eLetters

499 e-Letters

  • UK Legislative response
    Simon Chapman

    Readers should note the following motion placed before the UK parliament on this topic on 10 December 2003:

    SMOKELESS TOBACCO 10.12.03 Flynn/Paul That this House welcomes the confirmation from Cancer Research UK Action on Smoking and Health and the Royal College of Physicians that some forms of smokeless tobacco are between 500 and 1,000 times less hazardous than smoking tobacco; agrees with the conclusion tha...

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  • Another simple 'quit or die' statement
    Clive Bates

    Like many others, John Polito [1] misses the point about smokeless tobacco. It is not a health strategy to be widely recommended by doctors, nor is it a medical smoking cessation treatment, nor should it be part of a community-based health programme. It is, or should be, part of a market for nicotine products in which the world will go on allowing the sale of cigarettes - the most hazardous form of nicotine. It should b...

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  • More getaway Cars
    Ross MacKenzie

    The motor racing piece that prominently features tobacco company sponsorship and brand logos in the August issue of Maxim (News Analysis 2003;13:348) is not alone. That same month, a seven page article provided similar exposure for Jordan’s association with B&H in FHM, the leading UK ‘lad mag’ (circulation circa 600,000).

    These promotions, of course, reflect standard tobacco industry strategy of circumventin...

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  • Re: South Asian Communities in UK (EU) Brace Themselves Against Smokeless Tobacco Flood
    Clive Bates

    Kawaldip Sehmi's letter seems to advocate ignorance and a kind of book-burning attitude to understanding this area. But in fact, better knowledge of the science might help his cause.

    The paper by Enstrom and Kabat caused problems not because its findings conflicted with the established evidence base, but because it was flawed and the BMJ failed to put its contribution in context with the rest of the large evidenc...

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  • South Asian Communities in UK (EU) Brace Themselves Against Smokeless Tobacco Flood
    Kawaldip S Sehmi

    Last week in the BMJ 2003; 327 (6 December), after seeing his comments on the Enstrom and Kabat paper on second-hand smoke being used by Forest to advance the tobacco industry’s position, the BMJ Editor says in a fair and frank admission:

    "Reading the quote on a Forest advertisement tightens my anus, but I wrote it and can't deny it."

    Health Professionals who have been working hard towards getting che...

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  • "Another simple issue"?
    John R. Polito

    Watching this first salvo in the battle over whose nicotine is safer and which side eventually makes the big nicotine maintenance bucks, Big Pharm or Big Oral Tobacco, is sad yet understandable? Even for those few without any financial stake in the debate, imagine the natural frustrations born from having turned the wrong research or policy corner and dedicated two decades of your life to having chosen to fight nicotine...

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  • A reply to Tomar et al's flat earth commentary
    Clive Bates

    A reply to Tomar et al’s flat earth commentary

    Foulds et al‘s e-response [1] provides an excellent and scathing critique of the commentary contributed by Tomar et al [2]. Though Foulds et al are far too modest to point this out, it is important that readers understand that their original review [3] is a substantial and careful piece of work, properly edited and peer-reviewed. In contra...

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  • Effects of smokeless tobacco in Sweden: a reply to Tomar et al.
    Jonathan Foulds

    Dear Editor

    The earth is flat, ABBA couldn’t sing a song, Scotland is going to win the soccer World Cup sometime soon, and snus has played no part in the reduction in smoking prevalence among Swedish men – or so Tomar et al. [1]would have us believe. Of all of these issues not remotely supported by the evidence, the last one is a little more serious in that it may influence tobacco control...

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  • Not quite convincing
    Clive Bates

    I'd like to challenge the suggestion in this paper that mobile phone use does not reduce smoking, simply because smoking teenagers are more likely to own mobile phones.

    The hypothesis advanced by Ann Charlton and I is that mobile phones share some of the same charatcteristics that attract young people to smoking (initiation to adult life, peer bonding, individualistic expression, brand identification etc). I...

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  • No nicotine gum users nicotine free at six months?
    John R. Polito

    The abstract's conclusion that persistent use of nicotine gum is "very rare" casts serious doubt upon the authors' objectivity. How can they here describe a 6.7% chronic nicotine gum use rate at six months as reflecting a 'very rare' condition while their March 2003 OTC NRT meta- analysis - published in this same journal - embraced a 7% six-month smoking abstinence rate finding as "effective?" [1]

    I do hope...

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  • Missing argument
    CharlesC. Walker

    In all of the arguments I see in many articles, both pro and con, concerning smoking bans, I note arguments tend to concentrate on "smoker's rights" and "non-smoker's rights", when neither are relevant to the real issue. That is, whether or not a proprietor has the right to operate a business as he sees fit, allowing those who seek and enjoy the business he offers to freely do so or freely decline it. That speaks more t...

