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Monday, May 31, 2010

Today is 2010 World No Tobacco Day










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.


Girls smoke more than boys in Nigeria –WHO

By SEMIU OKANLAWON


The 2010 World No Tobacco Day (which is today) focuses on the need to ban all forms of promotion of tobacco even with a new direction to fight the recruitment of the womenfolk into smoking, writes SEMIU OKANLAWON
It may sound odd, but the World Health Organisation says more girls than boys smoke tobacco; giving new reasons why the anti-tobacco crusade must now address the womenfolk.
When on Friday, WHO called for a special protection of women and girls against tobacco, it was not as if the organisation had assumed the other members of the society needed not to be shielded from the harmful effects of what is perceived globally to be an addictive consumption.
It was because global researches have indicated a growing, worrisome trend in the habit of women and girls who take tobacco as a thing of glamour and status. WHO’s new direction of campaign is to press home the focus of this year’s World Tobacco Day.
WHO’s Director-General, Dr. Margaret Chan, said, “The trends in some countries are extremely worrisome,” adding, “Tobacco use is neither liberating nor glamorous. It is addictive and deadly.”
This 2010 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,” according to the global health body.
Nigeria, where the campaign against smoking has been gaining ground through the efforts of the Environmental Rights Action, is ranked among countries which WHO Director-General said the trend is pretty worrisome.
Smoking may be one habit that is generally perceived to be rife among males, but a recent survey, according to WHO, shows that there is a growing rate of tobacco use amongst girls and women. Women and girls are said to represent 20 per cent global smoking population.
“In half of the 151 countries recently surveyed for trends in tobacco use among young people, approximately as many girls uses tobacco as boys. More girls use tobacco than boys in some of the countries, including Bulgaria, Chile, Colombia, Cook Islands, Croatia, Czech Republic, Mexico, New Zealand, Nigeria and Uruguay.
“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. The leading preventable cause of death, tobacco use kills more than five million people every year, about 1.5 million of whom are women,” says WHO on Friday.
And what is the nexus between tobacco and women? Or better still; what is the attraction? After strategic manners in which the anti-smoking campaigners across the world had tackled the recruitment of youths into smoking by tobacco manufacturers and marketers, there is said to be a new path manufacturers and marketers are following to force smoke down the throats of women. By linking smoking with beauty, young girls are easily fascinated and are consequently recruited into the habit.
Analysts are of the view that the same method employed in using the media to present slim girls as paragon of African beauty is being promoted to make young girls believe that their beauty is incomplete without tobacco addiction.
But it is not only those who engage in the practical habit of direct smoking that are considered to be smokers. Passive smokers abount through their inhaling of smokes in public places.
The inclusion of Nigeria amongst countries considered to be having a disturbing rate of smoking girls further reinforces the points being raised by Nigerian crusaders that the government needs to act fast before tobacco-related diseases add to its alleged unenviable record in health management.
Programme Manager of the Environmental Rights in Nigeria, an affiliate of the Friends of the Earth, Mr. Akinbode Oluwafemi, said the focus on the need to save women and girls from smoking, which is the theme of this year’s tobacco day, should compel some persons in high places to act fast.
“It will interest you that the chairman of the Senate Committee on Health, Senator Iyabo Obasanjo-Bello, is a woman. And we believe that where the interests of women are concerned, a woman in the status of the senator should use her position to ensure the welfare of her fellow womenfolk,” say Oluwafemi.
His call is on the strength of a bill which was said to have been presented to the Senate by a member, Senator Olorunnimbe Mamora which, according to him, is yet to be passed into law.
Among other things, the bill seeks to ban smoking in public and end all forms of promotion of the product in the country.
Mamora, who spoke with our correspondent on Sunday, said there had been deliberate moves to scuttle the bill at the National Assembly, adding that some of his colleagues who swore to defend the wellbeing of Nigerians were engaging in acts that are inconsistent with their oath of office.
Mamora said, “No amount of propaganda; no amount of purported job creation by the British American Tobacco can justify the number of lives being destroyed through the use of tobacco. This is because certain incontrovertible evidence have been established linking tobacco use to various diseases.”
In a separate statement on the 2010 World Tobacco Day, Oluwafemi called for the passing into law of the bill as a sign of government’s readiness to recognise the global concern for the health of its citizenry.
He stated, “It is a fact that dangers are associated with smoking. The World Health Organisation estimated that 5.4 million people die every year due to tobacco-related diseases, with majority of these deaths happening in developing countries.
“Tobacco is the only consumer product that is guaranteed to kill half its consumers if used according to manufacturers’ intention. It contains more than 4,000 dangerous chemicals harmful to the body.
“It is also a fact that stringent measures aimed at reducing smoking in Europe and America have driven the tobacco industry to developing countries like Nigeria, where the industry continues to flout regulations, marketing to young and impressionable youths, and hooking them on smoking.”
Indeed, another recent survey, according to Oluwafemi, also shows that two persons die each day in Lagos hospitals as a result of tobacco-related ailments.
With the theme of this year’s event, many expect that the focus will now shift to demystifying those messages being sold to girls which make them embrace smoking as a way of upping their beauty profiles.
Perhaps, that will compel manufacturers and marketers to also review strategies. But then, the health of the citizenry is at the centre of it all.



