To understand why
ventilation systems have
little effect in smoke-filled
environments, read

"Air Filtration"? That's Just
Tobacco Companies
Blowing Smoke Again"

"The Health Consequences
of Involuntary Exposure to
Tobacco Smoke: A Report of
the Surgeon General"
excerpted (2006)
(Word doc)

"Third Hand Smoke: Is It A
Threat To Your Health?"
WINDOW ROCK, June 26, 2008

After the sweeping anti-tobacco campaigns of the '90s,
is tobacco use still a big problem?
Window Rock Tribal Park
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FEWER HEART DISEASE DEATHS IN MASSACHUSETTS AS SMOKING DECLINES
Source: Newswise    Date: 2008-06-19  Source: Health Behavior News Service,
patricia.warin@apha.org,    (202) 777-2511
If more states introduce tobacco control programs for their residents who are regular smokers, the
number of U.S. deaths due to coronary heart disease might drop, finds a new study that looks at an
ongoing Massachusetts initiative.

A connection exists between coronary heart disease and cigarette smoking, and the new study
determines how a reduction in smoking affected the number of related deaths in Massachusetts
between 1993 and 2003. The state introduced its Massachusetts Tobacco Control Program (MTCP) in
1992, which received funding through a special cigarette tax, and the researchers say they expected to
find it helped control the rate of smoking.

“California was the first state to have a statewide program like the MTCP and they witnessed substantial
declines,” said lead author Zubair Kabir, M.D., who at the time of the study was a research fellow at the
Harvard School of Public Health. “So it was not surprising that Massachusetts, the second state, would
see such declines as well, which reflect the impact of a comprehensive, integrated and — at the time —
well-funded program.”

The study appears in the August issue of the
American Journal of Public Health.

Kabir and his colleagues examined data from daily smokers ages 25 to 84. They found that between
1993 and 2003, coronary heart disease mortality declined 31 percent — from 199 deaths to 137 deaths
per 100,000 persons each year. Smoking prevalence declined from 20.5 percent to 14.5 percent

Based on these results, the researchers calculated that 425 fewer coronary heart disease deaths were
attributable to decreased smoking during the 10-year period. They concluded that expanding
comprehensive tobacco control programs, such as MTCP, to other states could avoid more tobacco-
related disease deaths.

Audrey Ferguson, health promotions manager at the American Lung Association of Indiana, agreed with
the authors’ conclusion.

“The American Lung Association strongly supports comprehensive statewide tobacco control efforts,
including increased tobacco taxes and smoke-free workplace legislation,” she said. “We recognize that
tobacco use does not affect just the lungs or the heart of the tobacco user. Everyone would see health
benefits from a comprehensive tobacco control plan.”
http://www.newswise.com/articles/view/541899/?sc=rsmn
Thanks to Tobacco.org
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University of Arkansas Tobacco-Free Policy Goes into Effect July 1
2008-06-24, urelinfo@uark.edu, (479) 575-6785     http://dailyheadlines.uark.edu/13089.htm
The University of Arkansas will become one of the first major universities in the country to be completely tobacco-free.

FAYETTEVILLE, Ark. – The University of Arkansas
will become one of the first major universities in
the country to be completely tobacco-free
when
the policy prohibiting use of all tobacco products goes
into effect on July 1.

The policy decision was announced to the public and
the university community in May of 2007. The
announcement was made more than a year in
advance to help the campus community and its
visitors adjust to the change. In 2001 the University of
Arkansas joined many other campuses across the
nation to ban smoking in its buildings and within 25
feet of all building entrances.
University of Arkansas fans
faculty, staff and visitors. It is expected that all
students, faculty, staff and campus visitors comply
with this policy. Members of our campus community
are empowered to respectfully inform others about
the policy in an ongoing effort to enhance
awareness and encourage compliance.

