Campaign Against Tobacco Smoking

THIS year’s World No Tobacco Day (WNTD) held recently has again brought to the fore the necessity to seriously address long-standing issue of smoking and its health implications in Nigeria. Over the years, tobacco smoking has been associated with grave health problems well-known to the tobacco companies as well as many consumers of the product, who suffer the deleterious consequences.

But business considerations on the part of the companies on the one hand; and addiction, coupled with ignorance on the part of most consumers, particularly in the developing world, on the other hand, threaten the anti tobacco smoking campaign and render it a herculean task. Worse still is the confirmed fact that non-smokers are exposed to even more critical health problems from passive smoking, all of which should spur the authorities to increase their effort to protect the citizens from preventable death.

Due of its alarming public health effects, tobacco smoking has been banned in many places in the developed world. Interestingly, the United States and many European countries are at the forefront of the fight against tobacco smoking. It would appear that the tobacco companies are consequently shifting ground and targeting poor African countries with teeming youthful population.

These issues formed the plank in this year’s anti-tobacco day. The World Health Organization (WHO) used the occasion to reiterate the dangers of tobacco smoking and the efforts being made to protect populations around the world. WHO’s estimate that tobacco smoking would kill more than eight million people annually by 2030 is frightening, showing that the battle against tobacco is far from being won. And this is attributable to the aggressive marketing strategy of tobacco manufacturers.

Assertive adverts displayed on any available media space portray false satisfaction to smokers. The caution on tobacco packs that cigarette smoking can kill or is injurious to health does not seem to restrain the addicts, and is often inconspicuously displayed. Millions are dying silently every year from tobacco related health problems. It has been found that tobacco is a major risk factor for non-communicable diseases. Sadly, there is no reliable statistics on the deaths or illnesses caused by tobacco smoking in Nigeria to enable the health authorities take full control measures.

WHO has reportedly released a technical brief based on the 2008 guidelines for implementation of Article 5.3 of the 2003 WHO Framework Convention on Tobacco Control, to help guide countries on ways to combat “tobacco industry interference” in the anti-tobacco campaign.  According to the organisation’s Director General, Dr. Margaret Chan, “In recent years, multinational tobacco companies have been shamelessly fuelling a series of legal actions against governments that have been in the forefront of the war against tobacco”.

She noted that the industry is now stepping out of shadow into court rooms, thereby making it imperative for a united effort to support governments that have the courage to do the right thing to protect their citizens. Unfortunately, corruption is a potent factor that would hinder some governments. Corrupt government officials who should engage the tobacco companies may be compromised thereby defeating the effort of government.

The tobacco industry is a big mafia made up of rich multinational operators with the capacity to fight back against perceived blackmail of their products using all manner of tactics to achieve their aim. This resistance poses a serious challenge against governments and the anti tobacco campaign, which are nevertheless urged to resist the antics of the tobacco companies. In the words of Dr. Douglas Bettcher, Director of WHO’s Tobacco Free Initiative, “national leaders should resist these tactics and use the full force of the Convention to protect the hard-won gains to safeguard people’s health from the scourge of tobacco”.

It is worrisome that multinational tobacco companies that were finding it increasingly difficult to operate in the developed world are relocating to Africa and other developing regions of the world, cashing in on the apparently weak and corrupt governments, and the good market prospects they found in the teeming youthful population, which are obvious targets.

In Nigeria, the big tobacco manufacturers are mounting resistance against any move to discourage the smoking habit. One such company, the other day, rejected the accusations of “industry interference” in public health policy making, as charged by WHO and anti-tobacco campaigners promoting the “World No Tobacco Day”. It has consistently defended what it perceives as “its right to engage transparently on issues affecting its legitimate business selling a legal, highly regulated product that mainly adults choose to use”. Surely this resistance is tantamount to waging a silent war on the citizenry.

There is need for more public enlightenment on the dangers of tobacco smoking. Government should use media adverts, radio and TV jingles, as well as bill boards to discourage people from smoking. People should be told that nicotine is a poison and its addiction is dangerous to health and could lead to early death. They should be educated that the life style portrayed in tobacco adverts is false and leads to no benefits.

