Lung cancer patients who quit smoking live longer

Nigerian Compass

People with early lung cancer who quit smoking could double their chances of surviving, a new study says.
Until now, there has been little proof that quitting smoking after developing lung cancer makes any difference to survival.British researchers analysed previous data from 10 studies examining how long smokers survived after being diagnosed with lung cancer.

People with lung cancer who continued smoking had a 29 per cent to 33 per cent chance of surviving five years.

But those who kicked the habit had a 63 per cent to 70 per cent chance of being alive after five years.

The research was published in the BMJ, formerly known as the British Medical Journal.Lung cancer is the top cancer worldwide and the prognosis is usually poor.

Only about seven per cent of patients make it to five years, though about 20 per cent of patients are diagnosed early enough to be treated.

“The message is you should never give up on giving up (smoking),” said Amanda Parsons, of the United Kingdom Centre for Tobacco Control Studies at the University of Birmingham, who led the study.

“Even at the stage where you have been diagnosed with early stage lung cancer ... if you give up smoking, your body can still partially recover and your risk is reduced,” she said.

While some doctors recommend lung cancer patients quit smoking, not all do. Some doctors and nurses “think it is inhuman to dwell on the matter — that it adds to feelings of guilt and takes away a lifelong comfort from the dying patient,” wrote Tom Treasure of the University College London and Janet Treasure of King’s College London in an accompanying editorial in the BMJ.

They said patients and their families should now be told about the study results “because the potential benefit is great.”

The research might also provide some clues on how smoking causes cancer. Scientists aren’t sure if tobacco smoke or nicotine affect lung cancer once it has developed, though there is some evidence they may speed up the disease.

Knowing how cigarettes impact cancer could potentially lead to new treatments, Parsons and colleagues wrote.

The study was paid for by the British Heart Foundation, Cancer Research UK and other governmental bodies.

SOURCE

Cigarette smoking: Easy path to ill-health, death

EBENEZER EDOHASIM, Features Editor

EVERY one knows that smoking hurts, it causes sickness, disability and death. But the harmful effects of smoking may be worse than you really imagine because smoking damages nearly every organ in the human body. Little wonder Mr. Tunji Buhari of the Environmental Rights Action, (ERA), and Friends of the Earth, lamented that, “Tobacco or cigarette smoking is the only known medication that kills half of its users when used as prescribed by the manufactures. It kills over 10,000 persons per day and 4.5 million people yearly.”

As he further disclosed, “Sadly, 70 per cent of this figure are from developing countries, including our own nation, Nigeria and if this trend continues, this figure is anticipated to rise to 10 million a year by 2030.” The history of tobacco is as old as the world itself because almost all parts of the earth has knowledge of tobacco usage and therefore had smoked one form of cigarette or narcotics even in dark ages.

However, modern attention on the manufacturing of this killer sticks came to light during the slave trade era, when the western world found in Africa, cheap and strong labour which they bought from local greedy African slave merchants, who sold their brethren to the white man, to be used as slaves. These slaves in their millions were wickedly exported to the Americas in special slave ships under very dehumanizing conditions, where most of them worked in tobacco plantations on arrival to the new world, as America was then called, especially in the city of Virginia, United States, to produce raw materials for the production of cigarettes and other dangerous narcotics.

Unfortunately, several years after the abolition of slave trade and slavery, which claimed the lives of many innocent Africans, the tobacco plantations which those slaves nourished for their wicked white masters continued to produce killer narcotics for blacks in developing world as some western nations have banned smoking, having discovered that cigarettes smoking is dangerous to health. In Nigeria, commercial growing of tobacco started in 1934 when British American Tobacco,(BAT), decided to source tobacco leaf locally in preparation for the establishment of a cigarette plant in 1937. BAT has been part owners of the moribund Nigeria Tobacco Company, (NTC).

Tobacco cultivation first started in Ogbomosho, Iseyin and Ago Are, all in the present day Oyo State, before spreading to the northern part of the country. After the collapse of the Nigeria Tobacco Company, there was another spirited attempt by BAT to relaunch cigarette production in Nigeria. Therefore on September 24, 2001 at an event tagged Nigerian Investment Summit held at Park lane Hotel in London, BAT signed a memorandum of understanding with the Federal Government to set up US$150 million ultra modern cigarette manufacturing plant in Ibadan, Oyo State. Since then, BAT and other cigarette plants have been producing cigarettes to millions of Nigerians who savour these deadly sticks on daily basis. It is estimated that 18 billion cigarettes are sold yearly in Nigeria, with one in every five young Nigerian a smoker, while women smokers have raised to10-fold during the 1990s – 2000. In the United States, acknowledged as one of the world’s highest consumer of cigarettes, 400, 000 Americans die every year from smoking and that is 1,200 per day. Also one every five deaths in this God’s own country was the result of smoking.

Despite the fact that cigarettes contains over 4,000 different chemicals that make them deadly, with 60 per cent of these chemical being carcinogens, which means they can cause cancer, people still puff this sticks as if their lives depended on them. Investigation shows that people smoke for different reasons and which some of them are ready to justify, no matter how long you spend to alert them on the inherent dangers associated with cigarettes or narcotics. Generally, people said they smoke to make them look mature, older and respected and this reason was mostly advanced by teenage smokers.

Others smoke to relax their tensed nerves. Still some see it as status conferrer to set them apart or make them higher than their peers, while some claimed they do it to keep their weight down. And for another set, they come from family of smokers and therefore embraced smoking as family business which they must continue. Again, cigarettes makers spend millions of dollars on adverts, making smoking look cool, elegant, and highly successful, as they usually use music, film, television or even sports stars, and very beautiful, sexy and erotic ladies to send their outwardly innocent but inwardly deadly adverts, publicity and promotion campaigns across their target audience all over the world. The dangerous thing about smoking is that once people get hooked, it is very hard to stop and this is called addiction. And addiction on the other hand is caused by the nicotine contained in cigarettes.