The tobacco-free policy is being marketed through
a comprehensive campaign known as “Fresh.”
Scott Flanagin, director of communications and
outreach for the Division of Student Affairs has
headed up the marketing efforts for the policy, and
worked with an award-winning student group,
known as UA Productions, to create the concepts
and the materials, right down to the Web site: http:
//fresh.uark.edu.
This step to being a completely tobacco-free campus puts the university in a national leadership role in
the area of health on college campuses. Since the policy was announced and the marketing campaign,
known as “Fresh,” began, people from several colleges across the nation have called university officials
to get information about how they might create a similar policy on their campuses, and to find out what
kinds of issues could arise when making this kind of policy decision.

The University of Arkansas' tobacco-free policy was developed by Mary Alice Serafini, assistant vice
chancellor for student affairs and director of the Pat Walker Health Center. She used a model provided
by the federal Centers for Disease Control. Students in a substance-abuse prevention class made
several suggestions; campus administrators and other student groups were consulted; and the
University of Arkansas for Medical Sciences’ College of Public Health and the Northwest Arkansas
Tobacco-Free Coalition provided support information.

The policy is clear and states:

1. Smoking and the use of tobacco products (including cigarettes, cigars, pipes, smokeless tobacco and
other tobacco products) by students, faculty, staff and visitors are prohibited on all University of
Arkansas properties.
2. Effective July 1, 2008, the use of tobacco products (including cigarettes, cigars, pipes, smokeless
tobacco, or other tobacco products) is prohibited at all times:

    * In all interior space on the University of Arkansas campus.
    * On all outside property or grounds of the University of Arkansas campus including partially
    enclosed areas such as walkways, breezeways and bus shelters.
    * In University of Arkansas vehicles, including buses, vans and all other university vehicles.
    * In all indoor and outdoor athletic facilities, as well as the grandstands of outdoor facilities.

Adherence to the policy cited above is the responsibility of all University of Arkansas students,
Picture above by http://pictopia.com/perl/ptp/hogwired/?ptp_photo_id=2507351     University of Arkansas        Thanks to Tobacco.Org
Smoking's hidden death toll revealed
Scots scientists have identified one million more cancer fatalities caused by cigarettes
22 June 2008      By Murdo MacLeod   ScotlandOnSunday
SMOKING causes hundreds of thousands more deaths each year than previously thought, dramatic
scientific research has revealed.
A study, led by experts in Glasgow, showed heightened chances of dying from cancers of the colon,
rectum and prostate, as well as from lymphatic leukaemia.

These illnesses cause 930,000 deaths worldwide each year, in addition to more than five million
smoking-related deaths estimated by the World Health Organisation as being caused by diseases such
as lung cancer, which have long been linked to smoking.

Scotland's health minister and anti-smoking campaigners have welcomed the study as further proof of
the need to clamp down on the habit.

About 13,000 Scots a year die of lung cancer and other smoking-related diseases, such heart illnesses.
Another 1,600 people die in Scotland each year from the cancers newly linked to the habit.

The Scottish Government last month unveiled controversial new plans to curb smoking, by proposing a
ban on cigarettes being displayed in shops. And ministers south of the border have suggested
scrapping packs of 10 cigarettes because of their popularity among young smokers.

The new study, which has been published in the journal Annals of Oncology, was carried out by a team
led by experts at Glasgow University and was based on data from 17,363 male civil servants based in
London.

Information about their health and habits has been collated since the 1960s in an effort to gain
information about health trends and find links between lifestyle and illness. The original link between
smoking and lung cancer was found through similar analysis of medical data.

The study found:

• A 43% increase in the chances of dying from cancer of the colon if the person smokes.

• A 40% higher likelihood of dying from rectal cancer.

• An increase of 23% in the chances of losing one's life to prostate cancer.

• A 53% rise in mortality from lymphatic leukaemia among smokers.

The study concluded: "Cigarette smoking appears to be a risk factor for several malignancies of
previously unclear association with tobacco use."

Dr David Batty, of the Medical Research Council Social and Public Health Sciences Unit, based at the
University of Glasgow, said: "What this study shows is that smoking is linked to more kinds of cancer
than previously thought. It's important to remember that cancer is not a single disease and that the
various kinds of cancers are different illnesses so you couldn't necessarily assume that smoking was
linked to them in the same way. What's unclear is how exactly smoking causes these cancers."

