Tobacco smoke exposes children to chronic respiratory diseases – Study

As the World Health Organisation celebrates the World No Tobacco Day, MAUREEN AZUH examines a study that focuses on the hazards of exposing children to tobacco smoke

 On Thursday, May 31, the World Health Organisation celebrated the World No Tobacco Day with the theme ‘Tobacco Industry Interference’. The campaign focused on the need to expose and counter the perceived tobacco industry’s attempt to undermine WHO’s Framework Convention on Tobacco Control — WHO FCTC — because of the danger they pose to public health.

According to reports by WHO, tobacco use is one of the leading preventable causes of death. The global tobacco epidemic kills nearly six million people yearly, of which more than 600,000 are people exposed to second-hand smoke. The reports indicate that unless a drastic action is taken, it will kill up to eight million people by 2030 and 40 million people — who also suffer from tuberculosis — by 2020 of which more than 80 per cent  will live in low- and middle-income countries.

But beyond WHO’s report and campaign, researchers in their bid to find a lasting solution to tobacco-related diseases say children exposed to tobacco smoke may face long-term respiratory problems. In a report by the American Thoracic Society, published online on May 20, 2012,  it was found that there are potential health risks associated with exposure to environmental tobacco smoke – ETS – especially among children whose parents smoke.

The study conducted by researchers from the University of Arizona, US indicates that the health risks persist beyond childhood, and are independent of whether or not the individuals involved end up becoming smokers in life.  The researchers posit that exposure to parental smoking increases the risk of the persistence of respiratory symptoms from childhood into adulthood independent of personal smoking.

Research specialist at the university, Juliana Pugmire, says “persistent respiratory illness in childhood and young adulthood could indicate an increased risk of chronic respiratory illness and lung function deficits in later life.”

Pugmire notes that earlier studies established a link between parental smoking and childhood respiratory illness, but the current one seeks to demonstrate whether these effects persist into adulthood.

 “A handful of studies examined whether children exposed to parental smoking had asthma that developed or persisted in adulthood but most did not find an association. We examined asthma as well as other respiratory symptoms and found that exposure to parental smoking had the strongest association with cough and chronic cough that persisted into adult life. Exposure to parental smoking also had effects, although weaker, on persistent wheezing and asthma in adulthood,” she says.

The researchers drew data from the Tucson Epidemiological Study of Airway Obstructive Disease, a large, population-based, prospective study initiated in 1972 that enrolled 3,805 individuals from 1,655 households in the Tucson area,  in an effort to assess prevalence rates and risk factors of respiratory and other chronic diseases.

Participants were asked to complete questionnaires that were issued every two years until 1996. But for the present study, the researchers used data from 371 individuals who were enrolled in the TESAOD as children.

Pugmire and her colleagues looked at the reported prevalence of active asthma, wheeze, cough and chronic cough, which was defined as a persistent cough that had occurred for three consecutive months. They divided the data into four categories: never, which included individuals who had not reported that symptom during childhood or adulthood; incident, which included individuals who had never reported the symptom in childhood, but had reported at least one incident in adulthood; remittent, including participants who reported at least one incident in childhood and none in adulthood; and persistent, which included individuals who had at least one report of a symptom during both childhood and adulthood.

With the data, the researchers determined that 52.3 per cent of children included in the current study were exposed to ETS between birth and 15 years. After adjustments for sex, age, years of follow-up and personal smoking status, the researchers found that ETS exposure in childhood was significantly associated with several persistent respiratory symptoms, including persistent wheeze, cough and chronic cough.

Pugmire states that persistent wheezing from childhood into adult life has been shown to be associated with lung function deficits. Chronic bronchitis – defined as chronic cough and phlegm – is a significant risk factor for chronic obstructive pulmonary disease development later in life.

“The persistence of symptoms like chronic cough and wheeze into young adulthood may indicate a susceptibility to lung function deficits and chronic respiratory illness with age,” she adds.

Perhaps in a likely search for a lasting solution to the menace of tobacco smoking, yet another study says anti-Tobacco television adverts may help adults to stop smoking. The study published in the online journal, American Journal of Public Health, in April, finds that though some adverts may be more effective than others, all anti-tobacco television advertising help reduce adult smoking.

The study looked at the relationship between adults’ smoking behaviours and their exposure to adverts sponsored by states; private foundations; tobacco companies themselves or by pharmaceutical companies marketing smoking-cessation products. The researchers  analysed variables such as smoking status, intentions to quit smoking, attempts to quit in the past year, and average daily cigarette consumption. The report says they found that in markets with higher exposure to state-sponsored media campaigns, “smoking is less, and intentions to quit are higher.”

The researchers, however, say an unexpected finding of the study was that adults who were in areas with more adverts for pharmaceutical cessation products were less likely to make an attempt to quit.

Meanwhile,  as WHO and other countries move to fully meet their obligations and counter tobacco industry’s efforts to undermine the treaty,  the World No Tobacco Day 2012 – according to WHO – educated policy-makers and the general public about the tobacco industry’s nefarious and harmful tactics, as well as reinforce health warnings of tobacco.

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National Tobacco Bill missing on Jonathan’s table

As Nigeria marks the World Tobacco Day today, the National Tobacco Bill which was passed to law by the sixth Senate on March 9, 2011 has developed wings as reports said the bill was missing on the table of President Goodluck Jonathan.