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  • Conclusions are somewhat correct
    Joseph L. McFarland

    In your article you touch on the fact that the consumer would likely not report internet pruchases for fear of reprisal in taxation issues. The state does in fact over look the 1 or 2 carton of cigarette purchase issues when for instance a business man travels to Kentucky and buys a couple ther and brings them back with him to California.

    I have also detected, in the industry of Internet Toabacco sales, where th...

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  • Has the end of Malawi's tobacco-driven economy come?
    Adamson S. Muula

    Has the end of Malawi’s tobacco-driven economy come?

    Author:

    Adamson S. Muula MB BS, MPH Department of Community Health University of Malawi College of Medicine Private Bag 360, Blantyre 3 MALAWI Email: amuula@medcol.mw

    Letter to Editor

    In his article about Malawi’s economic reliance on the “green gold” (tobacco), Peter Davies 1 clearly presented the dilemma that an African country in...

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  • Group Treatment vs Individual Support for Smoking Cessation
    Gay Sutherland

    Bauld et al (2003) report a number of interesting results from the evaluation of the NHS smoking cessation services. One result in particular which warrants further investigation is the finding that 4 week success (quit) rates were higher for smokers treated in groups compared to those receiving individual support sessions. The authors briefly discuss possible explanations for this, including the possibility that the form...

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  • Impact vs. Efficacy for Pregnant Smokers
    James O Prochaska

    Lawrence et al. (2003) reported the results of their cluster RCT on smoking cessation in pregnant women comparing (1) standard care; (2) Transtheoretical Model (TTM) based manuals; and (3) TTM computer based tailored communications.1 In spite of serious flaws in this study, there were very important results that the authors overlooked. They do not seem to appreciate that this was a population-based trial where the goal...

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  • What to call smoke from cigarettes?
    Stephen L Hamann

    Personally, I prefer a description that tells something of the truth about tobacco smoke, "toxic tobacco smoke." Since the Tenth Report on Carcinogens indicates that tobacco smoke has 250 toxins in it, I don't see any reason not to refer to it as toxic tobacco smoke. This is better than dancing around the danger like many health agencies still do when they refer to the "health" effects of smoking, when they should be tal...

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  • The Survey as PR Tactic
    Gene Borio

    Analysis: The Survey as a PR Tactic

    "Business at New York bars and restaurants has plummeted by as much as 50 percent in the wake of the smoking ban - and the drop has already sparked layoffs and left some establishments on the brink of shutting their doors, a Post survey has found."

    --Cig Ban Leaves Lot Of 'Empties', NY Post, 5/12/03

    On May 12, 2003, the New York Post ran two stories on a...

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  • ETS and SHS - an investigation into current usage
    Pascal A. Diethelm

    Dear Editor,

    I did some investigation comparing the current usage of the term "environmental tobacco smoke" and its acronym, ETS, and the usage of "secondhand smoke" and SHS. The results I obtained tend to support your editorial.

    I went first to the WHO web site and typed ETS in the search box. The first page of results contain 10 entries. All 10 related to tobacco smoke. I then typed SHS, and out of the...

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  • Industry response to this finding
    Jonathan P. Krueger

    The industry cries that it's against youth smoking are a great line of talk; action is of course another matter. This research finding is a fine case in point. If the industry were really against youth smoking, it would respond to this finding by immediately cutting all advertising and promotion that portrayed or suggested a connection between the product and being thin. To do otherwise, to keep running such ads, would, in...

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  • Erratum
    Majid Ezzati

    On figure 2D, the number in brackets in front of SEAR B females should be 2% (instead of 61%).

  • Re: Re: OTC NRT 93% Midyear Relapse Rate
    John R. Polito

    The authors concede that programs offering cessation education, skills development, counseling and/or group support "on average" produce quit rates more than double (15%) their meta-analysis OTC NRT finding of 7% at midyear. Although most of us are aware of at least one short term abrupt cessation program consistently achieving midyear rates in the 30 to 50% range, I thought that confronting the authors with midyear pla...

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  • Re: OTC NRT 93% Midyear Relapse Rate
    Saul Shiffman

    Over-the-counter nicotine replacement: Rhetoric vs. Reality

    Mr. Polito has criticized our recent meta-analysis of over-the- counter (OTC) nicotine replacement (NRT) that appeared in Tobacco Control (Vol 12, p 21). Our brief response is below. Readers wishing to respond to us or obtain citations for our assertions can email john.hughes@uvm.edu or shiffman@pinneyassociates.com ).

    The major assumption of...

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  • OTC NRT 93% Midyear Relapse Rate
    John R. Polito

    Dr. Hughes and Shiffman do their academic best to try and convince those making worldwide cessation policy decisions that, after 20 years of NRT research that consumed the lion's share of all cessation research dollars, a 93% midyear relapse rate demonstrates an "effective" means for smokers to quit. Rubbish! It's a sad day indeed when NRT researchers celebrate a 93% failure rate by declaring odds ratio victories over...