According to Dr.Stephen Oladele of Ola Ayoka Memorial Conval (Health) Clinic, Ogudu, Lagos, “Nicotine stimulates the brain, giving it a sense of euphoria. It raises alertness and lifts a person’s mood, but as time goes on, it takes more nicotine to have this effect. When a person is slowing down or trying to quit smoking, nicotine levels in the blood stream drops but withdrawal is never easy.” However, whatever was gained as the result of the decision by a smoker to quit is lost the moment he or she starts smoking again which gets the nicotine level in the blood stream going higher once again, like a diabetic patient who allowed too much carbohydrates into his system, thereby shooting up his or her sugar level.

Dr. Oladele further said that, “Smoking primarily causes cancer, cardiovascular diseases, respiratory ailment, and harms reproduction.” On a broader spectrum, smoking has been linked to cancers of the lungs, mouth, throat, larynx (voice box), esophagus, pancreas, kidney and bladder. Smoking could also lead to cancer of the stomach, cervix and acute myeloid leukemia or cancer of the blood. Smoking it was disclosed causes more cases of lung cancer as smokers are about 20 times more likely to develop lung cancer than non- smokers. Smoking causes 90 per cent of lung cancer deaths in men and 80 per cent in women. Smokers are four times likely to die from coronary heart diseases than non- smokers. It causes atherosclerosis, or hardening and narrowing of your arteries which may lead to strokes. Smokers could suffer from abdominal aortic aneurysms, a dangerous weakening and ballooning of the major arteries near your stomach. If you smoke during childhood and teenage years, it slows your lung growth and causes your lungs to decline at a younger age. Smoking is related to chronic coughing, wheezing and asthma among children, teens and adults. It also causes half of all cases of adult periodontitis, a serious gum infection that can cause pain and tooth loss. Dr Oladele equally stated that, “Smoking seriously harms reproduction as it causes lower fertility in women, induces placenta previa and placenta abruption which are conditions that can make the baby to be born too early and then be sick. The nicotine in cigarettes smoke reduces the amount of oxygen reaching the fetus and could also retard baby’s growth in the womb resulting to low birth weight.”

Further investigation showed that smokers are less healthy than nonsmokers, have increased risk of cataracts, and low sexual drive. They are linked with inability of wounds to heal fast, and respiratory problems, with women smokers’ bones losing density very fast after attaining menopauses. One crazy revelation about smoking is that while smokers risk their lives by inhaling nicotine into their lungs and other vital internal organs, nonsmokers who stay near smokers as they puff their stick are also, unfortunately, at risk of tobacco death. Non smokers who innocently inhale smoke from smokers engage in second-hand smoking equally called environmental tobacco smoke or passive smoking, because some quantity of nicotine also enter their system and could damage some organs and cause sickness to unfortunate non smokers. According to WHO report, “It has been confirmed that for every eight smokers who die, one innocent bystander also dies from second-hand smoke and if one is exposed to second-hand smoke for about 120 minutes, then the person must have smoked the equivalent of four sticks of cigarettes.”

Surprisingly, despite these frightening health hazards associated with smoking, people still smoke as if without it they will die the next moment. This writer had interesting interaction with some smokers to find out why in the first place they decided to smoke cigarettes, what they gain from smoking, the health hazards they experienced and when they hope to finally drop this deadly habit. Mr. Oyetunde Olusoji, a young Interior Decorator disclosed that he started smoking cigarette in 1998 due to peer group influence. “Honestly, I still don’t understand why I joined my friends who smoke to do the same. I just wanted to belong to the big boys group and to be seen as one of the movers and shakers of the school environment in which I found myself. One thing led to another and before I knew it, I got hooked into this deadly act and I don’t know how to remove myself from it.” Mr. Olusoji stated that sometimes, certain conditions stimulate the need to smoke. For instance, “If Iam alone and feel bored, I will have the urge to smoke and also whenever I drink beer, only God could stop me from smoking because once Iam taking beer, the next thing that comes to my mind is to smoke and I must satisfy that urge. Interestingly, Mr. Olusoji is aware of the health hazards linked to smoking and even postulated that 60-70 per cent of chest and lung pains come from smoking. However, he argued that since some people developed cancer of the lungs without even touching a stick of cigarette, he no longer bothers himself on the dangers inherent in smoking as long as his urge is satisfied each time the feeling to smoke envelopes him, fully aware that one day, he will die of one illness or the other. As he further disclosed, “One negative effect of smoking on me which I regret so much is the social stigma it hangs on me as some of my girlfriends refused to kiss me because my mouth always smelled of cigarettes. My girlfriends at a stage, individually, asked me to choose between them and cigarette and when I chose my stick over all of them, I knew that my liberation from smoking was still very far. If you smoke, you can hardly get responsible girlfriends because any girl that accepted to befriend you as a smoker if you investigate well, equally has bad habit which when you discover and want to make noise over it, she will blackmail you with your smoking act and you will have no option than to keep tolerating each other’s vices.”

But in a very interesting swift, Mr. Olusoji dramatically decided to quit smoking in 2006 only to resume in2009. According to him, he returned to smoking when he encountered serious challenges which mounted pressure on him, thereby tensing him up. So till today, he is still helplessly addicted to nicotine, hoping that one day God will grant him the grace to quit what he tagged “this destructive habit that robbed me of all my responsible girlfriends, leaving me with the bad ones as I don’t expect any reasonable girl to date a smoker.”

A former chronic smoker, Pastor James Okoro, founder and general overseer of the Word Foundation Assembly, Lagos, who by what he identified as the special grace of God and his will power, discipline and determination quit smoking in 1997, a habit he acquired in 1983 said that, “There is an evil spirit in cigarettes that induces people to smoke. The day that unclean spirit of nicotine addiction left me, I knew that I have been liberated. The very bad aspect of smoking is that every smoker will advance reasons to justify his action. Some light a stick each time they wanted to go the toilet as thy claim it helps them to empty their bowels. To others, it simply gives them joy and any attempt to stop smoking takes the joy in their lives away which is ploy by the devil to get them permanently hooked to smoking. Others will tell you that whenever they drink beer, they must smoke so that the beer will go down their throat very well.”