Finally, government should curb the activities of the tobacco companies. No responsible government would sit back and allow the unrestrained production and sale of products that are injurious to the populace. The Federal Government should resist the flooding of the Nigerian market with tobacco products that were banned in other countries.

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Women losing the battle against tobacco use

By Ben Ukwuoma

AS the world marks this year’s World No Tobacco Day, the evidence of tobacco use among young females is increasing in many countries and regions. This has reopened the call for governments to ban all tobacco advertising, promotion and sponsorship and to eliminate tobacco smoking in all public and work places as provided in the World Health Organisation Framework Convention on Tobacco Control. PETRESE is not only pretty, she is intelligent, too. She is also from a family that is comfortable. That gave her an early expose to many good and bad things in life. One of the bad things she herself admits to nowadays is smoking.

At 24, she has double Master’s degrees. She drinks strong alcohol like fish drinks water. And she lights another stick of cigarette before she snuffs off an earlier one. Since the last two odd years, she intermittently coughs and no medication has been able to cure it. Just last week, a comprehensive medical check on her lungs revealed large dark spots. Her physician last week broke the news of an affliction of cancer of the lungs to her heart-broken parents. Petrese is on the fast lane to early death.

But she is not alone. There are many, old and young, men and women, illiterate and elites who are hooked on excessive use of tobacco. Medically, it has been confirmed that of the over five million people who die each year from tobacco use, approximately 1.5 million are women.

Unless urgent action is taken, experts say that tobacco use could kill more than eight million people by 2030, of whom 2.5 million would be women.

Approximately, three-quarters of these female deaths would occur in the low-income and middle-income countries that are least able to absorb such losses. Every one of these premature deaths would have been avoidable.In some countries, the bigger threat to women is from exposure to the smoke of others, particularly men. Isidore S. Obot of the Department of General and Applied Psychology, University of Jos, Plateau State, carried out a study on the incidence of cigarette smoking, cigar/pipe tobacco and snuff use in the Nigerian population. In a sample of 1,271 adult heads of household (1,137 males, 134 females), the overall prevalence of regular smoking was 22.6 per cent. The proportions of regular cigar/pipe tobacco and snuff users were 17.9 per cent and 9.6 per cent. Among cigarette smokers, 60.6 per cent smoked at least half a pack a day, 11.2 per cent at least one pack a day. Males smoked more than females. The poor, uneducated respondents smoked more than the relatively rich and educated. Smoking was more rampant in the third decade of life than in other age groups. 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. In the light of the above, it is suggested that health education should be a major component of tobacco and health policy in Nigeria. The harmful health effects of smoking cigarettes presented below only begin to convey the longterm side effects of smoking. Quitting makes sense for many reasons but simply put: Smoking is bad for health.Worldwide, of the approximately 430,000 adult deaths caused every year by second-hand smoke, about 64 per cent occur in women.

On World No Tobacco Day 2010 today, focus is on the harm which tobacco marketing and smoke do to women. At the same time, it seeks to make men more aware of their responsibility to avoid smoking around the women with whom they live and work.

Women, and men, must be protected from tobacco industry marketing and smoke, as stated in the preamble to the WHO Framework Convention on Tobacco Control. In effect since 2005, this international treaty acknowledges "the increase in smoking and other forms of tobacco consumption by women and young girls worldwide" and explicitly recognises "the need for gender-specific tobacco control strategies".

Unfortunately, less than nine per cent of the world's population is covered by comprehensive advertising bans. Only 5.4 per cent is covered by comprehensive national smoke-free laws.The rising epidemic of tobacco use among women has forced the WHO to issue an alert, calling countries to protect women and girls against the sickness and suffering caused by tobacco use. In half of the 151 countries recently surveyed for trends in tobacco use among young people, approximately as many girls used tobacco as boys. More girls used tobacco than boys in some of the countries, including Bulgaria, Chile, Colombia, Cook Islands, Croatia, Czech Republic, Mexico, New Zealand, Nigeria and Uruguay.WHO Director-General, Dr. Margaret Chan says: "Tobacco use is neither liberating nor glamorous. It is addictive and deadly."