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  • Being remade for a different location.
    Stephen L Hamann

    I am sorry to say that George Leslie and others who have long worked for the tobacco industry often end up moving their snake oil solutions to other areas, for example, Asia. Tobacco control advocates are few here and scientists who have any experience with research in air quality in the West are often consulted on problems of air pollution. It is then very easy for tobacco industry scientists to present themselves as...

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  • Sue for fire safe cigarettes
    Christopher J Covert-Bowlds, MD

    Efforts at requiring fire safe cigarettes have been underway for years, lead by the late Representative Moakley of Massachusetts. Tobacco industry opposition has always stopped progress. Now that Senator Helms has retired, Philip Morris has publicly voiced its intent not to oppose such efforts, and the tobacco industry's public image is lower than ever, it is time to try again.

    New York has passed a fire safe...

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  • Philip Morris Backward
    Stephen L. Hamann

    Dear Mr Meyers, Thank you for your article about the name change of Philip Morris. It is appropriate that PM should wish to become invisible. In fact, they are simply backward, so I shall reverse their new name to airtla, meaning Aberrant Industry in Regular Touch with Legal Attorneys. I hope they shall hence forward remain named with this backward sign of wrong doing. Branding, after all, is one of their specialties...

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  • More on F1
    Ross J MacKenzie

    Bernie Ecclestone's strategy of continuing Formula 1's relationship with tobacco sponsors at seemingly any cost is raising the ire of motor racing purists.

    As European bans on sponsorship become increasingly likely, Ecclestone plans to move races from traditional circuits to countries that have no foreseeable plans to ban tobacco sponsorship.

    Rumour has it that among the courses to be axed from the F1...

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  • Life Imitates Art
    Sandra C. Jones

    Upon reading the paper by Biener (Tobacco Control, June 2002), I couldn't help but be struck by the similarity between the reported effects of the Philip Morris anti-smoking campaign and the fictional campaign in Christopher Buckley's (1994) satirical novel "Thank You for Smoking."

    In the fictional version, Nick Naylor, chief spokesperson for the Academy of Tobacco Studies (a.k.a. the tobacco industry), announces...

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  • Correction
    Michael N Bates
    We have found a small error in the Methods section of our paper, “Exposure of hospitality workers to environmental tobacco smoke”, recently published in Tobacco Control (2002; 11:125-9). The reference in the third paragraph, under the chemical analysis subheading should have referred to a 1/X2 (X-squared) weighting, not a 1/÷2 (chi-squared) weighting, as published. X was the concentration of cotinine in saliva samples. Our ap...
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  • F1 and Advertising
    Ross MacKenzie

    Notwithstanding evidence on the impact of advertising in sport, the powers that be in F1 have little interest in seeing tobacco sponsorship curtailed anytime in the near future.

    Bernie Ecclestone, the man most responsible for F1's recent dramatic growth is on record as saying a ban on tobacco advertising isn't needed as it would have a negligible impact on the smoking habits of its millions of viewers.

    ...

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  • Ling, Landman, and Glantz respond
    Stanton A. Glantz

    Fichtenberg and Glantz have responded separately to the technical issues that DiFranza raised about their paper.

    Both Tutt and DiFranza are missing the larger point of our editorial. Unlike public health forces, the tobacco industry has unlimited resources to push their agenda. We made the point that in a real world of limited public health resources, those resources are better concentrated where they have been...

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  • Fichtenberg and Glantz respond
    Stanton A. Glantz

    Since DiFranza's criticism of the editorial by Ling et al.(1) concentrates mostly on criticism of the paper by Fichtenberg and Glantz, published in Pediatrics,(2) we are writing to respond to these criticisms separately. We recognize that this is unusual, since the standard procedure would have been for DiFranza to write Pediatrics after the paper was published there. DiFranza, however, chose to write Tobacco Control (b...

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  • Response to Hastings & MacFadyen [Tobacco Control 11(1): 73]
    Mike Jones

    Firstly, congratulations to Hastings & MacFadyen on highlighting the issues inherent in attempting to ‘negatively emote’ people into doing what we’d like them to do. I use the term ‘negatively emote’ to take into account the following journal article by Biener & Taylor [T C 11(1):75] - their point being that fear is not the only emotion involved. There are admittedly many attempts at ‘pushing’ people through the...

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  • It is time to abandon bad science
    Joseph R DiFranza

    May 8, 2002 To the editor,

    In their editorial “It is time to abandon youth access tobacco programmes,” Ling, Landman and Glantz1 base their argument on an in press meta-analysis of youth access interventions by Fichtenberg and Glantz.2 These authors conclude that there is no proof that youth access interventions work to reduce youth smoking rates. Sadly, this analysis includes ten methodological flaws, each o...

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  • Numbers and Reality
    AL JOSE L. LEONIDAS

    I thank you for this editorial letter. For me it makes sense to still expose the criminal acts of the tobacco industry. Our use of metaphors and symbols should be contextualized on how message are to be sent. Thus one message may be distateful to another, while to others it will not be the case. The article is well written and it gives me more spirit to move on and expose the dangers of tobacco use.

