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Also see message to teenage smokers (some news releases in that file)
Also see vitaminC.html
Also see misc_health.html



Tobacco companies are targeting the half billion young people in the Asia Pacific region by linking smoking to glamorous and attractive lifestyles, the U.N. World Health Organization said Friday.

-------------

BOSTON - A Massachusetts study suggests that restaurant smoking bans may play a big role in persuading teens not to become smokers. Youths who lived in towns with strict bans were 40 percent less likely to become regular smokers than those in communities with no bans or weak ones, the researchers reported in the May issue of the Archives of Pediatrics & Adolescent Medicine.

--------------

LONDON - As little as five minutes of exercise could help smokers quit, says a new study. Research published in the international medical journal Addiction showed that moderate exercise, such as walking, significantly reduced the intensity of smokers' nicotine withdrawal symptoms.

-----------------

MUNICH, Germany - Women typically get heart disease much later than men, but not if they smoke, researchers said Tuesday. In fact, women who smoke have heart attacks nearly 14 years earlier than women who don't smoke, Norwegian doctors reported in a study presented to the European Society of Cardiology.

---------------------

Secondhand Smoke Leaves Kids Prone to Severe Infections

In addition to developing asthma and respiratory infections, children in households where someone smokes are more likely to catch a whole range of severe infections, including meningococcal disease. Many even have to be hospitalized, a new study found.

-----------------

WASHINGTON - More than one in 10 pregnant women smoke, and new research suggests many of them also may suffer from depression, making kicking the habit even harder.

-----------------

NEW YORK (Reuters Health) - Otherwise healthy men who smoke risk developing erectile dysfunction -- and the more cigarettes they smoke, the greater the risk of erectile dysfunction, according to a new study.

------------------

WASHINGTON - A federal judge ruled Thursday that the nation's top cigarette makers violated racketeering laws, deceiving the public for years about the health hazards of smoking, but said she couldn't order them to pay the billions of dollars the government had sought.

-------------------

GENEVA (AFP) - The World Health Organisation said Friday that only a total ban on all forms of tobacco advertising can stop the "constantly mutating virus" of the marketing industry and protect vulnerable young people.

================================================================================================================


Dec 2008

ATLANTA – A smoking ban in one Colorado city led to a dramatic drop in heart attack hospitalizations within three years, a sign of just how serious a health threat secondhand smoke is, government researchers said
Wednesday. The study, the longest-running of its kind, showed the rate of hospitalized cases dropped 41 percent in the three years after the ban of workplace smoking in Pueblo, Colo., took effect. There was no such drop in two neighboring areas, and researchers believe it's a clear sign the ban was responsible.

==============

Men who smoke more than a pack of cigarettes a day are nearly 40 percent likelier to suffer from impotence than non-smokers, says a study.

=======================================================

Smoking, Cancer Deaths Linked at p53 Gene

By Karin Twilde

     Researchers at the School of Medicine have uncovered the

most conclusive evidence to date linking cigarette smoking to

cancer. Their findings, reported in the March 16 issue of the New

England Journal of Medicine, represent the strongest molecular

link between cigarette smoking, the most common cause of

cancer-related death, and mutation of the p53 gene, the most

common cancer-related genetic mutation.

 

 

California Declares Secondhand Smoke a Toxic Air Contaminant

January 31, 2006

 

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News Summary

 

 

 

Regulators in California -- which often leads the nation on health and environmental issues -- have officially named secondhand tobacco smoke as a toxic air contaminant, setting the stage for further restrictions on smoking in the state, Reuters reported Jan. 26.

=======================================================

AP:

 

 

Nev. Study Links Casino Smoke, DNA Damage

 

Mon May 15, 8:23 PM ET

 

RENO, Nev. - Five years of research led by a University of Nevada, Reno department head in Reno and Las Vegas casinos have concluded there is a direct correlation between exposure to secondhand smoke in the workplace and damage to the employees' DNA.

 

"The more they were exposed to environmental tobacco smoke, the more the DNA damage, and that's going to lead to a higher risk of heart disease and cancer down the road," said Chris Pritsos.

 

Funded by a $2.5 million grant from the

National Institutes of Health, the clinical trial followed 125 employees who work on the gambling floors of casinos in both northern and southern Nevada.

 

 

=======================================================

 

 

Smokers At Higher Risk for Erectile Dysfunction

 

By Steven Reinberg

HealthDay Reporter Thu Mar 23, 11:47 PM ET

 

THURSDAY, March 23 (HealthDay News) -- Smoking can shorten lives, and a new study finds it may also hamper men's sex lives.

Researchers say men who smoke a pack of cigarettes or more a day are nearly 40 percent more likely to have erectile dysfunction compared with nonsmokers.

 

 

=======================================================

================================================================================================================

================================================================================================================

Passive smoking is breast cancer risk factor

By Michelle Rizzo Fri Dec 2, 2005

NEW YORK (Reuters Health) - The results of studies "with thorough passive smoking exposure assessment" indicate that passive smoking raises the risk of breast cancer, especially in premenopausal women, to a similar degree as active smoking.

--------------------

Secondhand Smoke Linked to Cervical Cancer

Fri, Jan 21, 2005

By Anthony J. Brown, MD

NEW YORK (Reuters Health) - Exposure to secondhand smoke appears to increase the risk of cervical cancer, albeit to a lesser extent than active smoking, new research shows.

"There was good reason to think that passive smoking might be associated with cervical cancer, given the link with active smoking," Dr. Anthony J. Alberg, from Johns Hopkins University in Baltimore, told Reuters Health.
---------------

Mar 10, 2005

Report Links Second-Hand Smoke, Cancer

By BETH FOUHY, Associated Press Writer

SAN FRANCISCO - Scientists at an influential state agency have completed a draft report linking second-hand smoke to breast cancer, a finding that could lead air quality regulators to strengthen the state's indoor smoking laws.

It's the first major report to draw that connection, and one of many findings about the health effects of so-called environmental tobacco smoke, or ETS.

The 1,200-page report drafted by scientists at the Office of Environmental Health Hazard Assessment draws on more than 1,000 other studies of the effects of second-hand smoke and details a range of health problems caused by exposure to it. These included respiratory complications, heart disease and several cancers, many of which have been extensively documented.

But the report also establishes a connection between so-called passive smoking and breast cancer — a disease that kills about 40,000 women in the United States each year.

-----------------------

Study: Cigarette Smoke May Harm Fertility

By EMMA ROSS, AP Medical Writer Thu May 26,2005

GENEVA - New research suggests that exposure to other people's cigarette smoke may damage a woman's fertility, especially if she needs the help of an infertility clinic to get pregnant.

-------------------

Smoking Ups Impotence Risk in Younger Men

Feb 25 2005

    Health - Reuters  

By Amy Norton

NEW YORK (Reuters Health) - Adding to evidence that smoking is bad for a man's sex life, new study findings show that smoking may raise the risk of impotence, particularly in younger men.

Researchers found that among the more than 1,300 men they followed, those who smoked were at greater risk of erectile dysfunction (ED) than either former smokers or non-smokers.

---------------------

 Thu, Sep 23, 2004

Ex-FDA Chief: Tobacco Cos. Fed Addiction

    Add Business - AP to My Yahoo!  

By NANCY ZUCKERBROD, Associated Press Writer

WASHINGTON - The former head of the Food and Drug Administration (news - web sites) came under cross- examination Thursday after testifying that cigarette makers manipulated nicotine to keep smokers addicted, a central allegation in the federal government's $280 billion lawsuit against the industry.
------------------------------------------

Feds: Tobacco Firms Worked Together
   Tue, Sep 21, 2004
    Add Business - AP to My Yahoo!  