This year’s campaign theme, “gender and tobacco” with an emphasis on “marketing to women”, focuses on the harmful effects of tobacco marketing towards women and girls.It also highlights the need for governments to ban all tobacco advertising, promotion and sponsorship and to eliminate tobacco smoke in all public and work places as provided in the WHO Framework Convention on Tobacco Control.Women are a major target for the tobacco industry in its effort to recruit new users to replace those who will quit or die prematurely from tobacco-related diseases.

"We know that tobacco advertising increasingly targets girls," said WHO Assistant Director-General for Non-communicable Diseases and Mental Health, Dr. Ala Alwan. "This campaign calls attention to the tobacco industry's attempts to market its deadly products by associating tobacco use with beauty and liberation."

Often the threat to women is less from their being enticed to smoke or chew tobacco than from their being exposed to the smoke of others, particularly men.

"By enforcing the WHO Framework Convention, governments can reduce the toll of fatal and crippling heart attacks, strokes, cancers and respiratory diseases that have become increasingly prevalent among women," says Dr. Douglas Bettcher, Director of WHO's Tobacco Free Initiative.

WHO calls on governments and the public to demand a ban on all forms of tobacco advertising, promotion and sponsorship; to support implementation and strong enforcement of legislation to provide 100 per cent protection from tobacco smoke in all public and work places; and to take global action to advocate for women's freedom from tobacco. The health hazards of smoking are well documented, and prevention of smoking has been described as the single greatest opportunity for preventing non-communicable disease in the world today.Cigarette smoking during pregnancy is said to increase the risk of low birth weight, prematurity, spontaneous abortion, reduction in breast milk and perinatal mortality in humans, which has been referred to as the fetal tobacco syndrome. Smoking increases women's risk for cancer of the cervix. There is a possible link between active smoking and premenopausal breast cancer.

The health effects of tobacco are the circumstances, mechanisms, and factors of tobacco consumption on human health. Epidemiological research has been focused primarily on tobacco smoking, which has been studied more extensively than any other form of consumption.

Tobacco use leads most commonly to diseases affecting the heart and lungs, with smoking being a major risk factor for heart attacks, strokes, chronic obstructive pulmonary disease (COPD), emphysema, and cancer (particularly lung cancer, cancers of the larynx and mouth, and pancreatic cancer). It also causes peripheral vascular disease and hypertension, all developed due to the exposure time and the level of dosage of tobacco. Furthermore, the earlier and the higher level of tar content in the tobacco-filled cigarettes cause the greater risk of these diseases.

Cigarettes sold in developing nations are said to have higher tar content, and are less likely to be filtered, potentially increasing vulnerability to tobacco-related disease in these regions.Smoke contains several carcinogenic pyrolytic products that bind to deoxyribonucleic acid (DNA) and cause many genetic mutations. There are over 19 known chemical carcinogens in cigarette smoke. Tobacco also contains nicotine, which is a highly addictive psychoactive chemical.

When tobacco is smoked, nicotine causes physical and psychological dependency. Tobacco use is also a significant factor in miscarriages among pregnant smokers. It contributes to a number of other threats to the health of the foetus such as premature births and low birth weight and increases by 1.4 to three times the chance for Sudden Infant Death Syndrome (SIDS). The result of scientific studies done in neonatal rats seems to indicate that exposure to cigarette smoke in the womb may reduce the foetal brain's ability to recognise hypoxic conditions, thus increasing the chance of accidental asphyxiation.

Incidence of impotence is approximately 85 per cent higher in male smokers compared to non-smokers, and it is a key cause of erectile dysfunction (ED).

Generally, women's reasons for smoking often differ from men's. The tobacco industry cons many women into believing that smoking is a sign of liberation, and many women wrongly view smoking as a good way of keeping slim.Controlling the epidemic of tobacco among women is an important part of any tobacco control strategy. As Mrs. Chan said: "Protecting and promoting the health of women is crucial to health and development – not only for the citizens of today but also for those of future generation. In many countries, vastly more men smoke than women, and many of those countries fail to protect nonsmokers adequately”.

In many countries, women are powerless to protect themselves, and their children, from second-hand smoke.

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