  • THANK-YOU
    Teresa R Albrecht

    thank you for this great information YOU gave me an A on my report about smoking and banning smoking thank you so much!!!!!

  • Peter Dubitsky

    It was with great interest that I read your article regarding the effectiveness of acupuncture on smoking cessation. I have been practing acupuncture for eleven years and have found that acupuncture will not alleviate anyone's desire to smoke. Not one method available will. The smoker must have a determination and desire to quit, or they will fail to stop smoking regardless of the type of treatment utilized.

    ...

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  • Movie Tobacco; How Long Has This Been Going On?
    James Rowland

    Very much enjoyed this article. Was hoping to learn whether product placement tactics were used in "early" films (pre-1950), because in viewing films from the 30's and 40's, I find it almost impossible to find a scene without smoking. Any thoughts appreciated. Thanks, James Rowland

  • Douglas C. Tutt

    I disagree totally with Stan Glantz and his view that we abandon youth access efforts.

    As usual in every argument there is truth on both sides. He is right in being concerned that this can be an easy way for tobacco companies to look good and that teens will attempt to substitute other social sources. But one of the main sources of such secondary supply is other minors purchasing and then selling on the 'black...

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  • reference
    Julie Grealy

    Is it at all possible to recieve, give me direction, on how to obtain a copy of the article which is reference one?

    Thankyou in advance for your time and assistance, Julie

  • Help quitting spitting
    Chris J. Covert-Bowlds, MD

    For those trying to quit smokeless tobacco, there are some helpful options. Of course, making up one's MIND is the most important thing. Many states now have Tobacco Quitlines, that give phone-based help. Washington's is 1-877-270-STOP, and can probably direct people to other states' lines. To handle the very high nicotine addiction of smokeless tobacco, it often takes combining nicotine patches and nicotine gum. The pat...

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  • b.s
    gary m shelor

    I have been using moist snuff for 16 years(kodiak).One can a day and have not had any health promblems or dental.

  • Correcting the Record
    Norman F. Sharp

    March 14, 2002

    To the Editor:

    Maybe the fact that I am writing to you indicates that I still haven’t learned my lesson, but I thought I would give it a try.

    In 1996, I met with a young reporter from the Baltimore Sun who wanted to do an article on the resurgence of cigar sales in the U.S. I told him, “Alec, the real story here is that the resurgence has taken place in spite of the cigar...

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  • Spit Tobacco- Enough Is Enough
    Joseph D. Morris

    My name is Joseph Morris and I have been a dipper for the past 10 years. As I am writing this I am 3 days clean of dip.

    I'll never forget my freshman year of high school. I was first introduced to dip outside at lunch. It gave me such a buzz and I even threw up. It soon became a lunch ritual. I would dip at lunch and be so buzzed for next periods class thatI would sleep right through it because I was so n...

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  • Good article, excellent study but has major errors of fact along with less serious omissions
    Rick Kropp

    Rick Kropp PO Box 4305 Clearlake, CA 95422 (707) 994-2911 rkropp4@home.com

    December 27, 2001

    Dear Tobacco Control Editor:

    The Landrine, Klonoff, and Reina-Patton’s article “Minors' access to tobacco before and after the California STAKE Act” in the Summer 2000 Supplemental Issue of Tobacco Control is an excellent article summarizing a carefully planned and executed study. Its findings are impo...

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  • Norbert Hirschhorn

    Stan Shatenstein's review nicely summarised the essence of the drama, how the dramatis personae of tobacco control in the USA helped scuttle "the plausible, if arguable benefits of the McCain bill," which would have provided the greatest concessions to public health ever imagined, or indeed now imaginable. Worse, the incident fractured the anti-tobacco movement along severe earthquake fault-lines. In this telling, says S...

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  • How US airlines became smoke free
    Stuart Houston

    EDITOR,-- The letter from Henningfield and Rose (Tobacco Control 10:295-296), provides valuable historic information about US Federal Aviation Administration Policy to prohibit smoking in both the passenger section and the flight deck. of scheduled passenger flights. They tell of the smoking ban passed by Congress in 1989. Yes, their letter offers lessons about political and bureaucratic achievements. But they told only...

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  • Tendu leaves
    C Viswanathan

    The authors say:"The leaf is from a broad leafed plant (Diospyrus melanoxylon or Diospyrus ebemum) native to India" I feel there is an error here.Diospyrus ebenum (Ebony,black) is not a source for Tendu leaves, as far as I know.(The authors write 'ebemum'-probably a typing error.For a list of plants from which bidi leaves are obtained, see the following paragraph, from J.K. MAHESHWARI National Botanical Research Institut...