By NANCY ZUCKERBROD, Associated Press Writer

WASHINGTON - Tobacco companies, desperate to maintain their hold on tens of millions of American smokers, worked together for decades to deceive the public about the dangers of cigarettes and to encourage the young to start puffing, government lawyers said Tuesday at the start of a racketeering trial.
Justice Department (news - web sites) lawyers pointed to numerous statements by industry executives that created doubt among smokers about whether the habit was harmful and whether they really needed to kick it.

"Defendants' strategy of denial worked, and they knew it," Justice lawyer Sharon Eubanks told U.S. District Judge Gladys Kessler.

----------------------
More Seek Help for Marijuana Addiction

Fri Mar 4, 2005
     Top Stories - AP  

By KEVIN FREKING, Associated Press Writer

WASHINGTON - Treatment rates for marijuana nearly tripled between 1992 and 2002, the government says, attributing the increase to greater use and potency.

"This report is a wake-up call for parents that marijuana is not a soft drug," said Tom Riley, a spokesman for the White House Office of National Drug Control Policy. "It's a much bigger part of the addiction problem than is generally understood."

------------------------------

Study: Cigarettes Cost Society $40 a Pack

Thu Nov 25, 2004    Health - AP  

DURHAM, N.C. - Cigarettes may cost smokers more then they believe. A study by a team of health economists finds the combined price paid by their families and society is about $40 per pack of cigarettes.

"It will be necessary for persons aged 24 and younger to face the fact that the decision to smoke is a very costly one — one of the most costly decisions they make," the study's authors concluded.

Smokers pay about $33 of the cost, their families absorb $5.44 and others pay $1.44, according to health economists from Duke University and a professor from the University of South Florida. The study drew on data including Social Security (news - web sites) earnings histories dating to 1951.

------------------

Secondhand smoke costs nearly $10 bln in U.S.-study

Wed Aug 17 2005

NEW YORK (Reuters) - The effects of secondhand smoke in the United States cost nearly $10 billion every year, according to a study released on Wednesday.
ADVERTISEMENT


The Society of Actuaries said that the direct costs of secondhand smoke exposure are $4.98 billion, including expenses related to the treatment of heart disease, chronic pulmonary disease, lung cancer, asthma and other sicknesses.

The study also detailed indirect costs of $4.68 billion, stemming from lost wages, reduced services and costs associated with disabilities.

"While the health effects of secondhand smoke are reduced in comparison to active smoking, the number of people exposed is so large that the costs are substantial," Society of Actuaries fellow Donald Behan said in a statement.

The group measured the costs by examining more than 200 studies that have been published since 1964 on the effects of environmental tobacco smoke.

=============
Smoking, even second-hand, ups risk of eye diseaseWed Dec 21,2005 PM ET

NEW YORK (Reuters Health) - Smoking cigarettes, or living with someone who does, increases a person's risk of developing a progressively degenerative eye disease known as age-related macular degeneration or AMD, according to a study conducted in the UK.
ADVERTISEMENT
   

"Smoking puts you at increased risk of losing your sight in old age and the more you smoke the higher the risk," Dr. John Yates from the University of Cambridge told Reuters Health. "Smoking also increases the risk for the people living with you. So these are two good reasons to stop smoking."

AMD is the leading cause of reduced vision and blindness in many European countries and the US. A person's risk of developing the disease increases with age.

======================

Smoking lowers chances of surviving throat cancer

By Graciela Flores Fri Dec 9, 2005

NEW YORK (Reuters Health) - For people with cancer of the larynx or lower pharynx, continuing to smoke or drink alcohol make it less likely that they'll survive, while eating a diet rich in vegetables and vitamin C improves their survival, a new study shows.
"One might think, now I that have cancer, what's the point of stopping smoking? But there is clearly a benefit in doing that; it will improve your survival," Dr. Rajesh P. Dikshit commented to Reuters Health.

Tobacco smoking, alcohol drinking, and diet have all been linked to the development of cancer in the larynx, or voicebox, and the area immediately above it at the back of the throat, the hypopharynx. However, little was known about the role of these risk factors on the survival of patients with these cancers.

===============================

Smoking may increase risk of depression
Reuters - Fri Jun 1, 12:00 PM ET
 
NEW YORK (Reuters Health) - Persistent smokers appear to be at increased risk for becoming depressed compared to never smokers, results of a long-term study of Finnish twins suggest. On the other hand, this association was not seen in individuals who stopped smoking many years ago.

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List Linking Smoking to Diseases Expands

 

2004

 

By NANCY ZUCKERBROD, Associated Press Writer

 

WASHINGTON - The list of diseases linked to smoking grew longer Thursday. Add acute myeloid leukemia, cancers of the cervix, kidney, pancreas and stomach, abdominal aortic aneurysms, cataracts, periodontitis and pneumonia.

 

==================

 

Smokers, Drinkers Show Gene Changes in Mouth Cells

 

Thu Jul 1, 2004

          

            Add Health - Reuters to My Yahoo!

 

By Amy Norton

 

NEW YORK (Reuters Health) - Many healthy people who smoke or drink may have a genetic alteration in the cells of the mouth and throat that could signal an increased risk of developing cancer, according to researchers at the University of Hong Kong.

 

======================

U.N.: Smoking Kills People Seconds Apart

 

Fri May 28, 1:52 PM ET

          

            Add Health - AP to My Yahoo!

 

By SAM CAGE, Associated Press Writer

 

GENEVA - One person dies from a tobacco-related disease every 6 1/2 seconds, the head of the U.N. health agency warned Friday ahead of its annual World No Tobacco Day.

 

=====================

Cigarettes Rob Smokers of 10 Years of Life

 

2 hours, 45 minutes ago

          

            Add Health - Reuters to My Yahoo!

 

By Patricia Reaney

 

LONDON (Reuters) - Cigarette smokers die on average 10 years earlier than non-smokers but kicking the habit, even at 50 years old, can halve the risk, according to half a century of research reported on Tuesday.
=================
Study: Marijuana smokers' sperm slow
Tuesday, October 14, 2003

WASHINGTON (Reuters) -- Sperm in men who smoke marijuana regularly lose stamina and burn out which may prevent conception, said a study released Monday.

The study by the State University of New York in Buffalo, New York, is the first to focus on the swimming patterns of sperm in men who smoke marijuana, the authors say.

"The sperm from marijuana smokers were moving too fast too early," said Lani Burkman, lead author of the study, in a statement.

"To attach itself to the egg, the sperm has to swim like mad -- that's hyper activation -- and they have to be vigorous at the right time," Burkman said. "Smoking marijuana messes up the natural regulatory system."

"The timing was all wrong. These sperm will experience burnout before they reach the egg and would not be capable of fertilization."

The study, released at the annual conference of the American Society of Reproductive Medicine in San Antonio, found that men who smoke marijuana have less sperm because of lower quantities of seminal fluid compared to fertile men.

One of the ingredients of marijuana, tetrahydrocannabinol, or THC, is the psychoactive chemical that causes people to feel "high."


=============

Smokers: increased risk of prostate cancer

SEATTLE, July 14 2003  -- A new study indicates long-term, heavy smoking doubles the risk of aggressive prostate cancer in middle-aged men.

Science Daily magazine said the study shows men under the age 65 with a history of 40 or more "pack-years" (those who smoke a pack a day for 40 years or two packs a day for 20 years) face a 100 percent increased risk -- or double the risk -- of developing more aggressive forms of the disease, as compared with nonsmokers.