Pastor Okoro said that smokers should be pitied because quitting cigarette smoking is not an easy task. But he counseled that because of the health hazards linked to smoking which he experienced while he smoked, people should halt smoking without further delay. Those who want to stop must involve God in the process as no smoker can automatically quit smoking with power of the flesh because of cigarette’s addictive nature. Before he stopped smoking, he first bid farewell to alcohol which stimulates him to smoke, cut off from his friends who smoked to avoid any temptation, and fully declared himself a born again Christian before all his friends and neighbours, preaching fiercely against smoking. He said that after few weeks, when the urge came up, he looked for a very secret place to hide and smoke so that people he had already told that he was now born again will not see him smoking. However, when he found that there was no hiding place for the gold fish, he used will power and prayers to suppress the urge and subsequently became freed from nicotine addiction.

He advised those who want stop smoking to reject suggestion by some people to go for an alternative to smoking like kola nut, bitter kola, and alcohol, sweets among others, disclosing that if one quits smoking to embrace kola nut for instance, he could again be addicted to kola nut which contains caffeine that is equally harmful if taken constantly in large quantity. “Once you have prayed to God to direct the Holy Spirit to help you stop smoking, let your yes be yes and no be no because anybody who said no to something and could not maintain his no, is a fool. And since I don’t want to be classified as a fool, I totally rejected smoking, and the urge disappeared after two weeks. Up till today, I have never gone back to smoking. Smoking is almost like a curse for an addicted smoker can even go and wake up his worst enemy for cigarettes, once the urge sets in.”

For Mr. Rowland Chukwuka, an Immigration expert, he started smoking in 1996 when he was still in secondary school, stopped in1997 only to go back in the year 2000. “I started smoking through the influence of friends in school. I felt that they are high up there and what they were doing by smoking was very good, and I wanted to belong to the big boys club. Again in 2003, I quit smoking only to return to this bad habit in 2007. It is not as if one deliberately went back, but it is only God Almighty that can help me stop smoking by taking care of me whenever Iam under pressure which actually triggers my quest for cigarettes. I assured my wife on several occasions that I was quitting, only to disappoint her by embracing smoking again.”

Mr. Chukwuka admitted like others that he was fully aware of the hazards linked to narcotics but said that addiction is a very dangerous thing for once you are hooked to a habit, it becomes very difficult to pull out. “Before I temporarily stopped smoking, I experienced terrible headache, which was near a migraine, my dress sense nose-dived as I found myself unkempt and could go without bath for days, stinking even to myself of congealed smoke. I was excommunicated in some quarters and I utterly appeared near irresponsible.”

Lamenting further on the plight of addiction, he said, “It is a big shame to even think that as a member of the Red Cross Society, I still indulge in this awful habit. I hope to one day develop the will power to quit smoking, if not for any other reason, for my children’s future, so that I will not die young and make them fatherless at tender ages. Non smokers should never think of embracing it because all those things you see on cigarettes adverts are false life styles, tailored to get you hooked to smoking. They should obey the warning by the Federal Ministry of Health that cigarettes smokers are liable to die young, for once diagnosed of cancer, then, your days are really numbered on this earth.”

A journalist, who simply called himself Jones, said that he has been smoking for the past 20 years. According to him, he left secondary school, came to Lagos to stay with his big uncles and then look for job. It happened that most of his uncles were smokers and he innocently grew up with them to believe that smoking was a good way of life and has been puffing since that regrettable informal initiation into the club of smokers by his uncles, which could be described as a navigational error. As he recounted, “I started smoking due to peer group pressure as I tried to belong. In those days in question, if you don’t smoke, womanize or drink what then makes you a good big boy. I craved to belong and even when I entered higher school in 1986/87, I continued smoking to maintain the big boy status on campus. I smoke whenever Iam tensed up or under pressure, if Iam drinking beer or when Iam lonely, driving alone back home after work. I saw smoking as part of growing up as those I emulated never told me that it was a dangerous habit until I became addicted because I did not realize what I was doing to myself in the first place and when to call it quits.”

Jones said that though he has not been clinically diagnosed of any ailment linked to tobacco smoking, “I knew that some serious pains I do feel at my back were induced by smoking because if I leave smoking for some time, the pains disappear only to return when I resume.” He disclosed that the warning on cigarettes packs meant to serve as deterrent has no effect on him, for if it did, he would have stopped smoking long time ago. “So the best I could do is to stop it before it stops me for if I don’t stop smoking, cigarette will stop me. A situation where hide my mouth from my wife even after using mouhfreshner so that she would not decode that I smoked is certainly not the best.”

Another journalist, who pleaded anonymity, told this writer that he derailed into this dangerous zone of nicotine consumption since 1975, made a failed attempt to stop in 1996 but resumed almost immediately and had not considered making another move to quit since that botched attempt. He stated that his smoking habit has caused him breathing difficulties, lack of energy to do strenuous jobs meant for young men, and has seriously lowered his libido or sex drive. Again, he disclosed that smoking made him cough always as he said that there is what is called smokers cough, which is recurrent whether one has cough or not. He experienced pains in his chest, lungs and had fractured relationships with women because of smoking.

This journalist, who is a prolific writer, condemned attitude of Africans to smokers when he blasted, “I don’t see why Africans claim to be holier than the Pope, as smoking in most parts of Africa is still regarded as sin with serious moral burden. Those who smoke in some parts of Africa are viewed as direct candidates to hell fire, who require no visas to enter that terrible place meant for Satan and his servants. In Europe where I grew up, people were concerned only with the health implications of nicotine to smokers and not whether they will go to hell or heaven. In Italy, ashtrays were placed on tables in classrooms and both students and teachers were free to express themselves by smoking if the urge was instigated.”

He disclosed that he is chain smoker who buys cigarettes in rolls and could smoke up to four packs in a day. Speaking further, this articulate journalist who from the way he puffed as our interaction interview progressed has actually mastered the act of smoking yelled again, “Don’t condemn or sympathize with smokers, feel for them and hope that they change because you may be suffering from other forms of addictions, more dangerous than cigarette. It is very difficult to quit smoking because nicotine is involved which is addictive. In my case, I once commenced fasting all in the struggle to stop smoking. During the fasting, whereas I did not eat food, I couldn’t resist the urge to add more nicotine into my system, and therefore I broke the fasting by smoking some sticks. It is indeed better not to start smoking than to think of the gruesome road that leads to quitting this habit.”

