than on their male counterparts.”

Getting cigarettes in Nigeria is very easy since they are available on virtually every street through those who have stalls and sitting areas for their cigarette purchasers who want to smoke right at the point of purchase. There are also beer parlours, general goods traders and traditional liquor sellers who offer the popular cigarette brands. Those who are in a hurry smoke while walking along the street. Funny enough, there is a Nigerian law that bans smoking in public places just like in most countries across the world. But it doesn’t seem effective going by the volume of public smoking.

Abah sheds light on the law. “Yes, the law is embedded in the new National Tobacco Control Bill. Public places are supposed to be smoke-free so as to safe-guard the health of non-smokers and also to reduce the general smoking rate. And, by public places, we mean places like restaurants, schools, airports, offices, any enclosed place where people gather. Public places in this context are not roadsides, streets or highways. However, the bill is awaiting Presidential Assent to make it a legal law.”

But even as smoking is rampant, be it in the day or night, there is a method to it. Men can smoke publicly anywhere they like during the day. It is however very difficult to see women smoking publicly in the daytime. But it is not as if they too don’t smoke in the daytime, but they do so in seclusion. For instance, at an event recently, a popular female fashion designer who needed to smoke her favourite brand of cigarette had to hide in a toilet to do so while men smoked care freely in the lobby in full public view. Yet, many of the smokers can’t do so in front of their parents, bosses, landlords and people they look up to because the Nigerian society frowns heavily on smoking. Once a person is known as a smoker, he is most times labelled a doubtful character, hence not taken seriously and treated with condescension. So if a man sometimes faces tribulation because he smokes, a woman who is known to smoke will face quite a tougher time of stigmatisation.

Such is the danger smoking is that it is clearly stated on cigarette packs that smokers are liable to die young. And death is what most humans fear most. If most humans had a choice, they wouldn’t want to die. But some of these same humans prefer to smoke even when they had been warned that smoking could kill them. As smoking is a terrible hazard to smokers themselves, the threat of second hand smoke (non-smokers inhaling cigarette smoke) is probably what is making experts make concrete moves to enforce a ban on smoking in public places. But as a matter of courtesy, people don’t really complain when they see people smoking even when the smell irritates them.

At a press conference to mark the 2008 World Heart Day, Prof. Ayodele Omotoso and Prof. Wale Oke, said, “Government should as a matter of urgency prohibit the habit of smoking in public places as cardiovascular experts have discovered effect of smoking is more harmful to non-smokers than actual smokers.” The issue of smoking is a very strange one, to say the least. Oluwagbohunmi Balogun, a committed chain smoker, says, “I love smoking. I can say I love it more than any other thing on earth.” He however concurs that “I never knew I would be a smoker, though. It is not something I can say that I planned to do. Somehow, it happened and I’m in love with it now.

“That I’m smoking sometimes makes me laugh when I think back to when I was in secondary school. I was a boarder and my seniors who used to smoke would send me to buy cigarettes and say I should smoke with them. Back then, I always refused, because if I had accepted, they would have taken me to the Senior Prefect and reported me that I was smoking and he would have punished me.” Balogun had a further funny tale to recount. “What’s even surprising to me again is that my friends and I who refused to smoke then in boarding school all met up later and we had all started smoking without anyone forcing us the way our seniors were doing but we were scared then so as not to become known as smokers by our teachers and the entire school.”

Such is Balogun’s addiction to smoking a particular brand that he complains if such is presented to him in the pack of another. “It affects the taste,” was his explanation. “Maybe it’s because I don’t smoke any other brand.” Even as Balogun is proud of his smoking habit, Peter, a bass guitarist, regrets his brief romance with smoking. “I used to smoke a lot. Then when I began coughing out white portions of my innards, I knew I had to stop or die. I stopped, but it wasn’t easy, though. I kept returning to it until God took control finally.”

Ayo-Martins

Like Peter, Jare Ayo-Martins, co-presenter/ producer of popular Yoruba TV magazine programme, Owuro Lawa, is also an ex-smoker. “I started smoking when I was in my teens. I began smoking due to peer group pressure.” However, after 12 years of smoking, Ayo-Martins stopped. “I stopped because it wasn’t doing me any good.” When Saturday Mirror asked him if it was perhaps affecting his health, he refuted it, and then added, “The anti-smoking sensitization campaigns also made me realize the need to stop.” He however admitted that he wasn’t a chain smoker. “I was just a normal smoker. The most I ever smoked in a day was four sticks. I never smoked a pack in a day.” Now, Ayo-Martins says of smoking: “It doesn’t do any good, so smokers should stop, but it’s difficult to stop.”