Health Minister Shona Robison said: "This study appears to demonstrate that smoking is even more
carcinogenic than was realised.

It also underlines the importance of Scotland's smoking ban in public places, which is helping to
safeguard the health of thousands of people working in previously smoky environments."

Sheila Duffy, chief executive of Action on Smoking and Health Scotland, said: "This large-scale study
adds to the weight of existing research confirming the harmfulness of smoking. It's vital that smokers
receive support and encouragement to quit and as a nation we take steps to ensure future generations
avoid getting hooked on this lethal and highly addictive substance."

Ed Yong, health information manager at Cancer Research UK, said: "The dangers of cigarette smoke go
far beyond its well-known link to lung cancer. It's interesting to see that even after 50 years of research,
studies are still revealing new dangers."

However, one leading medical experts questioned the conclusions.

Fouad Habib, professor of experimental urology at Edinburgh University, and an expert in prostate
cancer, said: "This study is bit of a surprise and very much the first of its kind. Until now it's not been
thought that there was any link between smoking and prostate cancer and I would have thought that
there are factors which play a much greater role, such as genetics."
Glasgow, Scotland
http://scotlandonsunday.scotsman.com/latestnews/Smoking39s-hidden-death-toll-revealed.4210640.jp  Thanks to Tobacco.Org
Anti-tobacco supporters cite health, teen use
By Chee Brossy     Navajo Times
Click to visit the Navajo Times
According to the Navajo Nation's Division of Health and a number of local organizations, it is. And they
are pushing the Navajo Nation Council to pass a tobacco-free act during its summer session later this
month.

It should be noted from the outset that the advocates, and the legislation sponsored by Delegate
Thomas Walker Jr. (Birdsprings/Leupp/Tolani Lake), make a distinction between the native plant used in
traditional ceremonies of many tribes and the smokes, chew and snuff peddled by tobacco companies.
Peter Nez and Leland Fairbanks
The act would prohibit the use of commercial tobacco
in public places, places of employment - including
casinos - and private vehicles when children are in
the vehicle. It will not affect the use of traditional
tobacco used in Navajo ceremonies.

Laws to prohibit tobacco use in public places are
primarily aimed at reducing exposure to secondhand
smoke, now recognized as a serious public health
threat. But the debate inevitably focuses attention on
the users.

And on the Navajo Nation, the highest percentage of
users are young - many too young to buy tobacco
legally.
Leland Fairbanks, left, president of Arizonans Concerned
About Smoking, and Peter Nez, program manager with the
Southwest Navajo Tobacco and Education Prevention
Project, are thankful for a unanimous vote by the Ethics and
Rules Committee to present their proposal for a smoke-free
reservation to the Navajo Nation Council during the summer
session, which begins July 21.
In 2005, 36 percent of Navajo high school students reported current use of cigarettes, according to
survey data collected by the Division of Health. Compare that figure to the national average of 19.7
percent and there is a problem, said Dr. Patricia Nez Henderson, an adviser to the coalition of public
and private entities seeking passage of the tobacco-free act.

"These rates are very startling," Nez Henderson said in a phone interview from Rapid City, S.D., where
she is vice president of the Black Hills Center for American Indian Health.

"If we're talking about a third of the youth population smoking - that's outrageous! Fourteen to 20 years
down the road they'll develop cancers that we're not familiar with: lung, bladder, cervical, and stomach
cancer," she said.

Their children and family members, meanwhile, are being exposed to secondhand smoke and face
increased risks for a host of health problems, as well.

The new norm

Historically, the Navajo Nation had far lower than average rates for tobacco-related disease because
smoking, in particular, was rare. Among Navajos who identified themselves as smokers, the rate of use
was far lower than in the U.S. as a whole, according to federal surveys dating back to the 1970s.

But as Navajo teens are increasingly exposed to mainstream culture, tobacco use is seen by many as
cool.

Nez Henderson, who is originally from Teesto, Ariz., urged Navajos not to be passive about teen tobacco
use.
"(Teen smoking) has become acceptable to
the community, we accept it as normal," she
said. "When Navajo youth are either
chewing or smoking we don't take a second
look anymore. It's become normal for us.