Asked if he is not afraid of Federal Ministry of Health’s warning that smokers are liable to die young, he exploded again, “That is outright hypocrisy. How can the government that granted license to these tobacco firms to operate in Nigeria turn around to discourage people from buying the products of companies that pay huge taxes to them? That is why nobody is taking the warning on cigarettes packs serious. If government is honest, let them revoke those firms’ operating licenses and ban them from producing cigarettes in Nigeria, because government posture only amounts to giving with the right hand, only to retrieve with the left hand, which is day light robbery.”

On how to stop the inherent dangers in smoking, he went philosophical; “Every age has its own poison. There was time when alcohol was in vogue, and then tobacco came on board. At a point in history, people took designers drugs like ecstasy and Chinese pill. Then Indian hemp or Marijuana became status conferral on musicians, actors, dancers among others sometimes ago. Today, they take cocaine, heroine, and tobacco. If only for medical implication, I support the clamor to ban cigarette smoking. But again, people will find other poisons to fill their system with but I believe that one day, cigarette will go out of fashion.”If cigarettes smokers themselves have testified that smoking is dangerous, what is the government doing to ensure that its citizens don’t die young as the result of smoking. Interestingly, the Federal Government instituted a case in court against three tobacco firms some years ago, demanding 22 billion British pounds for glamorizing cigarettes smoking through deceptive adverts targeted to lure youths into smoking. Though the case is yet to be decided, it is a step in the right direction but we had expected the Federal Government to consider the health implications of tobacco in its entirety before granting license to tobacco firms to start producing this dangerous product in our country just because government wanted funds from these companies.

Again, the compulsory inscription by cigarette makers on their packs, warning on the side effects of smoking is also encouraging, only that it is one thing to warn somebody to desist from doing something, but the onus to adhere to the warning lies on the reader. It now becomes a typical case of leading the horse to the river but not forcing it to drink. Worthy of mention and emulation by other states was the decision by the Federal Capital Territory, (FCT), Abuja which banned smoking in public places on June 1, 2008, to ensure safer air and also prevent second-hand smokers from suffering innocently while the real smokers burn their hearts.

However, the silence maintained by the Federal Government on taking long lasting decision on how to control smoking or ban it out rightly is not in the interest of the nation. The Federal Government should take a cue from the governments of South Africa and Kenya who summoned courage to enact laws regulating smoking in their countries. In South Africa, a law banning smoking in public places and cigarette adverts was enacted, making the people to be conscious of their environment and health for there are penalties for offenders. Also in Kenya, there is a standing law which banned smoking in public places, especially in the capital city, Nairobi. Though the law became effective for sometimes before it slacked, it was a step in the right direction and we expect the Nigerian government to come out with a holistic direction that will make smoking in public places a thing of the past. In fact, against the background that tobacco firms target youths who are the leaders of tomorrow, should make the Federal Government react fast and safeguard the teeming population of our youths, before these glamorous tobacco adverts lure them into smoking today, only to render them useless by one tobacco related disease or the order tomorrow, when we shall look up to the youths to take over from the old and aging leaders.

For smokers who want to quit, physicians developed and monitored website, Healthcommunities.com suggested the following five steps towards final disengagement from cigarette smoking. The are, Get Ready, Get Support, Develop Strategies, Ask Doctor about Prescription Medications and Prevent Relapse. In getting ready, the smoker should outline reasons for quitting, keep diary on when he/she smokes and what triggers it on, research on available information in your area about quitting, set date for quitting and on this date, get rid of ashtrays, lighters and all tobacco products.In getting support, ask health provider for advice on quitting, sign up for a smoking cessation programmme, talk to friends and family for support and keep journal of your thoughts and feelings during this challenging process.

Developing strategies should make the person learn yoga, meditation, deep breathing, start physical exercises, talk to counselors and research into nicotine replacement therapy (NRT) options. In asking doctor about medications, consider medication that can help reduce nicotine withdrawal symptoms and improve your chance of success, research your medication and other withdrawal treatment options. Finally according to these distinguished doctors, in preventing relapse, keep busy. When the urge comes, take one deep breath at a time until it passes. If you relapse, don’t give up; remember many people who quit had to try several times before succeeding.

SOURCE

Reducing Cancer begins with supporting Tobacco Control Bill

When news that former First Lady, Mrs. Maryam Babangida had died from ovarian cancer in far away United States (US) filtered through the airwaves on December 27, 2009, many Nigerians realised that if the latest cancer victim was wife the former military President, Ibrahim Babangida, it is indeed time to check the killer disease. One way to fight cancer, a non communicable disease involving abnormal growth of cells, is keeping away from tobacco smoking.

According to data issued by the World Health Organisation (WHO), cancer affects people of all ages with the risk for most types increasing with age. With the increase of cancers recorded globally since 2008, the link between cigarette smoking and cancer has been brought to the fore.

Researchers have clarified that tobacco use is associated with many forms of cancer and that cancer caused about 13 per cent of all human deaths in 2007. Also, research has shown that cancer causes 90 per cent of lung cancer. These are some of the issues raised at a training on Cancer Reporting for Health Reporters organised by Journalists Advocacy on Tobacco & Health (JATH) in Lagos recently. Among resource persons at the workshop were Mrs. Ebun Anozie, Chief Executive Officer, Care Organisation Public Enlightenment, also known as C.O.P.E., Akinbode Oluwafemi, Programme Officer, Environmental Rights Action/Friends of the Earth Nigeria (ERA/FoEN), Tosin Orogun of JATH, among others.

Tobacco’s role in increasing the chance of lung cancer is one of the most widely known of tobacco’s harmful effects on human health. Decades of research has demonstrated the link between tobacco use and cancer in many sites in the body in addition to the lungs. Other parts of the body that cancer can affect are the head and neck, (coveringof the esophagus, larynx, tongue, salivary glands, lip, mouth, and pharynx), urinary bladder and kidneys, uterine cervix, breast, pancreas, and colon.