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  • Is Tobacco Control "objective?"
    Dennis P Quinn
    A flap is going on over at the British Medical Journal about whether Nottingham University should accept BAT (tobacco) money to fund an International Centre for Corporate Social Responsibility. Some critics not only call for the university to refuse the money but also clamor for the resignation of BMJ’s editor, Richard Smith, because of his point of view on the matter. For the tempest raging in that teapot see http://www.bmj.com/...
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  • Is it possible to pay the piper and not dictate the tune?
    Niyi Awofeso

    I read your recent apt editorial with great interest. The views presented represent some of the more seminal in contemporary ethics vis-a-vis the ivory tower. As you are well aware, it is unfortunate to note that many academic institutions in developing countries collaborate (in the literal sense of the word!) with the major domos mentioned in your five scenarios. Less than 5% of academic research are carried out citize...

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  • Response from Sir Colin Campbell, Nottingham University
    Colin Campbell
    This letter was received from Sir Colin Campbell on 20 December 2000. Thank you for your comments about the University's decision to accept funding for a new Business School Centre from British American Tobacco. From comments I have seen and heard since the announcement was made I know that people hold widely differing views in this area. The University has made a judgement, which it holds to be the right one, but I recognise...
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  • So what! Sue the bastards.
    Philippe Boucher
    The reading of rolling round the curbs by Karina Oddoux and Pascal Melihan Cheinin reminds me of the suggestion to end each article by the question "so what?" meaning (if an explanation is needed) what does this bring to us, what should/could be done concretely to improve the situation... In the case of the advertising of roll your own cigarette papers in France the authors assert they are not covered by the prohibition enacted...
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  • can we have our nicotine without eating it too?
    norbert hirschhorn

    John Hughes has given us a common-sense article on the attributes of smoking that make feel-good nicotine such an addicting drug: rapid onset of effects, frequent use and thus reward (200 hits a day), reliability of delivery, and easy availability. From this analysis, Hughes proposes a way to reduce nicotine dependence through a regulatory system which gradually phases in products ("vehicles") that ameliorate these very...

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  • nabeel mitry

    I was wondering if smokless tabacco affects stamina and other factors associated to stamina during intense exercise...ive heard that it does and i was wondering how and why since its not being smoked which affects the lungs,therefore affects breathing....plese reply..thank you....

  • Comment
    Dan Zegart
    To the Editors:

    Within an otherwise perceptive review of my book Civil Warriors: The Legal Siege on the Tobacco Industry, Anne Landman made two errors I would like to correct.

    One is relatively minor. My book does not open, as she states, with a description of the death of plaintiff's lawyer Ron Motley's mother from cigarette-related emphysema. It opens with a scene that describes Motley and others a...

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  • Disclaimer
    Simon Chapman

    Simon Chapman serves as Editor for Tobacco Control. Mike Cummings acted as guest editor for this manuscript. Simon Chapman was excluded from reviewer correspondence and excused himself from participation in editorial meetings where the manuscript was discussed.

  • World's best taxation policy
    Nigel Gray

    In Tobacco Control of June, 2000, you invited Michelle Scollo to write about world's best practice in tobacco taxation. In an otherwise elegant article she missed out what was, arguably, Australia's major contribution to tobacco tax policy. I refer to the idea of hypothecation (earmarking) of tobacco tax for health purposes, which was enshrined in the Victorian Tobacco Act of 1987 and copied by California, Massachusett...

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  • Additional Industry Information Available
    Shelley Canitz

    The authors have written an excellent article. Readers may also be interested in knowing that the website for the British Columbia Ministry of Health also contains copies of industry documents retrived from the Guildford depository in England.

    Approximately 40,000 pages of documents on the Canadian operations of BAT and Imperial Tobacco Limited are posted at: www.hlth.gov.bc.ca/guildford/index.html

    Tha...

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  • Author's response
    Joseph R DiFranza
    Jennifer O'Loughlin from McGill University is engaged in a replication/extension of our study. She has conducted focus groups with young smokers which demonstrate that youths experience nicotine dependence in ways very similar to adults but with some exceptions. They do know what addiction means and they describe their symptoms the same way adult smokers do. Dr O'Loughlin has also demonstrated that the measures used in our stu...
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  • Addiction?
    Ron Borland
    Regarding the DeFranza et al article published in the current issue. If the conclusions are true, the implications are large. Before being convinced I would like to see evidence that these inexperienced users meant the same thing by their answers as a 'real' addict might, or that the questions have predictive validity. I would be reassured if those asked to reflect on these early experiences still saw them in the same way after...
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  • Tobacco control in New Zealand – not so comprehensive?
    George Thomson

    Dear Editor

    Tobacco control in New Zealand – not so comprehensive?

    Laugesen and Swinburn(1) provide a very helpful overview of New Zealand’s tobacco control activities between 1985 and 1998. We strongly agree with them that the achievements were largely a consequence of work in the period from 1985 to 1990 and subsequent activity was much less effective. With a series of conservative governments betwe...

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  • Virginia Slims "find your voice" ad
    Ron Davis

    Readers may be interested to know that the Virginia Slims ad shown in this article was changed after the head of Philip Morris was asked pointed questions about it in a recent deposition. The deposition was taken as part of the "Engle" class action lawsuit in Florida, which is heading towards a large punitive damages award (the jury has already handed out two positive verdicts for the plaintiffs).