This was the conclusion of stakeholders who met at a round table conference organised by the Environmental Rights Action/ Friends of the Earth Nigeria (ERA/FOFN) in Lagos on the implementation of the National Tobacco Control Bill.

Director Corporate Accountability and Administration in ERA/FOFN, Mr. Oluwafemi Akinbode, lamented that despite the fact that the bill was passed to law about 13 months ago, the president refused to append his signature for it to become law.

According to him, all efforts to know the whereabouts of the bill in the president’s office proved abortive and all those who should know its whereabouts claimed ignorance.

“The information at our disposal indicates that the bill has completed its circle at the National Assembly and has been forwarded to the office of the Presidential Liaison Officer in the National Assembly, Senator Joy Emordi. We are expecting that the bill should be sent to the desk of the President,” he said.

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Activists urge Jonathan to sign National Tobacco Control Bill

As the world marked the World No Tobacco Day (WNTD) yesterday, activists made a passionate plea to President Goodluck Jonathan: sign the National Tobacco Control Bill (NTCB) to prevent avoidable death from tobacco use.
They said statistics show rising deaths from tobacco use because of lax tobacco control regime.
The Environmental Rights Action (ERA), at an event to mark the WNTD in Lagos, said tobacco companies are interfering with the Bill becoming an Act.
Its Director, Corporate Accountability and Administration, Mr Akibode Oluwafemi, said this year theme: Tobacco Industry Interference is in line with the current development in Nigeria.
He said the president has disobeyed the 1999 Constitution in his handling of the Bill.
He quoted Chapter five, Section 68, sub-section 4 and 5 of the constitution, which states: “Where a bill is presented to the President for assent, he shall within 30 days thereof signify that he assents or that he withholds assent.
“Where the President withholds his assent and the bill is again passed by each Legislative House by two-thirds majority, the bill shall become law and the assent of the President shall not be required.”
Oluwafemi said there is the need for the country to domesticate the Framework Convention on Tobacco Control (FCTC), adding that the Convention’s Article 5.3 states that “in setting and implementing their public health policies with respect to tobacco control, parties shall act to protect these policies from commercial and other vested interests of the tobacco industry in accordance with national law.”
This, he said, means that the tobacco giants should be excluded from any step to implement public health policies.
He alleged that top executives of tobacco companies  paid visits  to Aso Rock during the administration of former President Olusegun Obasanjo.
Oluwafemi quoted the World Health Assembly’s (WHA’s) resolution 18 on transparency in tobacco control process: “The tobacco industry has operated for years with the express intention of subverting the role of government and the World Health Organisation (WHO) in implementing public health policies to combat the tobacco epidemic.”
He said the major motive of the tobacco giants is to weaken and undermine the country’s laws.


Oluwafemi said despite the ban on tobacco advertising, most of the tobacco companies still freely display their adverts in public places, such as hotels .
He said: “They paste posters on stalls announcing  free-camera phone promotion and offered free umbrellas to market women with adverts on them.”
ERA’s partner, Corporate Accountability International (CAI), has released its yearly report on tobacco entitled Cutting through the smoke. The report describes the global stories of industry abuse, grassroots victories and the path towards a healthier future.
It said families have continued to suffer the devastating health, financial and social consequences of tobacco-related diseases. 


- The Nation

The World No Tobacco Day

Group urges President Jonathan to sign Tobacco Bill

 President Goodluck Ebele Jonathan 

The Environmental Rights Action/Friends of the Earth advises President Goodluck Jonathan to sign the tobacco control bill into law

As governments and public health advocates plan towards this year’s World No Tobacco Day on May 31st, the Environmental Rights Action/Friends of the Earth Nigeria (ERA/FoEN) has sent a strong appeal to President Goodluck Jonathan to use this year’s commemoration to sign the recently passed National Tobacco Control Bill into law.

In a statement issued on Monday in Lagos and signed by Akinbode Oluwafemi, ERA/FoEN's Director, Corporate Accountability & Administration, the group urged President Jonathan to sign the National Tobacco Control Bill (NTCB) to celebrate the global event.

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

“Countries all over the world have made specific and strategic efforts to combat the dangers of smoking especially among the youths by putting laws in place to regulate the production and marketing of tobacco products,” said Mr. Oluwafemi.

“The enactment of national laws and the domestication of the World Health’s Organization (WHO) Framework Convention on Tobacco Control (FCTC) are singular efforts in this direction,” he added.

“Nigeria has made giant strides in fulfilling our international obligations by attempting to domesticate the FCTC through the National Tobacco Control Bill, but we are afraid these gains that we have worked for as civil society organizations, legislators and the Ministry of Health will be reversed if the President does not sign this bill to commemorate this year’s World No Tobacco Day.”

The theme of this year's event ‘Preventing Industry Interference in Tobacco Control policies’ is instructive because Nigerians are worried that the bill which was passed with overwhelming public support is yet to be signed into law by the President, the group noted.

“This is a bill that would have direct impact on Nigerians. It is the dividend of democracy for Nigerians,” Mr. Oluwafemi said.

The group also called on the President to ensure that Nigeria does not renege on its international commitments to the FCTC, “as this could damage the country’s international reputation” while it can do “irreparable damage” in the country’s public health.

“We call on President Jonathan to demand today for the National Tobacco Control Bill.

“The President cannot allow the tobacco industry to influence and derail his transformation agenda by providing qualitative healthcare for Nigerians.

The whole world is waiting for Nigeria; the African continent is awaiting our leadership. The President should provide this leadership,” Mr. Oluwafemi said.

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