SOURCE

Sunday, May 30, 2010

Nigeria Remains At A Loss Over Smoking


Friday, May 28, 2010

Osun bans smoking in public

By Collins Nweze

The Environmental Rights Action/ Friends of the earth Nigeria (ERA/FoEN) has commended the Osun State government for signing the Osun State Prohibition of Smoking in Public Places Bill 2009 into law. The agency said the decision is one of the most far-reaching efforts taken by any state in the country to safeguard public health.
The bill prohibits smoking in cinemas, theatres or the stadia, medical establishments, hotels; offices, schools and public transportation, nursery institutions and lifts.
Another major highlight of the bill is that it prohibits smoking in both private and public vehicles with a non- smoking occupant below 18.
In a statement in Lagos, the group said the government had taken a lead and demonstrated its responsiveness to the well-being of its people and public health and should be emulated by other states.
"The Nigerian tobacco control community lauds this enviable step by the Osun State government as it will go a long way in checkmating the growing number of tobacco–induced deaths that have been on the steady increase," said ERA/FoEN Programme Manager, Akinbode Oluwafemi.
He, however, noted: "Paradoxically, while Osun State has taken practical steps in safeguarding public health, the National Assembly is still foot-dragging on translating the all-encompassive National Tobacco Control Bill (NTCB) into law even with the overwhelming support that the bill engendered at the public hearing on July 20-21 last year.
Reiterating the group’s call for the National Assembly to expedite action on the NTCB, Oluwafemi said that Nigerians are dying by the seconds due to tobacco addiction while tobacco manufacturers smile to the banks. Every day that we delay the implementation of strict laws, there will be more deaths, more ill-heaths and the economy will suffer. The trend globally showed that only far-reaching laws can stop a gale of deaths spurred by tobacco smoke.
Tobacco currently kills 5.4 million people and if current trend continues it will kill about eight million by 2015, according to the World Health Organisation (WHO).



SOURCE

Women smokers risk early death, cancer

As the World No Tobacco Day approaches, the United States (US)-based National Cancer Institute has warned that women who smoke have higher risks than non smokers of early death and of developing cancer and other diseases related to the heart and lungs.
Also, women who smoke have been causioned to desist from doing so as they may experience early menopause and irregular painful menstrual period.
According to a study by Inga Cecilie Soerheim and her colleagues from the University of Bergen, Norway, cigarette smoking is more harmful to women than to men because women have smaller airways.
The World Health Organisation (WHO) estimate that 20 per cent of smokers are women.
Similarly, research has shown that most women that smoke are between the ages of 25 and 44. Besides, teenage women also make up a significant percentage, too.
Research has shown that smoking is hazardous for pregnant women. It affects the health of not only the mother but also the child.
Smoking during pregnancy may result in low birth weight, premature delivery and miscarriage. Smoking is also not advisable for those who are taking oral contraceptives because it increases the risk of stroke and heart attack in this group.
It is against this background that this year’s World No Tobacco Day that will be commemorated on Monday, March 31, has been stream lined to show how tobacco affects the female gender’s health. Although the World No Tobacco Day 2010 campaign will focuse on tobacco marketing to women, it will also take into account the need to protect boys and men from the tobacco companies’ tactics.
Smoking causes many health problems in women. It leads to irreparable damage to women’s health and to that of the people around them. A smoking habit may be difficult to break, but understanding the long-term damage may help overcome the addiction.
Apart from drawing particular attention to the harmful effects of tobacco marketing towards women and girls, the 2010 World No Tobacco Day will also highlight the need for the nearly 170 Parties to the WHO Framework Convention on Tobacco Control to ban all tobacco advertising, promotion and sponsorship in accordance with their constitutions or constitutional principles.
Explaining why the programme should focus on women, the WHO in its 2007 report, Gender and Tobacco Control: a Policy Brief, stated, “Generic tobacco control measures may not be equally or similarly effective in respect to the two sexes…[A] gendered perspective must be included…It is therefore important that tobacco control policies recognise and take into account gender norms, differences and responses to tobacco in order to reduce tobacco use and improve the health of men and women worldwide”.
In another 2007 report, Sifting the Evidence: Gender and Tobacco Control, WHO commented, “Both men and women need full information about the sex-specific effects of tobacco use…equal protection from gendere-based advertising and marketing and the development of sex-specific tobacco products by transnational tobacco companies…[and] gender-sensitive information about, and protection from, second-hand smoke and occupational exposure to tobacco or nicotine”.