Such men with heavy smoking exposure also face a 60 percent increased risk of prostate cancer overall. Compared with nonsmokers, current smokers experienced a 40 percent increase in the risk of prostate cancer.

==================================

april 1, 2003

Mont. Smoking Ban Cuts Heart Attacks

By DANIEL Q. HANEY, AP Medical Editor

CHICAGO - Heart attacks in Helena, Mont., fell by more than half last summer after voters passed a broad indoor smoking ban, suggesting that cleaning up the air in bars and restaurants quickly improves health for everyone, a study found.

Doctors said their study, which they described as a kind of "natural experiment," is the first to examine what happens to public health when people stop smoking - and breathing secondhand smoke - in public places.

The doctors, themselves backers of the ban, acknowledged the effects need to be demonstrated in a larger locale. But despite the small numbers involved, they said Helena's experience offers a clear hint that the change reduces the risk of heart attacks for smokers and nonsmokers alike from virtually the moment it goes into effect.

People who worry about secondhand smoke often fear lung cancer most, but that takes years of exposure.

Smoking is also a powerful trigger of heart attacks and it works quickly to increase the risk by raising blood pressure, increasing the tendency of blood to make clots and other ways.


===========================================

Sat May 31, 2003 4:56 PM ET
Add Science - Reuters to My Yahoo!

CHICAGO (Reuters) - The leading U.S. group of cancer physicians on Saturday urged an immediate $2-per-pack increase in taxes on cigarettes and other steps to curb smoking, which is projected to kill a billion people worldwide this century.

 

"Oncologists see the end product from smoking. To see a preventable form of cancer is a tragedy," said Dr. Paul Bunn, president of the American Society of Clinical Oncologists

one-third of all U.S. cancer deaths relate directly to tobacco. If current trends hold, 1 billion people will die this century from tobacco-related illnesses compared to 100 million in the last century.
and live in conflict of wanting to stop but can not. That is addiction, and that is what the cig co does not want its young preys (victims/targets) to know. Every smoker suffers wheter they admit ir or ignore it or not.

 
 
Smokers' Sense of Time Examined in Study
Wed May 14, 2003 7:57 AM ET
   

   

By DAN LEWERENZ, Associated Press Writer

STATE COLLEGE, Pa. - For smokers separated from their cigarettes, time seems to stand still. New research indicates there's good reason for that.


     

Time perception, one of the simplest indicators of a person's ability to concentrate, is severely impaired after just one day without cigarettes, according to a study in the current quarterly issue of the Psychopharmacology Bulletin.

In the study, 22 nonsmokers and 20 smokers were asked — after 45 seconds — how much time they thought had passed. Nonsmokers and active smokers were generally within five seconds of being right.

But smokers tested the morning after a day without cigarettes overestimated the time by an average of 50 percent.

"We had some people (who) thought it was three minutes," said Laura Cousino Klein, an assistant professor of biobehavioral health who conducted the study with two Penn State University colleagues.

The results came as no surprise to Lynne Funk, a Penn State student who tried to quit smoking in January.

"When I'm sitting, when I'm bored ... one minute passes and it seems like five," Funk said. "That's when it would feel like time was standing still. I wanted a cigarette just to kill time, to de-stress."

Timothy B. Baker, associate director of the University of Wisconsin's Center for Tobacco Research and Intervention, said the study might help smokers better cope with withdrawal.

If smokers mistakenly estimate how long they're experiencing urges, "they may be mis-estimating all sorts of things that may be making quitting seem more burdensome," he said.



================================================================================================================
Tue Jan 21, 2003
 
"Giving up smoking would substantially reduce the future incidence of pancreatic cancer," write Dr. Rudolf T. Hoogenveen of the National Institute of Public Health and the Environment in the Netherlands and colleagues.
Source: European Journal of Gastroenterology and Hepatology.

 
================================================================================================================

WHO: Tobacco Even More Cancerous
Wed Jun 19, 2002 3:40 PM ET
By EMMA ROSS, AP Medical Writer
LONDON (AP) - Tobacco smoke is even more cancerous than previously thought, for both smokers and nonsmokers who breathe in the fumes, causing cancer in many more parts of the body than previously believed, a panel of experts has concluded.
  
Although smoking has been established as a leading cause of cancer, scientists have only now been able to track more than one generation of smokers to develop a clear picture of the dangers of tobacco.

The scientists, convened by the International Agency for Research on Cancer, a branch of the World Health Organization ( news - web sites), said Wednesday that for types of cancer already known to be caused by smoking, the risk of tumors is even higher than previously noted. The research also definitively proves that secondhand smoke causes cancer.

The analysis is the first major examination of the accumulated research on tobacco smoke and cancer since 1986. A full report of the findings will be published later this year.

The scientists combined the results of more than 3,000 studies involving millions of people, which allowed them to draw conclusions not possible in smaller studies.
"We are still learning about just how damaging cigarette smoking is," said the panel's chairman, Dr. Jonathan Samet, head of epidemiology at the Johns Hopkins School of Public Health. "Only now are we beginning to see the full picture of what happens when a generation begins to smoke at an early age, as youth do, and then smoke across their whole lifetime. Before, we only had snapshots."
"The full picture is more disturbing than what we saw when we only had the smaller pieces," he said.
There are about 1.2 billion smokers worldwide, half of whom will die prematurely from cancer, heart disease, emphysema or other smoking-related diseases, research has shown.

The best way to prevent those deaths is to get smokers to quit, the scientists said.
"Our group concluded that any possible public health gains from changes in cigarette characteristics or composition would be minimal by comparison. Changes in cigarettes are not the way to prevent cancer," Samet said.
The 29 experts from 12 countries found that in types of cancer already linked to smoking, the risk is even higher than previously believed.
"For example, for tumors of the bladder and the renal pelvis, previously we thought the elevated risk was maybe three to four times that of a nonsmoker. Today, it looks like the risk is elevated five to six times," said Dr. Paul Kleihues, director of the U.N. cancer research agency.


================================================================================================================

Exercise Does Not Protect Smokers From
                Cancer
                Fri Apr 12, 02 5:26 PM ET

                NEW YORK (Reuters Health) - Male smokers who think walking,
                swimming or other physical activity will lower their risk of lung cancer
                are wrong, researchers say.

                "The results of our study suggest that neither occupational nor
                leisure-time physical activity is associated with the risk of lung cancer in
                long-term cigarette smokers," write lead study author Dr. Lisa H.
                Colbert of the National Cancer Institute (news - web sites) in Bethesda,
                Maryland and her colleagues.

================================================================================================================

CDC Estimates Cost of Smoking
                Thu Apr 11, 2002 1:02 PM ET

                By ERIN McCLAM, Associated Press Writer

                ATLANTA - Each pack of cigarettes sold in the United States costs the nation $7 in medical care and
                lost productivity, the government said Thursday.

                The study by the Centers for Disease Control and Prevention (news - web sites) put the nation's total
                cost of smoking at $3,391 a year for every smoker, or $157.7 billion. Health experts had previously
                estimated $96 billion.

                Americans buy about 22 billion packs of cigarettes annually. The CDC study is the first to establish a
                per-pack cost to the nation.

                The agency estimated the nation's smoking-related medical costs at $3.45 per pack, and said job
                productivity lost because of premature death from smoking amounted to $3.73 per pack, for a total of
                $7.18.

                The average cost of a pack of cigarettes in 1999 was $2.92.

                The CDC said it analyzed expenses, both personal and for the health care industry, and used national
                medical surveys to calculate the costs to the nation.