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Transmit tobacco bill for presidential assent, ERA tells NASS

The Environmental Rights Action/Friends of the Earth (ERA/FoEN) has asked the National Assembly to immediately transmit the recently passed National Tobacco Control Bill to the Presidency for signing into law in order to save millions of lives endangered by tobacco use.

In a release issued in Lagos and signed by the Director Corporate Accountability & Administration, Akinbode Oluwafemi, the group warned that failure to send the bill to the President for his signature would have negative consequences for public health in Nigeria and roll back any gains made by the passage of the bill in the first instance.

ERA/FOEN’s call is coming on the heels of a similar call by the American Cancer Society (ACS) for comprehensive policy to tackle the cancer epidemic in developing countries. The ACS made the call in New York at a meeting to deliberate on the United Nations High Level Meeting on Non Communicable Diseases (NCD).

The ACS said tobacco use in developing countries account for about 80 per cent of all cancer deaths.

“The two chambers of the National Assembly have put the health of Nigerians above partisan politics and profits of the tobacco multinationals by passing into law the National Tobacco Control Bill. It will be a waste of public resources expended into the process and a betrayer of public health if the Principal Officers in the National Assembly fail to transmit the bill to the president for signing.”



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SMOKING - SET THE CAPTIVE FREE

NEWS ALERT: 5 million to die from tobacco-related diseases

Lagos-With over five million people estimated to die from tobacco related diseases globally this year, the Lagos State government has set up a multi-sectoral committee to begin  massive enlightenment campaign to reduce consumption and discourage smoking of all tobacco products in the state.

This  came on the heels of recent concurrent passage of the National Tobacco Control Bill by the National Assembly.

The Tobacco Bill makes it mandatory to affix health warnings on tobacco product packs, bans the sale of cigarettes to minors (under 18 years), strictly regulate tobacco advertising, sponsorship and promotion, prohibites smoking in public places and the introduction of regulations on the manufacture, distribution and marketing of tobacco products in the country.

Briefing newsmen in Lagos, the Permanent Secretary, Lagos State Ministry of Health, Dr. Femi Olugbile, said the committee was part of the state government commitment to ensure that Nigerians were not part of the estimated five million people, who will die from tobacco use.

Olugbile at the briefing to mark this year’s ‘World No Tobacco Day’ WNTD, noted that members of the committee were drawn from relevant line ministries, private sector, civil society and the media and will come up with comprehensive multi-sectoral measures to reduce consumption of tobacco products.

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A VOTE FOR PUBLIC HEALTH

Why President Must Sign Anti-Tobacco Bill

ERA praises Reps over concurrent passage of Tobacco Bill

The Environmental Rights Action/ Friends of the Earth Nigeria (ERA/FoEN) has commended the concurrent passage of the National Tobacco Control Bill by the House of Representatives yesterday, describing it as a milestone in the history of public health in Nigeria.

The passage of the Bill by both the Senate and House of Representatives has also placed Nigeria on the global map of countries that have domesticated the Framework Convention on Tobacco Control (FCTC). ERA/FoEN Director of Senate and House of Representatives, Akinbode Oluwafemi said: “We commend the forthrightness of the House of Representatives for seizing the opportunity of this year’s commemoration of the World No Tobacco Day to give this nation a law with far-reaching consequences on our well-being. Though this took long to come, we are in no doubt that this bill will stem the gale of tobacco -related deaths.

“We cheer the House of Representatives and the honourable lawmakers who deemed it fit to stamp their feet in the annals of history by passing a bill which will reduce smoking and its attendant health risks. This House of Representatives will also be remembered for taking a bold step that will safeguard the health of Nigerians today and in the future.” He however urged the President to quickly append his signature to the Tobacco Law and the prompt constitution of a National Tobacco Control Committee which will guide its enforcement.

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NIGERIA TOBACCO CONTROL BILL - AWAITING PRESIDENTIAL ASSENT

Reps stop work on PIB, pass tobacco bill

Senate, ACN ask Jonathan to reposition security agencies

 THE House of Representatives yesterday at plenary session stopped further consideration of the report submitted by its joint Committee on Petroleum (Upstream and Downstream) Gas Resources and Justice on the Petroleum Industry Bill (PIB).