    Here is an exce...

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  • Alternative nicotine products negligibly reduce smoking
    Bruce Leistikow

    It is regrettable that so much attention continues to be given to suggestions that alternative nicotine products will reduce smoking.

    The US has had numerous nicotine products on the market for years, at least gum and patch are available without prescription. The effects of those products on smoking rates have been assessed and are tiny, nearly negligible (see below), compared to reductions in tobacco consumptio...

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  • No 'satisfaction' at all
    Stan Shatenstein
    I am absolutely mystified by Clive Bates’ hypothetical introduction of a new product called "Satisfaction". This theoretical nicotine delivery device will be marketed in a real world where the sale of cigarettes is still legal. Smokers will still smoke, but a significant number of young nonsmokers will undoubtedly be lured by what Bates calls an “ironic marketing gambit”. ‘We’re too cool for Joe Camel and the Marlboro Man’, they...
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  • Simon Chapman

    Don, I was not aware that you had posed four of the seven arguments I raised in my article -- you are certainly not the only person to have done so. In your response you fail to engage with the core issue here: smoking outdoors in situations that would apply in hospital grounds harms no one but the smoker. By not disputing this, I assume that you agree. Your concern to control outdoor smoking is therefore inherently patern...

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  • Don Cook

    Dear Editor

    As the person who posed four of the seven arguments, used in the March volume of Tobacco Control, supporting banning smoking in outdoor areas I would like to expand on the four points I raised. The arguments put by me apply to an Area Health Service which will shortly become totally smoke-free, this will include outside areas. Until now hospitals have regarded smoking as a special case, as a cultural...

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  • Glenn Moore

    Your article about Mr. Tuttle was most disturbing to me. As a tobacco chewer I have battled with quitting numerous times, as have my close friends that chew. I would entertain any suggestions or material that you could send me to help me and my friends quit this devil weed. I am ready to lose this habit forever, but am tempted daily by other chewers that I work very closely with. I truly believe that they want to stop...

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  • Smoking restrictions in confined outdoor areas are justified
    Margo Goodin

    In researching passive smoking issues for a suggested 'best practice' model in Australia, I was asked -- no, urged -- by normally sedate and conservative tobacco control bureaucrats a number of jurisdictions (which had no legislation to limit smoking in indoor areas) to consider the issue of smoking in outdoor places of public assembly. This was clearly an Issue of Public Importance.

    My own experience in the Aus...

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  • Enquiries for video
    Simon Chapman

    Enquiries about the Smoke & Mirrors video should be addressed to: docuSmoke@aol.com

  • For my cartoon and photos.
    Kamil Yavuz
    Hello, Here new my cartoons and photos.. http://www.kamilyavuz.com Free copy-dounload for you... In the "News" section... Could you please see... Here Tobacco company sales car... (This illegal...) This new photos... Kamil Yavuz- Anti smoking cartoonist
  • more info on smoke and mirrors
    ken shelton

    how will this movie be marketed. can it be purchased by local grass roots groups trying to show it to underaged youth? if so, who should we contact and what will it cost? thanks. We are seeking information on this, and will post an answer shortly. -ed.

  • Thanks!
    Wes Lombard

    Dear Bill,

    Thanks so much for an excellent article!! We can't be pro-active enough against the smoking cartel deceivers!!

    The MSA volume adjustment provision makes me sick!! How our government and people have been duped and diced!

    I recently read some facts about smoking in China and it said over 300 million in China now living will die prematurely from smoking!! Truly we have a challenge o...

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  • How did you quit?
    Carmen

    I found your very interesting......and I would very much like to know how you quit. My husband has been dipping since he was about 14. I hate it, my children hate it and he has tried to quit many times. It is interfering in our lives in many ways.....

    There are all kinds of things out there to help people to stop smoking, but i've never seen information suggesting that those who dip would need help quitting....

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  • New weapons for the arsenal?
    Ciaran O'Neill

    Dear Prof. Chaloupka,

    I read with interest your article in Tobacco Control "Curbing the epidemic: governments and the economics of tobacco control".

    Within the context of a hedonic pricing model a colleague and I recently ran a set of regressions relating cigarette prices to their characteristics (nicotine content, carbon monoxide content, tar level etc). Primarily the intent was to establish were all...

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  • Curious about smokeless tobacco amounts
    Angelyn Griffing

    Dear Jane,

    Thank you so much for your inspiring story. I'm trying to find out information regarding smokeless tobacco for an institutionwide project I'm coordinating. We are trying to estimate the amounts/servings of smokeless tobacco used by patients here. I am not sure how much snuff, smokeless tobacco, or pipes/cigars smoked would be considered an average daily amount. It has been difficult to quantify pat...