                The agency also reported that smoking results in about 440,000 deaths a year in the United States, up
                from the government's previous figure of 430,000, established in the early 1990s. The new study was
                conducted from 1995 to 1999.

                "The fact that nearly half a million Americans lose their lives each year because of smoking-related
                illnesses is a significant public health tragedy," said Dr. David Fleming, the CDC's acting director.

                Representatives from the nation's three leading tobacco companies — Philip Morris, R.J. Reynolds
                and Brown & Williamson — did not immediately return calls for comment.

                Among other findings of the study:

                _ Smoking causes an average man to lose more than 13 years of life, and an average woman to lose
                14.5 years.

                _ Smoking during pregnancy causes about 1,000 infant deaths each year.

                _ Lung cancer causes the most deaths among smokers, following by heart disease and lung disease.

                _ Men account for about 60 percent of smoking deaths — 264,000 a year, compared with 178,000
                deaths among women.

                ___

                On the Net:

                CDC tobacco site: http://www.cdc.gov/tobacco

================================================================================================================

YOUNG SMOKERS AT RISK

Smokers under 40 are at risk from heart attack - smashing the belief that only older people are vulnerable, says a new study.    

Experts studied 23,000 cases of people who had survived heart attacks between 1985 and 1994 and found four fifths of the victims were in the 35-39 age group.

Last Updated: 13:42 UK, Monday August 23, 2004
 
======================
Babies of Smokers End Up in Hospital
                More Often
                Fri Mar 8,2002 10:30 AM ET

                By Chee-may Chow

                HONG KONG (Reuters) - Babies who live with two or more smokers are 30% more likely to need
                hospital treatment than those who grow up in smoke-free homes, according to a university study.

                If there is one smoker in the family, the risk is 7% higher, the study by Hong Kong University Faculty
                of Medicine found.

                Researchers tracked some 8,300 babies born in the territory in 1997 and monitored their health over
                18 months.

                More than 40% of the newborns were exposed to passive smoke, the findings showed. Doctors say
                affected children most commonly suffer from respiratory problems.

                The findings also underscored the dangers that passive smoke poses to the fetus. Babies whose
                mothers were exposed to tobacco smoke during pregnancy were 18% more likely to be admitted to
                the hospital and 26% more likely to be taken to outpatient clinics.

                The additional medical costs for infants under one year old totaled at least HK$30 million (US$3.8
                million) a year, the study estimated.

                "This is a huge sum. It's about 10% of the total medical costs spent on infants of this age group," Lam
                Tai-hing, head of the department of community medicine of Hong Kong University, told Reuters
                Friday.

                Relatively few expectant mothers smoke, but nearly 65% of pregnant women in Hong Kong are
                occasionally or regularly exposed to second-hand smoke in their homes, offices or in public places, the
                survey showed.

                The Hong Kong government unveiled a raft of proposals last year to tighten anti-smoking laws and said
                it wanted to present them to the local legislature before mid-2002. It wants to stamp out smoking in
                most indoor public places, including restaurants and shops and eventually in lounges and nightclubs.

                Hong Kong, a territory of nearly 7 million people, has few smokers compared to many developed
                countries. Only 27% of its men and about 3% of its women smoke regularly.

                In mainland China, 63% of men and about 4% of women smoke, according to the World Health
                Organization (news - web sites).

================================================================================================================

Friday January 4, 2002 1:26 PM ET

                Smoking Mothers More Likely to Have Diabetic Kids

                By John Griffiths

                LONDON (Reuters Health) - The children of women who smoke during pregnancy are at greater risk
                of developing type 2 diabetes and obesity, new research suggests.

                The study, the first to link maternal smoking and a child's diabetes, suggests that smoking deprives the
                fetus of nutrients, resulting in lifelong metabolic abnormalities.

                Drs. Scott Montgomery and Anders Ekbom from the Karolinska Institute in Stockholm, Sweden, used
                data from the British National Child Development Study on around 17,000 children born in 1958.

                In the study, midwives obtained information on smoking during pregnancy. Smoking among the
                mothers was also recorded in 1974. The researchers collected data on the children at age 7 and 16,
                and reviewed their medical records again at age 33.

                Fifteen men and 13 women among those followed throughout childhood and adolescence developed
                diabetes between the ages of 16 and 33.

                The investigators found that the risk of diabetes was increased more than 4.5-fold in the offspring of
                women who smoked more than 10 cigarettes a day compared with nonsmokers. The risk in offspring
                of mothers whose smoked fewer than 10 cigarettes a day was increased by a factor of 4.13.

                The team also found that smoking during pregnancy increased the risk of obesity independently of
                diabetes. Offspring of smokers were 34% to 38% more likely than children of nonsmokers to become
                obese. Some 10% of the study group, a total of 602 individuals, were found to be clinically obese at
                age 33.

                ``These are conservative figures, as further members of the study group are likely to go on to develop
                these disorders in later life,'' Montgomery said in an interview. ``We plan to study the group further,
                and we expect to see insulin resistance in the diabetic children of smoking mothers, which would
                explain the association we observed between diabetes and obesity.''

                Insulin resistance, a risk factor for type 2 diabetes, occurs when the body becomes less sensitive to the
                effects of insulin, a hormone the body needs to use of sugar as fuel.

                Cigarette smoking in young adulthood was also linked to an increased risk of diabetes in later life,
                according to the report in the British Medical Journal.

                ``To my knowledge, this is the first study to show an association between smoking in pregnancy and
                diabetes,'' Montgomery noted.

                ``Smoking during pregnancy is an act of great selfishness, which may not only affect the development
                of the child but could also increase the risk of diseases that could emerge 20 to 30 years after birth,'' he
                said.

                ``We have long known about the reduced size and development in the children of smoking mothers.
                Because diabetes and obesity are associated with heart disease, smoking during pregnancy could also
                risk shortening the child's life span,'' he added.

                Montgomery suggested that smoking is likely to deprive the fetus of nutrients, setting the metabolism up
                to deal with famine rather then a modern diet rich in fat and sugar.

                SOURCE: British Medical Journal 2002;324:26-27.

================================================================================================================

Tuesday March 20, 2001 1:33 PM ET
                Teen Smokers End Up with Gum Disease
                in Their 20s

                By Charnicia Huggins

                NEW YORK (Reuters Health) - Teenage smokers are nearly three times as likely as their nonsmoking
                peers to have gum disease in their mid-20s, results of a new study suggest.

                ``The most important point of the study is that the adverse effects of tobacco smoking on gum health
                begin even earlier than was previously thought,'' lead study author Dr. Murray Thomson, of the
                University of Otago in New Zealand, told Reuters Health.

                ``At the public health level, measures aimed at reducing smoking will also have positive benefits for oral
                health,'' he said.

                To investigate the association between smoking and gum disease in young people, Thomson's group
                measured loss of periodontal attachment--the bony and soft-tissue support for the teeth--in about 900
                men and women aged 26 years. The investigators asked the study participants about their smoking
                habits at the ages of 15, 18, 21 and 26.

               Those who reported smoking at each age of follow-up were almost three times as likely as their
                ``never smoking'' peers to experience loss of attachment, a sign of chronic gum disease, the authors
                report in the April issue of Community Dentistry and Oral Epidemiology. And the longer these
                individuals reported smoking, the greater the extent of disease, study findings indicate.

                This was true even after the researchers took into account the participants' toothbrushing and flossing
                habits, as well as dental visits.

                The study ``provides clear evidence of periodontal disease at an age when young adults are at their
                healthiest,'' the authors conclude.