But the House passed the Tobacco Control Bill, a move hailed by the Nigerian Heart Foundation (NHF) and activists under the aegis of Environmental Rights Action/Friends of the Earth Nigeria (ERA/FoEN) that described the passage as a milestone in the history of public health in the country.
The passage of the Senator Olorunnimbe Mamora-led sponsored Bill by both Houses of Assembly, following similar passage by the Senate on March 15, 2011, has also placed Nigeria on the global map of countries that have domesticated the Frame-work Convention on Tobacco Control (FCTC), ERA/FoEN Director of Corporate Accountability and Administration, Akinbode Oluwafemi, said in a statement.

The development came as humanity marked the World No Tobacco Day 2011 (WNTD) yesterday.
The NHF said the Bill will ensure the reversal of increasing deaths and the protection of non-smoking public from the dangers associated with cigarette smoking, and urged President Goodluck Jonathan to speedily assent to the Bill so that it can become a law.


.... CONT'D @ SOURCE

ERA lauds Reps over passage of Tobacco Bill

•As world celebrates tobacco treaty

ENVIRONMENTAL Rights Action/Friends of the Earth Nigeria (ERA/FoEN) has commended the House of Representatives for giving concurrent passage to the National Tobacco Control Bill, sponsored by Senator Olorunnimbe Mamora, describing it as a milestone in the history of public health in the country.

The bill was passed by the Senate on March 15, but the House of Representatives yesterday passed it into law, through a concurred resolution.

The passage of the National Tobacco Control Bill by both houses of the National Assembly has also placed Nigeria on the global map of countries that have domesticated the Framework Convention on Tobacco Control (FCTC).

ERA/FoEN’s Director of Corporate Accountability and Administration, Akinbode Oluwafemi, said: “We commend the forthrightness of the House of Reps for seizing the opportunity of this year’s commemoration of the World No Tobacco Day to give this nation a law with far-reaching consequences on our well being. Though this took long to come, we are in no doubt that this bill will stem the gale of tobacco-related deaths.

“We cheer the House of Reps and the honourable lawmakers who deemed it fit to stamp their feet in the annals of history by passing a bill which will reduce smoking and its attendant health risks. This House of Reps will also be remembered for taking a bold step that will safeguard the health of Nigerians today and in the future.”

He, however, urged President Goodluck Jonathan to quickly append his signature to the Tobacco Law and to promptly constitute a National Tobacco Control Committee, which would guide its enforcement.

The National Tobacco Control Bill, when signed into law by the President, will repeal the Tobacco Control Smoking Act of 1990, which was promulgated under the military and championed by former Health Minister, the late Prof. Olikoye Ransome-Kuti.

Oluwafemi said that the current bill was a comprehensive law providing for regulations of supply and demand measures of tobacco products.

Meanwhile, the global community yesterday commemorated the World No Tobacco Day (WNTD) with this year’s focus on a new International Consortium of Investigative Journalists’ report exposing Big Tobacco’s tactics to interfering with world’s first public health and corporate accountability treaty.

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Group commends lawmakers over passage of Tobacco Bill

The Environmental Rights Action/Friends of the Earth Nigeria (ERA/FoEN), a nongovernmental organisation (NGO), has commended the concurrent passage of the National Tobacco Control Bill by the House of Representatives on Tuesday. It described as a milestone in the history of public health in Nigeria.

As the world marked the World No Tobacco Day on the 31st of May, the Lower House gave concurrent passage to the bill, which was sponsored by Olorunnimbe Mamora (ACN - Lagos East) and had been passed by the Senate on March 15, 2011.

A laudable move

The passage of the bill by both Houses has also placed Nigeria on the global map of countries that have domesticated the Framework Convention on Tobacco Control, the group pointed out.

“We commend the forthrightness of the House of Reps for seizing the opportunity of this year’s commemoration of the World No Tobacco Day to give this nation a law with far-reaching consequences on our wellbeing,” said Akinbode Oluwafemi, ERA/FoEN’s director of corporate accountability & administration.

“Though this took long to come, we are in no doubt that this bill will stem the gale of tobacco-related deaths,” continued Mr Oluwafemi. “We cheer the House of Reps and the honourable lawmakers who deemed it fit to stamp their feet in the annals of history by passing a bill which will reduce smoking and its attendant health risks.

“This House of Reps will also be remembered for taking a bold step that will safeguard the health of Nigerians today and in the future,” Mr Oluwafemi added.

He, however, urged the President to append his signature without delay to the Tobacco Law and also see to the prompt constitution of a National Tobacco Control Committee to guide its enforcement.