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  • Response to Dr Hill''s excellent article
    Rick Kropp

    Comprehensive Tobacco Control Strategies Impact Youth and Adults

    by Rick Kropp Tobacco Prevention and Policy Resources Santa Rosa, CA May 1, 1998

    Efforts to Prevent and Reduce Youth Smoking Also Help Reduce Adult Smoking, And Vice Versa

    As someone who has been falsely accused for many years of “just” being a youth access specialist and “just” focusing on youth tobacco prevention, I have dev...

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  • Omission in article
    Rick Kropp

    November 11, 1999

    In reading this otherwise excellent article on store tobacco sales policies in the latest issue of Tobacco Control, I find it troubling that it failed to mention the fact that the 1996 California YTPS (and 1995 YTPS) was conducted by the North Bay Health Resources Center in Petaluma, California.

  • Tobacco smoking and periodontitis
    RM Palmer

    Tobacco smoking and periodontitis. DAVID A. SCOTT1, MARK IDE2,3, RON F. WILSON1 AND RICHARD M. PALMER2 Dental Clinical Research1, Department of Periodontology and Preventive Dentistry2 and School of Dental Hygiene3, Guy's, King's and St. Thomas' Schools of Medicine, Dentistry and Biomedical Sciences, King's College London, UK.

    Chronic inflammatory periodontal disease (gum disease) is a major cause of tooth loss...

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  • Hear! Hear!
    Linda Russell

    Dr.Koop should be congratulated for his willingness to express himself without concern for the political correctness of this issue. I too, am a pro-life republican but am appalled to think that representatives of my government and the health care community (including the researchers) would be "bought" at a price costing so many lives.

    Please keep your ear to the public- hopefully you will begin to "hear" the ou...

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  • Second hand tobacco smoke/ETS, a definition.
    Albert Benson

    I believe we have come a long way when we are at the point that we are trying to define just what this toxic pollution really is. When I first started writing, about 15 years ago, I saw the need to define tobacco smoke polluted air which had been air conditioned and filtered but which still contained the gaseous elements which are in tobacco smoke in copious amounts. When the air is not entirely smokefree, filtering it thr...

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  • Hawaii Calling
    Graham Ellis

    As Director of a program very similar to '2 smart 2 smoke' l was thrilled to read of your study and positive results. Our tobacco use prevention show "Naturally High" targets the same audience with identical objectives and has been performed at over 89 schools in Hawaii and California since October 1996. It is a drama featuring six children performers using juggling, unicycling, stiltwalking, balancing and other circus...

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  • Re: Re: Re: Nomenclature re passive smoking
    Phillip Whidden

    I wonder if we are being a bit too condescending to the general public in this discussion about what to call passive smoking. I agree that this proliferation of terms is probably somewhat confusing. All of the terms currently in use by scientists and laypeople have their drawbacks. However, my experience in conversation with the wo/man in the street is that we are all fairly good at decoding our imprecise language....

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  • Re: Re: Nomenclature re passive smoking
    Allyn Taylor

    I agree with John Slade that ETS is not a satisfactory term and that a new term, incorporating the idea of pollution, should be utilized. I prefer to describe it as "environmental tobacco pollution."

    Incorporating the term "pollution" appropriately reflects that so called second hand smoke is more than just a mere nuisance as the tobacco industry claims. "Environmental tobacco pollution" adequately reflects the...

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  • Re: Nomenclature re passive smoking
    Eric Lindblom

    "Secondhand smoke" seems like the most unappetizing name for smoke inhaled by nonsmokers, and using the most unappetizing name possible should probably be the goal for those working to prevent and reduce smoking. [For the same reasons "spit tobacco" is a wonderful replacement for "smokeless tobacco."]

    While "involuntary smoking" has the right idea, refering to "involuntary smoke" sounds a bit odd.

  • Re: Re: Re: Nomenclature re passive smoking
    Phil Wilbur

    I applaud the effort to create consensus on how we should describe this stuff. To me, it's a strategic question: Which term is most likely to encourage support for clean indoor air regulations and most likely to generate negative feelings toward the manufacturers? Although my bet would be on "involuntary smoking", I don't have the evidence to back that up. But surely that evidence must exist somewhere! Was the question...

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  • Re: Nomenclature re passive smoking
    John Slade

    As described, there are problems with both the term "passive smoking" and "ETS", but on balance I think ETS has advantages.

    To be difficult, I'd propose a different term altogether, Tobacco Smoke Pollution. The problem is, basically, one of pollution, and its most useful comparisons are to other pollution problems. Persons exposed to tobacco smoke pollution can have their exposures described using the same syn...

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  • Re: Re: Re: Nomenclature re passive smoking
    D Gordon Draves

    I would prefer if we could move away from using ETS--Environmental Tobacco Smoke, because it was either developed by the tobacco companies or was gleefully adopted by them. The term ETS is benign while the actual product is extremely dangerous. Some suggestions for substitutes would be TSP--tobacco smoke pollution, TSP--tobacco smoke poisons, TST--tobacco smoke toxins, TTS--toxic tobacco smoke. However, all except the f...