                ``Don't start smoking,'' Thomson advised. ``If you have, then ceasing the habit will also be good for
                your gums.''

                According to Dr. Marjorie Jeffcoat, from the University of Alabama School of Dentistry, it is ``totally
                logical'' that those who begin smoking at younger ages will have a lifetime of risk for periodontal
                disease.

                Citing emerging evidence that individuals with periodontal disease may also be at risk for
                cardiovascular disease or pre-term births, she said ``It's all one more reason why people shouldn't
                smoke.''

                Jeffcoat is not affiliated with Thomson's research.

                SOURCE: Community Dentistry and Oral Epidemiology 2001;29:130-135.

=========================================
Friday January 11 10:59 AM ET
Quitting Smoking Cuts Post-Surgery Complications
By Suzanne Rostler

NEW YORK (Reuters Health) - Smokers can lower their risk of developing postoperative
complications by quitting or cutting back on their daily cigarette intake about
2 months before surgery, researchers report.

Cigarette smoke boosts the risk of developing cardiovascular or wound-healing
problems after surgery due to its effects on the heart, lungs and immune system.
 

To determine whether abstaining from smoking had any affect on this risk, the
team of researchers from Bispebjerg University Hospital in Copenhagen, Denmark,
assigned 120 daily smokers to receive antismoking counseling and nicotine replacement
therapy, or no intervention, 6 to 8 weeks before they underwent elective hip
or knee surgery.

About 18% of patients who had reduced smoking by at least half developed postoperative
complications, compared with 52% of patients who continued smoking their usual
amount, according to the report in the January 12th issue of The Lancet.

Quitting or cutting back had the greatest effect on wound healing. Only 5% of
patients who received antismoking therapy developed wound-related complications,
compared with 31% of patients who did not cut back. What's more, there were
no cardiovascular complications in the group of abstainers, compared with a
10% complication rate in the other group. Patients who quit or cut back also
had shorter hospital stays and were less likely to require a second surgery.
 

The findings have important medical and economic implications, since roughly
one third of surgical patients are smokers, conclude Dr. Ann M. Moller and co-authors.
 

``The worldwide effect would be enormous if the programs were implemented globally,
and not only in reduced postoperative complications,'' Moller said in an interview
with Reuters Health. ``We have substantial hope that some patients will (continue
to) abstain after hospital discharge and not (be diagnosed) with other smoking-related
chronic diseases.''

She suggests that all hospitals or surgical departments implement preoperative
smoking cessation programs that are tailored to the individual and include nicotine
replacement therapy.

SOURCE: The Lancet 2002;359:114-117.

=================================================================

Wednesday March 28, 2001 10:28 AM ET
                Surgeon General Warns of Smoking Peril
                to U.S. Women

                By Will Dunham

                WASHINGTON (Reuters) - American women are facing a full-blown epidemic of smoking-related
                illness, with the deadly habit snuffing out the lives of 165,000 women a year and women now
                accounting for almost four in 10 smoking deaths, US Surgeon General David Satcher said in a report
                on Tuesday.

==================================================

Tuesday April 3, 2001 6:31 PM ET
                Women Smokers More Vulnerable to
                Bladder Cancer

                By Amy Norton

                NEW YORK (Reuters Health) - When it comes to bladder cancer, two things have always seemed
                clear: smokers and men are at heightened risk. But new research shows that, cigarette for cigarette,
                female smokers are more likely than males to get the disease.

                In a study of more than 3,000 adults with and without bladder cancer, researchers found that when
                smoking habits were comparable, women had a higher risk for the disease than men did. The finding is
                surprising, investigators say, because bladder cancer, which has long been linked to smoking, is more
                common among men.

================================================================================================================

Wednesday October 31, 2001 10:40 AM ET

                Smoking Delays Pregnancy

                LONDON (Reuters Health) - Women who continue smoking while
                trying to have a baby risk having to wait significantly longer to get
                pregnant, according to study findings released on Wednesday.

                Researchers at the Institute of Health Sciences at Oxford University
                compared the time taken to conceive by 569 women smokers,
                ex-smokers and never-smokers.

                Their findings, published in the Journal of Biosocial Science, show that
                on average women who continued to smoke while attempting to
                conceive took almost two months longer to conceive than non-smokers.

                However, women who quit smoking a year before attempting to
                conceive were likely to get pregnant within a similar time period as
                non-smokers.

Tuesday September 18, 2001 10:46 AM ET

                Cigarettes May Function Like
                Antidepressant Drugs

                By Melissa Schorr

                NEW YORK (Reuters Health) - Cigarette smoking may have effects on
                the human brain similar to those of antidepressant drugs, possibly
                explaining the high rate of smoking among depressed people and their
                resistance to quitting, a team of researchers reports.

                ``Chronic smoking produces 'antidepressant-like' effects on the human
                brain,'' lead author Dr. Gregory A. Ordway, a professor of psychiatry at
                the University of Mississippi Medical Center in Jackson, told Reuters
                Health. ``This may contribute to the high incidence of smoking and
                difficulty to quit in those who are depressed.''
 
 
 
 
 
 
 

                Tuesday November 27, 2001 03:52 PM EST

                Light Cigarettes Are Not Safer

                By Melinda T. Willis ABCNEWS.com

                A report from the National Cancer Institute (news - web sites)
                finds that light or low tar cigarettes are not safer alternatives to
                regular.

                                   Smokers who have switched to light or
                                   low-tar cigarettes with the belief that they are
                                   safer than regular cigarettes have been
                                   mistaken, says a new report from the
                                   National Cancer Institute.

                                   The report, titled Risks Associated with
                                   Smoking Cigarettes with Low Tar
                                   Machine-Measured Yields of Tar and
                                   Nicotine , is the 13th in a series of
                                   comprehensive reports on Smoking and
                                   Tobacco Control, which began in 1991.

                                   "This report is one that has brought together
                                   scientists of various disciplines and has
                                   concluded that there are significant health
                risks from switching to low-tar, light cigarettes," says Scott Leischow,
                chief of the National Cancer Institute Tobacco Control Research
                Branch.

                Light cigarettes have been around for 20 years and have led some
                people to believe that they are healthier alternatives to regular
                cigarettes. And who wouldn't want to inhale less tar when given the
                opportunity?

                "Many people feel that if they are not able to quit smoking but are
                concerned about their health, low-tar cigarettes are a compromise,"
                says Dr. Neal L. Benowitz, professor of medicine at University of
                California, San Francisco and co-scientific editor of the report that
                challenges this notion.

                Smoking is the number one preventable cause of premature death in the
                United States, responsible for more than 400,000 deaths each year,
                according to the Centers for Disease Control and Prevention (news -
                web sites) Tobacco Information and Prevention Source.

                Removing Misconceptions

                According to Benowitz, light cigarettes are made of the same
                substances as their full tar brethren. The distinguishing factor is the
                engineering.

                Low-tar cigarettes can be made with porous paper and more loosely
                packed tobacco in an effort to reduce tar intake, but past research has
                shown that people are easily able to circumvent such designs.

                "There are actually four different ways that smokers can make a low
                yield cigarette higher yield," says Benowitz, who published one of the
                first papers on the subject in the New England Journal of Medicine
                (news - web sites) in 1983.

                Smokers can, for example, take more puffs per cigarette, take bigger
                or deeper drags, and they can increase the number of cigarettes they
                smoke each day.

                Additionally, "Some cigarettes have little holes in the filters and people
                will consciously or unconsciously cover those holes [with their mouths]
                and as a result get more tar and nicotine delivered to their bodies," says
                Leischow.