The National Tobacco Control Bill repeals the Tobacco Control Smoking Act of 1990, which was promulgated under the military and championed by former health minister, late Olikoye Ransome Kuti. The current bill is a comprehensive law providing for regulations of supply and demand measures relating to tobacco products.

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Reps pass National Tobacco Control Bill

•Environmentalists urge Jonathan to assent bill 

The House of Representatives yesterday gave concurrent passage to the National Tobacco Control Bill.

The passage, which coincided with the World No Tobacco Day, was a wholesale adoption of the bill as passed by the Senate on March 15.

The bill sponsored by Senator Olorunnimbe Mamora is a domestication of the World Health Organisation’s Framework Convention on Tobacco Control (FCTC) ratified by the country.

When signed into law, it bans illicit trade in tobacco products; sales to and by minors; and support for economically viable alternative activities.

It also offers protection of public health policies from the vested interests of the tobacco industry; protection of the environment; national coordinating mechanism; international cooperation, reporting and exchange of information and institutional arrangements.

In a statement the Environmental Rights Action/Friends of the Earth Nigeria (ERA/FoEN) commended the concurrent passage of the bill, describing it as a milestone in the history of public health in Nigeria.

ERA/FoEN Director of Corporate Accountability & Administration, Akinbode Oluwafemi urged President Goodluck Jonathan to sign the bill into law.

He said: " This House of Representatives will be remembered for taking a bold step that will safeguard the health of Nigerians today and in the future."

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Tobacco epidemic may kill 6 million people –WHO

The World Health Organisation has estimated that about six million people will die this year from tobacco smoking including 600,000 non-smokers who will die from exposure to tobacco smoke.

In a news statement issued by the global body on Monday as part of activities to mark the World NO Tobacco Day on Tuesday, the organisation also warned that the tobacco epidemic could kill eight million and half of all tobacco users would eventually die of tobacco related disease.

The WHO Director-General, Dr Margaret Chan, noted that although the organisation had recorded some success with its Framework Convention on Tobacco Control , one of the challenges remained for the public health treaty to reach its full potential as the world’s most powerful tobacco control tool.

Chan said, “More needs to be done for the treaty to achieve its full potential. It is not enough to become a party to the treaty. Countries must also pass, or strengthen the necessary implementing legislation and then rigorously enforce it. The treaty’s ultimate success against the tobacco industry depends on the extent to which the parties meet all of their obligations,”

Meanwhile, a non-governmental organisation, Environmental Rights Action of Nigeria, has ccommended the House of Representatives for adopting the National Tobacco Control Bill on Tuesday.

According to the Director of ERA, Mr. Akinbode Oluwafemi, the Senate had passed the Bill since March 15 and the concurrent passage from the lawmakers would ensure that it became a law when the President, Dr. Goodluck Jonathan, accents to the Bill.

Oluwafemi, who spoke in Lagos On Tuesday in celebration of the World No Tobacco Day programme with the theme, “Framework Convention on Tobacco Control,” said the final passage of the Bill would would help fight tobacco addiction.

“The Bill is a veritable tool that will help Nigeria to fight a deadly addiction, thereby protecting many lives and saving costs in Medicare.”

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Activists seek control law as World marks No Tobacco Day

NIGERIA would make a significant statement on global environmental right to good health, if the House of Representatives concurrently pass the National Tobacco Control Bill (NTCB) today to commemorate the “World No Tobacco Day” (WNTD) 2011, according to environment activists.

The stakeholders said the law would mark the implementation of the World Health Organisation’s (WHO) Framework Convention on Tobacco Control (FCTC) treaty, which reaffirmed the right of all people to highest standard of health and regulatory strategy at addressing addictive substances.

The activists, under the aegis of Environmental Rights Action/Friends of the Earth Nigeria (ERA/FoEN) said in Lagos yesterday that the passage of the bill would mark a wonderful gift to all Nigerians and the entire public health community globally.

In a statement to mark the day, ERA/FoEN wrote: “As we celebrate the WNTD, we call on the respected honourable members of the House of Representatives to again rise to the occasion of this national call to service and ensure that the fundamentals of governance, which is the protection of the health and provision of welfare and security to the people, is enforced.”

Programme Manager ERA, Akinbode Oluwafemi, added that apart from the “five-minute” task before the House of Representatives; “we are also urging immediate accent by the President, prompt constitution of the National Tobacco Control Committee, mass education of the citizen as regards their rights and obligation as regards the law.”

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