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  • Re: Re: Nomenclature re passive smoking
    Tac Tacelosky

    If Tobacco Control is looking for input as to what name to use, I urge "Secondhand Smoke". ETS is a great term for those that don't like to type, but it's a very neutral term. People hate secondhand smoke, they don't care much about ETS.

    Passive Smoking and Involuntary Smoking are good terms, but I don't think they'll catch on.

    Congrats to Tobacco Control for a great launch into Cyberspace!

    ...

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  • Re: Re: Nomenclature re passive smoking
    Simon Chapman

    Ron: "secondhand" implies to me "used". So it seems to apply more to the exhaled component of the total ETS mix than it does to the sidestream component. Before the sidestream component is inhaled by those exposd, it has yet to be "used" in this anthropocentric perspective on the subject.

  • Re: Nomenclature re passive smoking
    Ron Davis

    Simon:

    In your note, you appear to use "secondhand smoke" to refer to exhaled smoke. However, it seems as if many people use secondhand smoke synonymously with ETS, and that's how I use it. People talk about nonsmokers' exposure to secondhand smoke, but nonsmokers' exposure is typically to ETS, which is made up of exhaled smoke PLUS sidestream smoke. It would be difficult for someone to be exposed to pure exha...

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  • Nomenclature re passive smoking
    Simon Chapman

    Tobacco Control's editors have never developed a formal policy about which nomenclature we should adopt as the preferred way of writing about passive smoking. This present article, which has attracted huge international media attention, is a good example. Its title contains the term "passive smoking" and its text frequently uses ETS (environmental tobacco smoke). Our technical editor has recently requested clarification...

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  • Punish all smokers that won''t stop with a new law.

    I work at a radiostation in Amsterdam - The Netherlands, in the on-air studio directing the show, doing editing and mixing and so on. I have to work together with 1 other in the same room. This is usually a smoker.

    I will simply get fired if I would even ask my co-workers to stop smoking. You have to get this through to the LAW a.s.a.p. maybe then I stand a chance...

    I sure as hell have felt these conseq...

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  • Additional barriers and solutions to enforcement of youth access laws
    Rick Kropp

    Dear Editor:

    In their article, “Impediments to the enforcement of youth access laws” in your Summer 1999 issue of Tobacco Control, Drs. Joseph DiFranza and Nancy Rigotti identified and explored some of the major barriers to active enforcement of minimum age- of-sale tobacco laws. Through their work, Drs. DiFranza and Rigotti have made substantial contribution to the limited research on why tobacco sales laws are...

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  • Florida Jury Finding May Constitute "Crime Against Humanity"
    Richard A Daynard

    In his letter, Neil Francey points out that the definition of "crimes against humanity" includes "inhumane acts... intentionally causing great suffering".

    On July 7, 1999 a jury in the Engle class action case in Florida answered the question: "Have Plaintiffs proven that one or more of the Defendant Tobacco Companies engaged in extreme and outrageous conduct or with reckless disregard to cigarettes sold or sup...

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  • Cecilia Farren
    I saw that Tobacco Control was now online from a message Simon Chapman posted on Globalink. I tried it and here it all is for everyone to see. I only get to see the work copy if I go to another city as it is in the library there. Now to have it online is heaven. I wish I could see the whole cover as that picture is really 'In your face'. Anyway just to say hi! and thank you for this trial period online.
  • Step forward the real Tobacco Control
    Clive Bates

    Congratulations on the excellent new on-line Tobacco Control and hats off to RWJ and BMJ Publishing. The cross referencing and interactive features represent a step change in the value of the publication and a new front in the efforts to contain the tobacco epidemic. If Philip Morris was worried before, then it will be more worried now.

    Perhaps now is the time to rethink our relationship with the house journal o...

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  • Address smoking in student nurses
    Edwin van Teijlingen

    Ohida et al. provide us with an useful overview of smoking amongst female nurses in Japan. They suggest that smoking cessation programmes should be incorporated into nursing education and in-hospital education. This is an important health education recommendation, especially since tobacco consumption is relatively high amongst student nurses. For example, we found that in Scotland nursing students were more likely to...

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  • Congratulations on launching eTC
    Ron Davis

    Dear editor:

    I'm not sure if this electronic letter meets your guideline that it "contribute substantially to the topic under discussion," but I do want to congratulate you for moving "Tobacco Control" into cyberspace. eTC looks great, and will be an invaluable service to tobacco reseachers and tobacco control advocates throughout the world.

    Ron Davis Henry Ford Health System Detroit, Michigan, USA rdavi...

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  • Gloria Tuttle

    Dear Jane,

    Thank you for sharing your story about your tobacco chewing habit and that you quit this terrible habit. It makes me proud to know that my husband Bill was the initiating factor in your decision to quit. I know it was a very hard thing to do, and I applaud you for your strength to do so. I only wish my husband had had someone tell him the devastating effects of chewing tobacco. I miss my husband v...

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