                "People are very adept at getting the nicotine that they're addicted to
                and as a result they also get the harmful substances as well," he adds.

                The Safest Cigarette

                "We do not imply in our marketing, and smokers should not assume,
                that "light" or "ultra light" brands are "safe," or are "safer" than full-flavor
                brands," states Brendan McCormick, a spokesperson for leading
                cigarette maker Philip Morris. "[The development of low-tar cigarettes
                is] related to consumer taste preferences."

                Experts say the take home message of the National Cancer Institute
                report is that smokers who make the switch to low-tar or light
                cigarettes should not be fooled into thinking that they are making a safer
                choice.

                "The focus of the [report] primarily is the public and what we can do to
                improve public health," asserts Leischow. "One of the key and critical recommendations is that the
                best way to reduce risk is to quit smoking."

                In other words, the safest cigarette is still the one that is never smoked.
 
 

Study Reveals Link Between Smoking,
                Birth Weight
                Fri Apr 5, 2002 1:39 PM ET

                NEW YORK (Reuters Health) - Women who smoke cigarettes during
                pregnancy are at risk of delivering a low birth weight baby, although it is
                not clear why. Now, researchers report that cigarettes can reduce the
                flow of blood in the placenta and limit the amount of nutrients that reach
                the fetus.
 
 
 

Tuesday October 23, 2001 5:25 PM ET

                Many Kids Who Smoke Get Cigarettes
                From Adults

                By Emma Hitt, PhD

                ATLANTA (Reuters Health) - Many minors who smoke gain access to
                cigarettes by asking older friends or even strangers to buy them,
                according to findings of two new studies. Antismoking programs should
                address this problem, but don't, the researchers say.

                According to Dr. Steven E. Shive of California State University in
                Chico, who led one of the studies, most young adults who buy cigarettes
                for minors are friends and family. Only about one-third are strangers.
 

Friday October 19, 2001 5:25 PM ET

                Babies Better Off if Moms Quit Smoking Altogether

                By Keith Mulvihill

                NEW YORK (Reuters Health) - Pregnant women who think cutting back on their smoking habit may
                be better than nothing for the health of their baby may want to rethink their decision.

                A new study has found that even smoking just a few cigarettes a day can have detrimental effects on a
                baby's health.

                ``There is no 'safe' level of exposure from active smoking,'' said lead author Dr. Lucinda England of the
                National Institute of Child Health and Human Development in Bethesda, Maryland.

                ``We were able to detect detrimental effects on birth weight even among women smoking less than 5
                cigarettes per day,'' she told Reuters Health. ``Women likely need to quit entirely before their baby's
                birth weight approaches that of a woman who never smoked.''

                The study, which appears in the October 15th issue of the American Journal of Epidemiology, was
                conducted by the Centers for Disease Control and Prevention (news - web sites) in Atlanta, Georgia.

                It has long been known that smoking during pregnancy is associated with decreased infant birth weight
                and other ill effects, including premature birth and sudden infant death syndrome (SIDS).

Tuesday November 27, 2001 1:27 PM ET

                Pregnant Women Try to Quit, Men Puff It All Away

                LONDON (Reuters) - Men who smoke undermine the efforts of their pregnant partners to quit
                smoking for good, according to survey results released Tuesday.

                The study by the Imperial Cancer Research Fund showed that women who tried to quit smoking
                during pregnancy felt their smoking ``better halves'' were unsupportive and had double standards.
                Most women took up smoking again after the baby was born.

                Sue Ziebland, one of the authors of the report, said the best support men could give was to quit
                smoking themselves.

                ``Women feel unsupported by men's 'do as I say, not as I do' attitude when their partners continue to
                smoke, but encourage them to stop,'' she said.

                The study uncovered four common strategies employed by men who carry on smoking during their
                partner's pregnancy.

                Men were said to be hypocritical, urging the woman to quit for health reasons but refusing to do so
                themselves, or non-interventionist, smoking in front of her without second thought.

                Women were also annoyed by so-called ``secret smokers'' who did not smoke in front of their
                pregnant partner, and ``cheats'' who said they would share the burden of pregnancy by quitting but
                cheated by smoking elsewhere.

                Professor Gordon McVie of the Cancer Research Campaign said that, traditionally, health education
                messages focused on encouraging pregnant women to quit.

                ``But this study suggests that pregnancy is an ideal time for both parents to kick the habit and couples
                are more likely to succeed if they make a joint attempt,'' he said.
 
 
 
 
 
 
 
 
 

Monday September 24, 2001 1:22 PM ET

                Cigarette Use Linked to Blue-Collar
                Occupations

                By Natalie Engler

                NEW YORK (Reuters Health) - Although the number of Americans
                who smoke cigarettes has decreased in recent years, the decline has not
                penetrated all occupations, according to a government study that links
                smoking to job and sector.

                So-called ``blue-collar'' workers, such as builders, movers and auto
                mechanics are more likely to light up than are their ''white-collar''
                counterparts, according to lead author Dr. Ki Moon Bang, of the
                National Institute for Occupations Safety and Health. The findings, he
                said, may be useful in identifying populations that could benefit from
                education and outreach.

                Researchers have noted previously that smoking is more common
                among blue-collar than white-collar workers. However, the new study,
                published in the American Journal of Industrial Medicine, breaks down
                these categories into 40 occupations and 44 industries.

                To examine the connection between smoking and vocation, Bang, along
                with collaborator Dr. Jay H. Kim, examined data from a survey
                conducted by the National Center for Health Statistics, a division of the
                Centers for Disease Control and Prevention (news - web sites). The
                study spanned a 6-year period and polled more than 20,000 adults
                about their cigarette smoking status, occupation, industry, employment
                and gender.

                Bang and Kim found that 28% of the respondents smoked cigarettes
                from 1988 to 1994. The study also found that men smoke more often
                than women (32% versus 25%) and blacks smoke slightly more often
                than whites (31% versus 28%).

                But some occupations showed a disproportionate number of smokers.
                Nearly half of waiters, construction workers, mechanics, and movers
                smoked, while less than one fifth of teachers and sales representatives
                smoked.

                Although the construction industry had the highest rate of smoking
                overall, the number of construction workers and people in construction
                trades who smoked had dropped 7%. By contrast, the percentage of
                vehicle mechanics and repairers who smoked had remained consistent.

                Teachers seemed to be most successful at kicking the habit, perhaps
                partially due to schools' no-smoking policies. Twice as many teachers
                were former smokers than were current smokers.

                The investigators also found that 43% of unemployed people smoked,
                compared with 30% of employed people and 23% of those not in the
                labor force.

                Among the industries represented, construction (42%) was followed by
                repair services (41%), and lumber and wood products (40%) as having
                the highest proportion of smokers.

                ``The reasons the blue-collar workers have higher smoking (rates) might
                be (related to) job stress, peer pressure and psycho-social behaviors,''
                Bang told Reuters Health. In the article, he pointed out that two prior
                studies have linked smoking to occupational and environmental stress.

                SOURCE: American Journal of Industrial Medicine 2001;40:233-239.


================================================================================================================

Jul 2001:

``There are over 100 studies which show NRT (nicotine reduction treatment) doubles your chances of quitting in the long term,'' he commented. ``Having said that, it only doubles the chances of success from 3% to 6%, so there is still a long way to go. NRT products are not silver bullets when it comes to giving up.''
 