"As a physician this is not the norm," Nez
Henderson said.

As far back as 1994, National Institute on
Drug Abuse studies began ranking tobacco
as more addictive than heroin. While its
ranking among addictive substances is
debated, Nez Henderson said, "When
addiction has become part of the norm, then we have a problem."

Peter Nez (no relation to Nez Henderson), program manager of Southwest Navajo Tobacco Education
Prevention Project, agreed that the Navajo Nation must see the issue of tobacco use on the reservation
as a priority in health.

"Until we realize the damage to the kids (resulting from tobacco use) we won't address the issue," Nez
said, pointing to other problems for teen smokers.

"Smoking is associated with alcohol use, domestic abuse, teen pregnancy, and poverty," he said. "It's
going to take everyone working together to solve this problem. Policy is one way of doing that."
Thanks to Navajo Dr. Patricia Nez-Henderson for bringing this article to our attention.
Please read the entire article here:   http://navajotimes.com/news/070308tobacco.php
'Excerpt of article continues here with "Tobacco reaching teens..."'
Some Poor Households Opt For Cigarettes Over Food
Link to Medical News Today
Medical News Today       02 Jul 2008
Cigarettes or adequate food is a tough choice for some poor families, according to a new study from the
Centers for Disease Control and Prevention (CDC).

The researchers found that of low-income families, those containing a household head or spouse who
smoked cigarettes were at about 6 percent higher risk for being "food insecure" not always able to put
enough food on the table.

Such families purchase, on average, 10 packs of cigarettes per week, spending around $33.70 enough
to add two pounds of ground beef, two pounds of chicken breasts, 64 ounces of fresh orange juice and
10 pounds of frozen vegetables to the weekly menu, at current supermarket prices.
Panhandler spends some of donated cash on cigarettes. Click pic for whole story.
The study appears in the July/August issue of the American Journal of Health
Promotion.

Brian Armour, Ph.D., led the researchers, who analyzed data from the 2001
Panel Study of Income Dynamics, a long-term study of U.S. men, women, and
children and families. They looked at the connection between smoking and the
lack of consistent and dependable access to nutritious food, while controlling for
other socioeconomic factors and behavioral health choices.

The choice between smoking and having more food might seem like a
no-brainer, but this is not the case, said Terry Pechacek, associate director of
science for the CDC's Office on Smoking and Health. "Smoking is an addiction
that gets established in adolescence, before individuals fully understand the
long-term implications of their behavior," he said. "Poor families suffer the
long-term health impact."

The results did not surprise Sonia Duffy, a research investigator for the VA Ann
Arbor Healthcare System and University of Michigan Schools of Nursing and
Medicine. "Our research has shown that poor health behaviors do cluster
together," said Duffy, who was unaffiliated with the new study. However, she said
that the study does not consider whether people in the study also suffered from depression, which is
common in lower socioeconomic populations and could correlate with smoking.

"Providing access to cessation services will help people quit," Armour said. "The most important things
are the health benefits associated with quitting, and a byproduct might be to free up funds to end food
insecurity."
The intersection at
Northeast 12th Avenue
and Sandy Boulevard is
prime turf for flaggers who
jealously guard their
territory. Above, Brian
May, 19, works the corner,
where he sometimes
trades signs with his
friend Jason Gibson.
"I
make 10 to 15 dollars, get
cigarettes and food,"
May
says.
Armour BS, Pitts M, Lee C-W. Cigarette smoking and food insecurity among low-income families in the United States, 2001. Am J Health
Promo 22(6), 2008.
Article URL: http://www.medicalnewstoday.com/articles/113610.php
Thanks to: Karen Zielaski, Project Director, Healthy Policies, E-mail: healthypolicies@earthlink.net Office: 1(520)290-0032
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Secondhand Smoke
and Nevada
Casino Workers
Exposure and Health
Risks
Powerpoint By Dr. Chris A.
Pritsos
/ University of
Nevada / Reno, Nevada
Sincere thanks to Dr Pritsos
for his kind permission to
share this PowerPoint.
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