According to the Programme Officer, Environmental Rights Action/Friends of the Earth Nigeria (ERA/FoEN), Akinbode Oluwafemi, there are about 599 approved additives in a stick of cigarette. He said, “Cigarette smoke is proven to contain over 4,000 toxic and cancer causing chemicals. The list is long: carbon monoxide, nitrogen oxides, hydrogen cyanide and ammonia to name a few.”

He noted that smoking is a major risk factor for different cancers and apart from the high cost of cancer treatment and the infrastructural challenges, smoking related cancers account for 30 per cent of cancer related deaths.

Therefore, taking prompt action to check cancer related deaths becomes more compelling now considering the large number of smokers in the nation. Data issued by the WHO states that 17 per cent of Nigerian adults smoke, resulting in 17 million Nigerians. “And because research has shown that half of smokers are going to die of tobacco-related illnesses, that means 6.5 million Nigerians are going to die as a result of that smoking habit,” he said.

Consequently, Akinbode said that is why it is very urgent for government to begin to take actions in order to reduce tobacco use in Nigeria.

While he noted that tobacco related deaths are preventable, Programme Officer of ERA/FoEN urged the government to put in place policies that will discourage people from putting up the habit of tobacco smoking and for people who are already smoking to quit.

A speedy passage of the National Tobacco Control Bill 2009, sponsored by Senator, Olorunnimbe Mamora will help, Akinbode said.

The bill, which has passed through the First Reading at the National Assembly seeks to domesticate the Framework Convention on Tobacco Control that was negotiated under the WHO. Nigeria became a party to that convention in 2005.

Since Nigeria is now a part of that Convention, he said, “We should domesticate all the provisions of that international treaty.”

The provisions talks about Tobacco Demand Reduction, the mechanisms of which include ban on advert, sponsorship and promotion of tobacco products, raising taxes on them, creating smoke-free environment for the citizens and making the public places smoke-free.

Similarly, it includes awareness creation and obligations on cessation of tobacco smoking.The other side of it that has to do with manufacturing talks about packaging and labeling of tobacco products.

How do manufacturers package tobacco products? Programme Officer of ERA/FoEN said they have to put in place appropriate warnings on cigarette parks.

“For instance, Akinbode said the Framework Convention on Tobacco Control recommends 50 per cent pictorial warnings, meaning that manufacturers have to put on the cigarette park pictorials on what is cancer, that cigarettes cause impotence, that cigarettes smoke is dangerous for unborn babies and pregnant women, among others.”

According to him, these pictorial warnings are already being put on cigarette packages in some African countries. He said, “For instance, Mauritius has even moved a step further to say that those warnings will occupy 75 per cent of the display area on the cigarette park Besides, it is the same companies that are here that are manufacturing cigarettes in Mauritius. So, they don’t have any excuse for not complying with those laws in Nigeria.”

SOURCE

Revolutionary case against tobacco use in Nigeria

-Alexander Chiejina

…Tobacco control bill yet to be passed by National Assembly Without a doubt, the health, economic, social, and environmental consequences of tobacco use in Nigeria and the continent are enormous.
Little wonder the World Health Organisation (WHO) recently revealed that African countries are experiencing a 4.3 percent annual increase in the rate of tobacco consumption. This has resulted in an upsurge of lung cancer and related cases which are now prevalent in the society.
It was against this background that experts, at a recent training for health reporters on cancer reporting organised by Journalists Advocacy on Tobacco and Health held recently at Ogba, Lagos urged that the trend should be checked.
Speaking at the event, Akinbode Oluwafemi, programme manager, Environmental Rights Action/Friends of the Earth (FoEN), noted that tobacco smoking is responsible for more than 85 percent of lung cancers. This, he explained, is because smoking-related cancer accounts for 30 percent of cancer-related deaths, adding that renowned journalists in the country like Steve Kadiri, Yinka Craig, Momoh Kubanji, Tina Onwudinwe and Beko Ransome Kuti lost their lives due to the health hazards associated with the consumption of cigarettes.
“Research findings have it that there are about 599 approved additives in a stick of cigarette. However, cigarette smoke has been proven to contain over 4000 toxic and cancer causing chemicals; carbon monoxide, nitrogen oxides, hydrogen cyanide, ammonia, to name but a few,” Oluwafemi disclosed. According to him, cigarette advertising, promotion and sponsorship such as ‘Welcome to London, cool feeling’ have made cigarette smoking appealing to a lot of youths, without some of these tobacco companies apprising the public of dangers associated with smoking.
Lending his view, Tosin Orogun, programme manager, Communications and IT, Africa Tobacco Control Regional Initiative (ATCRI), declared that the rise in cigarette smoking in the society is traceable to tobacco companies which increasingly target the developing world as barriers rise and smoking rates fall in more mature markets. “What we (ATCRI) have been trying to do is to facilitate the adoption, implementation and enforcement of effective in-country tobacco control policies, legislation and programs in Nigeria and across the continent,”
Orogun revealed. Already, a 2009 report on the implementation of smoke-free environments aimed at combating Global Tobacco Epidemic shows that five more countries (Djibouti, Egypt, Islamic Republic of Iran, Malaysia and Mauritius) meet the best practices for health warnings on cigarette packages. Three other countries (Israel, Romania and the United Arab Emirates), meanwhile, offer comprehensive help in the drive to eradicate tobacco consumption. In the same vein, only Panama has joined the small group of countries that ban all forms of tobacco advertising, promotion and sponsorship, even as more than 90 percent of people lack protection from tobacco industry marketing. Six more countries (Czech Republic, Estonia, Fiji, Finland, the Netherlands and Seychelles) have levied tobacco taxes higher than 75 percent of retail price.
Lastly, of the world’s 100 most populous cities, 22 are smoke-free. Sadly, though, reports from the recently concluded media summit hosted by the American Cancer Society ahead of the AORTIC cancer in Africa, stated that 55 percent of school students are not aware that secondhand smoke is harmful to health, and only 1 percent of Nigeria’s population are protected by strong smoke-free laws. This lays bare the fact that if nothing is done to hastily check public smoking in the country, the rising figures of cancer and other non-communicable diseases may remain.
The bill to ban cigarette smoking in public places which had its public hearing before the National Assembly 19 July this year should quickly be passed into law. A part of the bill which seeks to protect people from secondhand smoke, raise taxes on tobacco, enforce a level of ban on tobacco advertising, promotion and sponsorship would in the long run, save Nigerians from self- inducing cancer types.