================================================================================================================
Friday December 21, 2001 10:31 AM ET
                International Study Confirms Passive Smoke's Harm
               NEW YORK (Reuters Health) - Exposure to passive, or secondhand, tobacco smoke increases a
                person's risk for experiencing a variety of respiratory ailments, according to the results of a large
                international study.
                What's more, exposure to secondhand smoke varies widely around the world.
                For example, people exposed to secondhand smoke in the workplace varied from less than 3% of
                those in Uppsala, Sweden, to 54% of the participants living in Galdakao, Spain, the report indicates.
                Overall, exposure to secondhand smoke in the workplace nearly doubled a person's risk of respiratory
                ailments and ``was significantly associated with all types of respiratory symptoms and current asthma,''
                the authors write.
                Passive smoking, in general, was associated with nighttime chest tightness, nighttime breathlessness,
                and breathlessness after activity.
                ``Decreasing involuntary exposure to tobacco smoke in the community, especially in workplaces, is
                likely to improve respiratory health,'' conclude Dr. Christer Janson of Uppsala University in Sweden
                and colleagues. The study, which included interviews and lung tests of nearly 8,000 nonsmokers from
                16 different countries, is published in the December 22/29 issue of the journal The Lancet. The study
                included 13 European countries, Australia, New Zealand and the US.
                In the US, smoke-free businesses are on the rise with 69% of employees reporting that they work in
                buildings where smoking has been prohibited by employers or government regulations, according to a
                recent study sponsored by the National Cancer Institute (news - web sites).
                By comparison, fewer than half of all employees surveyed in 1993--46%--worked in smoke-free
                environments.
                The US Surgeon General first warned of the dangers of ''secondhand smoke'' in 1986, citing that
                exposure to tobacco smoke increased the incidence of lung cancer, heart and lung disease among
                nonsmokers.
                SOURCE: The Lancet 2001;358:2103-2109.

================================================================================================================


Monday April 30, 2001 5:39 PM ET
  Kicking the Smoking Habit Helps Heart Patients

  By Emma Patten-Hitt, PhD

  NEW YORK (Reuters Health) - Smokers who kick the habit reduce
  their risk of dying from heart problems as much as if they were to take
  drugs to treat the problem--even if they have quit within the last 2 years,
  according to a new study.

  In a related editorial, Dr. James Lightwood and colleagues at the
  University of California, San Francisco, note that ''given the expense of
  commonly used medications for heart failure, smoking cessation
  counseling with follow-up may be more cost effective than
  pharmaceutical treatment for heart failure.''

  The editorialists add, ``It is never too late to quit smoking, even for
  patients with heart failure and other serious cardiovascular disease.''

================================================================================================================


Friday December 29, 2000 10:20 AM ET
      Smoking Ups Risks for Skin Cancer

      NEW YORK (Reuters Health) - Skin cancer can now be added to the
      ever-growing list of illnesses linked to cigarette smoking. Researchers at
      Leiden University Medical Center in the Netherlands report that, compared
      to nonsmokers, people who smoke are twice as likely to develop one of the
      more common types of skin cancer--squamous cell carcinoma.

================================================================================================================


Wednesday February 14, 2001 10:49 AM ET
      Poll: Most American Smokers Try to Quit, But Can't

      WASHINGTON (Reuters) - An overwhelming majority of smokers continue to light up even though they are
      well aware of the hazards of smoking and most say they want to quit but cannot kick the habit, according to a
      Harris Poll released on Wednesday.

      The poll found that almost everyone who smokes believes that their smoking increases their risk of getting lung
      cancer (88%), of getting heart disease (84%) and that it will probably shorten their lives (80%).

      Eighty percent of the respondents said they tried to stop smoking, but couldn't do it. On average, people who
      were still smoking said they had tried to stop and failed as many as eight times, according to the poll of 1,011
      adults.

      ``These survey data leave little room to doubt that the power of nicotine addiction is the main reason why
      smoking has not declined any faster, even though most smokers would like to and try to give it up,'' said
      Humphrey Taylor, chairman of the Harris Poll.

      The nationwide poll was conducted between January 11-15, 2001 and has a margin of error of plus or minus 3
      percentage points. The questions on smoking were included in the annual Harris survey of key health risks and
      health behaviors.

      Dr. Tom Houston, director, of the SmokeLess States National Tobacco Policy Initiative, said the poll is good
      news because it indicates that more people are taking anti-smoking messages to heart.

      The number of smokers who acknowledge the health risks is up from a poll done about four years ago by the
      American Journal of Preventive Medicine, he said in an interview.

      ``That means that our educational effort, the message that we've been trying to get across is getting through,''
      said the Chicago physician.

      There are about 50 million smokers in the United States and only about 3 to 5 percent can successfully stop
      smoking in any given year, he said.

      An estimated 430,000 Americans die prematurely each year from tobacco related illnesses, he said.

      The SmokeLess States program supports groups working to reduce tobacco use. It is a joint effort between
      the American Medical Association and the Robert Wood Johnson Foundation.

Tuesday December 12,2000
      Marijuana a Downer for Fertility

      SAN FRANCISCO (Reuters Health) - New research about marijuana's
      effect on the reproductive systems of both men and women may prove to be
      a real bummer for those who smoke the illicit substance.

      While it has been known for years that male marijuana smokers have lower
      sperm counts, new research has shown that chemicals in marijuana hinder the
      sperm's ability to fertilize an egg.

Tuesday December 12, 2000
      Young Marijuana Smokers at Highest Addiction Risk

      NEW YORK (Reuters Health) - People who begin using marijuana early are
      more likely than others to become dependent, new findings show.

      In a study of over 2700 marijuana users in Ontario, Canada, those who
      started smoking at 17 years or later were twice as likely to eventually quit
      compared with those who started at 14 years or younger.
 

Wednesday December 13, 2000
      California's Antismoking Program Cut Heart Deaths

      NEW YORK (Reuters Health) - California's aggressive antismoking
      campaign reduced heart disease deaths by 33,000 between 1988 and 1997,
      researchers report.

      The findings follow government statistics released last month showing the
      program cut lung cancer cases by 14% over the same period.

      Dr. Stanton Glantz and Caroline Fichtenberg of the University of California,
      San Francisco, note that the increased risk of heart disease associated with
      smoking falls off quickly after quitting. So a program that cuts smoking levels
      should be expected to have a quick impact on levels of heart disease.

Tuesday December 19, 2000
     White Youngsters Smoke Cigarettes at  Earlier Ages

      NEW YORK (Reuters Health) - White smokers in the US say they started
      their habit at an earlier age than their African-American or Hispanic
      counterparts, researchers report. The earlier an individual begins smoking, the
      more likely they are to be a heavy smoker in later adulthood and the less
      likely they are to try to quit.

================================================================================================================


Monday November 13, 2000 5:35 PM ET
                    Smoking Particularly Dangerous for Women

                    BALTIMORE (Reuters Health) - Women smokers are at higher risk of a
                    host of harmful health outcomes compared with nonsmokers and even male
                    smokers, researchers suggest. The latest research on tobacco's impact on
                    women was the topic of a November 10th symposium sponsored by the
                    University of Maryland School of Medicine.

                    Lung cancer, cervical cancer, cardiovascular disease, mouth diseases and
                    infertility are among the conditions striking women smokers at far higher rates
                    than women who do not smoke, researchers reported. Furthermore, women
                    are at higher risk of some diseases when compared with male smokers.

                    ``Women who smoke are four times more likely to develop cervical cancer
                    than women who don't use tobacco,'' according to Dr. Sandra Brooks, from
                    the University of Maryland Medical Center. And, women seem to be more
                    vulnerable to lung cancer than are men, added Dr. L. Austin Doyle, also from
                    the University of Maryland.