By Sola Omisore


SOURCE

Wednesday, May 26, 2010

BAT caught in illegal policy deal

By Our Reporter

The British American Tobacco (BAT) and the Kenya government are embroiled in a tussle over an insurance policy for farmers which the nation’s insurance regulator has declared illegal.
Following the introduction of farmer insurance last year, BAT is now offering its 5,000 contracted growers’ crop insurance against extreme weather conditions and pest outbreaks.
While farmers have lauded the move, the Tobacco Control Board has come out with guns blazing and declared the development an attempt to promote tobacco, which they say is against the law.
The policy developed by UAP Insurance in partnership with Chancery Wright has been introduced to farmers in Western Province, and is set to roll out to other regions.
The control board, however, say BAT and UAP have gone against the anti-tobacco legislation introduced in 2007 which bars the promotion of cigarettes.
"We will make sure that BAT and UAP Insurance do not get away with this because we have the law on our side," said Prof Peter Odhiambo, the Chairman of the board.
"We will deal firmly with companies that collude with cigarette manufacturers to break the law. Insuring tobacco farmers is another way of increasing the production of tobacco which is detrimental to public health. Farmers should consider alternative crops," said Odhiambo.
BAT says the board’s move has caused panic among its businesses partners who are asking whether the tobacco business is now illegal and risky.
"Our suppliers are worried and want clarification on what services tobacco manufacturers are allowed, if they cannot sell insurance to farmers," said Julie Adell-Owino, BAT’s Head of Corporate and Regulatory Affairs.
BAT says its farmers sign a binding code of conduct which restricts tobacco growing to one-quarter of the size of the farm while they must grow woodlots for fuel and environmental care.
"We provide the farmers with seedlings to grow trees, which is a condition for getting into a grower-supplier contract," Ms Adell-Owino, said, adding that the farmers are closely supervised by its field officers to ensure they do not employ child labour, that they take their children to school and grow food crops as well.
The possible action the state agency might take includes stopping the marketing of the insurance cover and taking the twin firms to court in what promises to be a protracted legal battle.
Anti-tobacco crusaders say the new insurance product marketed by BAT and UAP Insurance violates Section 24 of the Act which prohibits the promotion of tobacco products by means of testimonials or endorsements.
But Ms Adell-Owino charged: "The Tobacco Control Act does not dictate what crops anyone should grow neither does it dictate the parameters of business association or communication between industry players. It is, therefore, perfectly legitimate for us to engage our contracted farmers and continually work together for their welfare."
Already, about 1,000 farmers contracted by the multinationals have signed up for the product.
BAT says the cover is part of its corporate social responsibility seeking to protect contracted farmers who have incurred financial losses to the magnitude of Ksh150 million ($1.94 million) over the past three years as a result of natural calamities.
"Our contracted tobacco farmers are not compelled to take up the cover. If any party were forcing the hand of the tobacco farmers, then all 5,000 farmers would have had to take it up," said Ms Adell-Owino.
BAT says earnings by its contracted tobacco farmers have been on the increase, pointing to the benefits of the crop to farmers in Nyanza and Western regions.
In 2008, BAT paid its contracted farmers Ksh369 million ($4.79 million) while in 2009, it paid Ksh532 million ($6.9 million) and this year’s projection is pegged at Ksh660 million ($8.57 million).
The company is also among the country’s top tax payers. Last year it paid Ksh8 billion ($102.5 million) in taxes.


SOURCE