TOBACCO SMOKING - a sure way to contract LUNG CANCER

CANCER: Experts cite smoking as a cause

Nigerians smoke 93 million sticks of cigarettes yearly

-Yekeen Nurudeen

The World Health Organisation (WHO) also said that eight million people die yearly of tobacco-related diseases worldwide.

While receiving an award as the WHO Man of the Year 2009 on tobacco control, Modibbo said he was surprised when the British American Tobacco (BAT) Company told him that it produces 93 million cigarettes, which Nigerians consume yearly.

“I was so happy when I visited BAT on invitation in Ibadan and they said they produce 93 million sticks of cigarettes yearly. But when I asked them which country they export them to, they said it is consumed in Nigeria,” the former minister stated.

Presenting the award on behalf of the World Health Organisation (WHO), Dr. Olaokun Soyinka, the son of Prof. Wole Soyinka, said globally about eight million poeple die of tobacco-related diseases.

Soyinka noted that the reason the company was allowed to establish in the country had been defeated, as the organisation had not been able to employ up to 900 people so far, adding that farmers were finding it difficult to pay for the machines provided to them by the tobacco firm.He lamented that the tobacco company was driven away from its home country only to relocate to tNigeria to kill its youths.

According to him, WHO takes the issue of tobacco seriously as the organisation is doing all it can to reduce the supply and demand of the product. He, however, lamented that the company is lobbying the National Assembly to kill the bill banning smoking in the country.

SOURCE

Time to nail breast cancer

By Olukorede Yishau

Betty Anyanwu-Akeredolu woke up one day and had no cause to feel anything was wrong with her. She felt great and naturally had no reason to believe anything was amiss with her health. Then, she decided to have her bath. And her world came crashing like a ceiling that caved into a severe storm. It was in 1997. As she was having her bath, her fingers touched something on her. A lump? She told herself it could not be. It was a denial she did not even believe herself. Her emotions ran riot and fear took over her entire being.
For one week, she kept it to herself. She could not share the fear that she had breast cancer with anyone. Not even her husband or family doctor. She was under terrific emotional trauma. Not even her husband’s belief that she was withdrawn could draw her out.
But an angel soon came. The angel came via the a cable show. According to her, "I tuned to cable TV and chose UK living and there was Rolanda’s show tilted "this programme can save your life." It surely did, for it was about breast cancer survivors. That programme gave me what I needed most at that point in time hope that I could be a survivor too. It was the greatest spiritual upliftment I have ever had in my entire life."
She said: "By the following week, I summoned courage and went to an Alumna (University of Nigeria), Dr. Ubah at University College Hospital, Ibadan for palpation. She at last confirmed the presence of a lump. Cold reality. Numb shock. What kind of lump? Benign or malignant? It was rather too early to conclude as biopsy was yet to be carried out. However, it is pertinent to mention that by the time of confirmation of the malignancy, I had gathered myself, shut out emotions and was ready for whatever it would take to make me free of the affliction. My emotional preparedness, I want to believe, helped a lot in dealing with the problem. Without delay, on April 29, 1997, I had surgery at the University College Hospital, Ibadan successfully performed by a most caring team of doctors led by Dr. O.O. Akute (FRCS- Fellow Royal College of Surgeons). The best part of the good news was that my cancer was at stage 1 with the axillary nodes free of cancer cells."
Thanks to Rolanda’s Show, Anyanwu-Akeredolu came out of her quietude. But there are thousands of women and men currently groaning in silence over breast cancer and other forms of cancer in different parts of Nigeria.
Many are confused and find themselves pacing up and down, with beads of perspiration forming beneath their collars. Anyanwu-Akeredolu, who after surviving her ordeal founded Breast Cancer Association of Nigeria (BRECAN), said it is not unusual for people to groan in silence.
"While in the hospital, I noted the generally high level of fear, apprehension and secrecy among breast cancer patients. Nobody wanted to talk about it. Majority of the patients, due to ignorance and poverty were at the late stages of the disease when little help could be given. The lucky ones who had successful treatment shied away from discussing their experience. They simply got treated and walked away with sealed lips. Some that I managed to engage in discussions disclosed that their husbands would never let them go public about their experience with breast cancer, apparently fearing stigmatisation," she said.
It is in order to stop the silence associated with breast cancer that the month of October has been set aside worldwide to create awareness about the disease. In Nigeria, where the pandemic is on the increase, non-governmental organisations working in the area of cancer have used the month to hold events aimed at improving the awareness about breast cancer, the need for government to provide test centers and treatment facilities. Some have also used it to promote the need for legislations, which promote healthy living.
Interestingly, the need to pass the National Tobacco Control Bill, which is before the Senate has also found a space this month. The Senate Committee on Health led by Iyabo Obasanjo-Bello has held a public hearing on it, after it passed the second reading. The passage of this bill automatically means a domestication of the World Health Organisation’s Framework Convention on Tobacco Control (FCTC), a global treaty which Nigeria has ratified and is obligated to domesticate. The FCTC prescribes measures that discourage smoking and promote healthy living.
Though the causes of breast cancer have not been conclusively found, tobacco use is associated with many forms of cancer and causes 90 percent of lung cancer. Tobacco smoke contains over fifty known carcinogens, including nitrosamines and polycyclic aromatic hydrocarbons. Tobacco is responsible for about one in three of all cancer deaths in the developed world, and about one in five worldwide.
This is why the Programme Manager of Environmental Rights Action (ERA), Akinbode Oluwafemi, said it was time the Senate passed the National Tobacco Control Bill.
Akinbode told a press conference that "nobody at the public hearing, including tobacco industry lobbyists contended the lethal consequences of smoking."
He said: "Tobacco currently kills over 5.4 million people annually, over 70 per cent of those deaths occur in developing countries. Also, nobody at the public hearing (again including the tobacco companies) objected to the passage of the bill. The tobacco companies only raised a few inconsequential and unsubstantiated objections to a few provisions. Those objections were roundly defended through our presentations.
"In addition, the Public Hearing was the biggest opportunity to unpack some of the lies being peddled in the media about possible negative consequences of the bill. The bill as appropriately titled is to control tobacco consumption so as to reduce the deaths, ill-health, social, economic and environmental costs associated with tobacco use. The bill has no provision about outlawing or forcefully closing down tobacco factories as being circulated in a section of the media. At the public hearing, the tobacco industry and their agents finally put paid to their widely peddled fairy tale of massive job losses if the nation implement effectives tobacco control laws."
He further explained that "In fact, the British American Tobacco Company Nigeria, the company which controls over 82 per cent of the Nigerian cigarette market, in its presentation at the public hearing, allayed all fears of massive job losses when it disclosed in the presence of distinguished Senators that it has 850 staff. To further debunk the massive job loss propaganda, the Association of Tobacco Wholesalers and Association of Tobacco Retailers put their combined staff strength at about 4,000. Thanks to the public hearing and the Senate Committee on Health, Nigerians now know for a fact that the 300,000 or 500,000 job propaganda is huge lie."
He said the only way forward is that "Senator Obasanjo-Bello and members of the committee should fire at full speed to present the Bill before the Senate plenary. We urge the Senate to complement the success recorded by the Health Committee and the example shown by the Osun State House of Assembly by fast tracking the National Tobacco Control Bill. Nigerians are dying by the seconds due to tobacco addiction while tobacco manufacturers smile to the banks. Every delay is more deaths, more ill-health. Nigerians and indeed the entire world are watching. We are waiting."
While the waiting game continues, experts have pointed out that though women may be more affected, but breast cancer is not exclusive to women. In fact, experts say it kills men faster because they are flat-chested. Statistics from the Nigerian Institute of Medical Research (NIMR) shows that men account for 20 percent of cancer cases in the country. This means one in every hundred men, as against two in every hundred women, are affected by breast cancer.
The statistics are generally glooming. Of all cancer cases that have been recorded in Nigeria, breast cancer is the leading killer, with over 30,000 cases recorded annually. Globally, not less than 400,000 women are lost to breast cancer annually.
No wonder the Executive Director of International Union Against Cancer, Isabel Mortara, said "each year, the number of women diagnosed with breast cancer and dying from it rises and the gap in survival rates between developed and developing countries widens."
It is for this reason that Anyanwu-Akeredolu said: "Cancer in general is a word that strikes fear into the heart of everyone. It is a sure killer if allowed to take control."
Another breast cancer survivor and promoter of Bloom Cancer Care and Support Centre, Dr. Kofoworola Orija, said "our personal experience of breast cancer is indeed a social issue. Every woman battles through her disease so as to bounce back in life striving to be part once more of an inclusive society."
For breast cancer patient, there are stages of cancer, which basically indicate how far cancer cells have spread within the breast to nearby tissue and other organs. Carcinoma in situ refers to the condition when cancer is static in the ducts and has not spread to other organs of the body. It has two types known as Lobular Carcinoma in Situ and Ductal Carcinoma.
Stage 0 is that stage when the cancer cells are still within the duct. By the time it gets to stages 1 and 2, the cancer has invaded nearby tissue. At stage one, the cancer is two centimetres and once it has gone beyond two centimetres, it has entered the second stage and might have spread to the lymph nodes under the armpit. At these two stages, it is not yet critical.
The critical stages begin from stage three when the cancer has grown beyond five centimetres and have spread to the lymph nodes. It is also possible that it would have spread to the chest wall, inside the chest and the skin.
As for stage four, the cancer has invaded the lungs and the bones, aside spreading to the lymph nodes. Both stages three and four are critical.
As a way of catching the lump early and killing it, the American Cancer Society (ACS) recommends annual mammogram from age 40. Mammogram is a test carried out to detect lump. ACS also recommended clinical breast examination every three years for women in their 20s and 30s and older. Also, it advises women to know how their breasts normally feel and report any change to healthcare providers. "Women at risk should talk with their doctors regularly about the benefits and limitations of starting mammography earlier, having additional tests or having more frequent exams," the ACS recommends.
It also prescribes breast self-examination (BSE) for women starting from their 20s.
BSE, says Ebunola Anozie, who is the co-ordinator of Care Organisation Public Enlightenment, is the primary weapon through which cancer can be detected early.
What are you waiting for?

SOURCE

Text messaging found to help smokers

REUTERS
October 8, 2009 05:01AMT

Text messaging can help smokers quit the habit, according to an international study.

A review of four trials conducted in New Zealand, Britain and Norway, found that programs to help people stop smoking that included text-messaged advice doubled the chances that smokers would be able to kick the habit for up to a year.

The trials, involving 2,600 smokers, used text messages as a way to give smokers daily advice and encouragement and also offered support when quitters needed it the most.

If they found themselves craving nicotine, for example, they could text "crave" to the program and get immediate advice on what to do.

"We know that stopping smoking can be really difficult and most people take several attempts to quit successfully," researcher Robyn Whittaker from the University of Auckland in New Zealand told Reuters Health.

"It is important to be able to offer lots of different options for extra support."
Two of the studies looked at programs that only involved text messages, finding that the service doubled the odds that smokers would quit over six weeks.

The other two studies focused on a program in Norway that used text messages, emails and a dedicated Web site. It found that smokers who used the program were twice as likely to report abstinence for up to one year.

The findings appeared in the Cochrane Library, a publication of the international research organization the Cochrane Collaboration.

However the studies found the majority of smokers taking part in the studies did not succeed in quitting, regardless of whether they had text-message help.

One of the programs in the study, called Txt2Quit, is running in New Zealand, with government funding, and automatically sends users two to three text messages per day shortly before a designated "quit date," and for one month afterwards.

A recent review of people who took part in the program's first year found that one-third did not smoke four weeks after their quit date. That figure dropped to 16 percent after 22 weeks.

Whittaker said it is estimated that only about 5 percent of smokers are able to kick the habit without any help.

But text messages could serve as one more tool in the smoking-cessation arsenal and may be effective for some people because they can get help when cravings strike.

"The frequent messages can also act as a good reminder and motivation to keep going," Whittaker said.

SOURCE

Health Rish Of Smoking...Death on the increase

'One of the major perenial epidemic confronting mankind is death from tobacco'

'Of the three bilion people who smoke daily worldwide, 250 are women, 22 percent of women live in developed countries and nine per cent of them in developing countries'

Nigeria's smoking habit

Play in either Real OR Windows Media players

Tobacco kills close to five million people yearly worldwide with over 70 percent of deaths occurring in developing countries including Nigeria where about 12 percent of the population are addicted to nicotine.

Now the Nigerian parliament seems to have responded with a tobacco control bill.

If passed, this could be the biggest tobacco crackdown in the history of Nigeria.

From Lagos, the BBC's Fidelis Mbah, reports.

Smokers more prone to developing tuberculosis

Although, smoking per se does not cause the TB disease, experts warn that those infected with the bacteria run the greater risk of developing the disease if they are smokers...the person who smokes has greater affinity to develop active TB disease, since smoking is a very important predisposition factor to the disease

SMOKING HAZARDS

SMOKERS SHOULD REALIZE THAT IN ADDITION TO CAUSING THEMSELVES HARM. OTHERS MAY SUFFER AS A RESULT.

Do you watch your intake?

Nigerian parliament debates tobacco restrictions

New tobacco control legislation is being debated in the Nigerian parliament with strong backing from anti-tobacco groups and health organisations.

The debate was brought about after an initiative by anti-tobacco campaigners to counter growing cigarette smoking, particularly among teenagers.

It is believed about 25 percent of Nigerian teenagers, which is double the smoking rate among men, are hooked on tobacco,

Individual cigarettes in Nigeria sell for seven cents each, and the Nigerian parliament is responding with a tobacco control bill that would impose smoking bans, increase taxes and impose advertising restrictions.

SOURCE

Group chides Adedibu over tobacco bill

A Non-Governmental Organisation, Journalists Action on Tobacco and Health (JATH) has criticized the Chairman, Senate Committee on Industries, Senator Kamoru Adedibu, over his statement that the passage of the national tobacco control bill into law will throw 400,000 people into the unemployment market.

The group said it was unfortunate that Adedibu, who represents Oyo South at the Senate, also promised to mobilise his colleagues to ensure that the bill was not passed.

In a statement issued by the group’s Programme Manager, Mr. Yinka Olugbade, it said it was not surprised that Adedibu described the bill as a “misplaced priority” for the country.

“We are not surprised he described the bill as a misplaced priority, after all, he was speaking at the 2008 Farmers’ Productivity Award ceremony organised by the British American Tobacco Nigeria and BAT, one of the tobacco giants whose businesses have caused the death of many, made many to be down with cancers and kill many as a result of second hand smoking. They endanger the lives of millions and profit only a few,” said the group.

The bill being sponsored by Senator Olorunimbe Mamora prohibits the sale of cigarettes to anyone less than 18 years and restricts the sale of cigarettes to 1,000 metres radius from schools, playgrounds and anywhere that young and under-age persons congregate.

Jath said this bill, which also seeks to abolish all forms of tobacco advertisement and promotions, sponsorships or endorsements; prohibits the sale of cigarette in sticks and forbids smoking in public places, will empower the government to recoup public funds spent on treating people who fall sick through using tobacco once it becomes law.

Group urges Senate to pass anti-tobacco bill

A Non-Governmental Organisation, Journalists Action on Tobacco and Health (JATH) has urged the Senate to speed up the passage of the 2009 National Tobacco Control Bill to allow for commencement of quick implementation of the WHO’s Framework convention on Tobacco Control(FCTC) which Nigeria ratified in 2005.

In a statement signed by the group’s Programme Manager, Mr. Yinka Olugbade, the group said the passage of the bill would help reduce tobacco-related deaths.

The group also commended Senator Olorunimbe Mamora for sponsoring the bill and working to ensure that it has passed the second reading.

“The Senate will be doing this nation a lot of good by passing this bill on time because the burden of cancer in Nigeria is appreciable and tobacco contributes a lot to this. According to the World Health Organisation, there are an estimated 100,000 new cancer cases in the country each year although observers believe the figure could become as high as 500,000 new cases annually by 2010.

“It is feared that by 2020, cancer incidence for Nigerian males and females may rise to 90.7/100,000 and 100.9/100,000 respectively. It is also anticipated that by 2020, death rates from cancer in Nigerian males and females may reach 72.7/100,000 and 76/100,000 respectively. But this only represents a tip of the iceberg if projections by the World Health Organization (WHO) are anything to go by.

“ In 2005 cancer killed eighty nine thousand people in Nigeria with fifty four thousand of this figure below the age of seventy. Essentially, the most common cancers documented in Nigeria to date are cancers of the uterus and breast for women and liver and prostate cancers for men. But many of these deaths can be avoided. Over 40% of all cancers can be prevented. Others can be detected early, treated and cured.

“With the passage of this bill, which will properly regulate tobacco use, cancer and other tobacco-related diseases are bound to be on the rebound,” the group noted.

Noting that a part of the bill contains incorporation of Pictorial warnings on the pack of cigarettes,JATH said,"There is no doubt that the sponsor of the Bill and the Nigerian Senate meant well for the welfare of its citizens.

"Incorporation of Pictorial Warning on tobacco product packets is important as majority of the tobacco users in this country will be able to have informed choice. World Health Organization (WHO), particularly approves of tobacco health warnings that contain both pictures and words because they are the most effective at convincing people to quit.

Introducing: Nigeria National Tobacco Control Bill 2009

The Nigeria tobacco control bill is a comprehensive law when passed to regulate the manufacturing, advertising distribution and consumption of tobacco products in Nigeria.

It is a bill that s aimed at domesticating the Framework Convection on Tobacco Control (FCTC) because Nigeria is a party to that international convention. The keys highlights of the bill are prohibition of smoking in public places; to include restaurant and bar, public transportation, schools, hospitals e.t.c. A ban on all forms of direct and indirect advertising, prohibition of sales of cigarette 1000-meter radius of areas designated as non-smoking, mass awareness about the danger of smoking as well as the formation of committee that will guide government on the issue of tobacco control in the country.