                    Women also are more susceptible to certain aesthetic, functional and
                    life-threatening oral health conditions than men, Jacquelyn Fried, associate
                    professor at University of Maryland's School of Dentistry, noted. Women
                    tobacco users are at increased risk of facial wrinkles, gum inflammation, and
                    cancers of the lips and mouth.

                    And, women smokers are at higher risk of passing a host of harmful health
                    conditions to their offspring. ``Learning disabilities, ADHD, fetal and perinatal
                    deaths and SIDS: these are all caused by maternal smoking,'' Dr. Theodore
                    Slotkin, from Duke University in Durham, North Carolina, told the
                    symposium.

                    Slotkin said the rate of such conditions is increased between 50% and 500%
                    in pregnant women who smoke compared with those who do not. Despite
                    the publicity about the negative effects of smoking on pregnancy, tobacco use
                    continues in one-quarter of all pregnancies, he pointed out.

                    Furthermore, ``smoking may prevent some (women) from ever conceiving,''
                    noted Dr. Howard D. McClamrock, from Maryland Medical Center's in
                    vitro fertilization program. ``Studies have shown that tobacco use can
                    decrease the supply of eggs within the ovaries, even in young women.''

================================================================================================================
Wednesday October 17, 2001 6:23 PM ET

                Marijuana's Effects on Brain Are
                Reversible: Study

                By Steven Reinberg

                NEW YORK (Reuters Health) - Intellectual impairment associated with
                heavy marijuana use is apparently reversible with abstinence,
                researchers report.

                And marijuana withdrawal symptoms in habitual users are similar to
                those seen with nicotine withdrawal, according to a second report
                published in the October issue of the Archives of General Psychiatry.

                The lead author of the first report, Dr. Harrison G. Pope, Jr. of McLean
                Hospital in Belmont, Massachusetts, told Reuters Health, ``It appears
                that cognitive impairment from marijuana use is temporary and related to
                the amount of marijuana that has been recently smoked rather than
                permanent and related to an entire lifetime consumption.''

================================================================================================================

Thursday August 16 2:10 PM ET

                Smoking to Become Major Cause of
                Death in China

                NEW YORK (Reuters Health) - Cigarette smoking is poised to
                become a leading cause of death among middle-aged men in
                China if current smoking habits persist, researchers said
                Thursday.

                In the coming decades, tobacco will cause one third of deaths
                among men aged 35 and older in China, which holds 20% of
                the world's population and consumes 30% of the world's
                cigarettes, researchers from the University of Hong Kong
                predict.
----------------------------
Thursday July 19, 2001 10:31 AM ET

                Pot-Smoking Dads May Increase Risk
                of SIDS

                NEW YORK (Reuters Health) - Fathers who smoke marijuana
                may be putting their infants at risk of sudden infant death
                syndrome (SIDS), a major cause of death among infants, new
                research suggests.
 
 

Monday July 16, 2001 5:19 PM ET

                Many Teens Underestimate Smoking
                Risks: Survey

                By Charnicia E. Huggins

                NEW YORK (Reuters Health) - Despite numerous
                youth-directed health warnings about the dangers of cigarette
                smoking, many teens continue to underestimate their risk of
                premature death from smoking-related causes, new research
                findings show.

                ``As long as young people fail to appreciate the risks of
                smoking, they will endanger their health and create an
                addiction that they will regret having started,'' study author Dr.
                Daniel Romer told Reuters Health.

Monday July 16, 2001 5:24 PM ET

                Tobacco Firms Urged to Remove
                Dangerous Additives

                LONDON (Reuters Health) - The UK Department of Health
                confirmed on Monday it is urging tobacco firms to reduce levels
                of carcinogens and other dangerous chemicals from
                cigarettes.

                A spokesman told Reuters Health that government officials had
                sought advice from experts on the Scientific Committee on
                Tobacco and Health on which of the hundreds of chemicals in
                tobacco should be removed from cigarettes.

                ``Ministers want firm new action on tobacco additives and
                carcinogens in tobacco smoke. If the industry does not take
                action, we will be looking to powers under the Consumer
                Protection Act that would allow us to ban tobacco additives if
                proven unsafe,'' he added.


================================================================================================================

Big Tobacco 'Light' Cigarette Con
                Exposed: Report
                Tue Mar 12, 2002 - 5:19 PM ET

                NEW YORK (Reuters Health) - Using recently released US tobacco company documents and other
                trade sources, Canadian researchers have detected a concentrated effort to deceive the public about
                the health risks from cigarettes described as "Light" or "Ultra-Light."

                Tobacco companies were concerned that growing evidence linking tobacco with lung cancer would
                result in large numbers of smokers quitting, according to Drs. Richard W. Pollay and T. Dewhirst from
                the University of British Columbia, Vancouver. To meet this challenge, the companies began producing
                "low-tar" and "light" cigarettes, the researchers report in the March issue of Tobacco Control.

                The tobacco companies believed that these cigarettes would reassure the public, the investigators say.
                Companies branded cigarettes as "hi-fi" (high-filtration) and implied that these cigarettes would reduce
                or eliminate the health risks of smoking.

                However, tobacco companies themselves described filtered cigarettes as "an effective advertising
                gimmick," or "merely cosmetic," offering "the image of health reassurance." Company documents
                describe consumers who smoked low-tar cigarettes as wanting "nothing less than to be conned with
                information," Pollay and Dewhirst note.

                Tactics used by the tobacco companies to sell these products included using ineffective filters, filters
                that loosened over time and actually delivered more nicotine than unfiltered cigarettes, menthol,
                high-tech imagery and misleading data about tar and nicotine yields.

                Tobacco companies also added a seemingly healthier cigarette to an established brand. Although this
                "virtuous variant" product was promoted heavily, it was rarely available, causing customers to confuse
                the brands, the authors explain.

                Names such as Merit, Life, True and descriptions such as Mild, Ultra, Light and Superlight were used
                to promote a healthful product image, Pollay and Dewhirst found.

                Companies used machine-based tar yields that did not reflect the actual tar levels that consumers were
                likely to get while smoking. "Such products could (and would) be advertized as 'tar-free,' 'zero
                milligrams FTC tar,' or the 'ultimate low-tar cigarette,' while actually delivering 20-, 30-, 40-mg or
                more 'tar' when used by a human smoker! They will be extremely easy to design and produce," Brown
                and Williamson, a subsidiary of British American Tobacco, wrote of their Barclay brand.

                Based on their review, Pollay and Dewhirst conclude that "over the past 50 years, advertisements of
                filtered and low-tar cigarettes were intended to reassure the many smokers who were anxious about
                the health risk of smoking."

                SOURCE: Tobacco Control 2002;11:18-31.

================================================================================================================

Tuesday July 24, 2001 5:40 PM ET

                Secondhand Smoke May Impair Nonsmokers' Blood Flow

                By Amy Norton

                NEW YORK (Reuters Health) - Even a brief bout with secondhand smoke may be enough
                to temporarily slow down nonsmokers' blood circulation, new study results suggest. The
                short-lived slowdown may help explain how, over time, exposure to cigarette smoke can
                raise nonsmokers' heart disease risk, according to investigators.

                In a study examining the impact of environmental cigarette smoke on heart blood vessels,
                Japanese researchers found that 30 minutes of exposure to secondhand smoke reduced
                nonsmokers' coronary flow velocity reserve (CFVR)--a measure of the speed of blood
                flow.
 

Monday August 20, 2001 1:52 PM ET

                Mood States Identified as Smoking Triggers

                NEW YORK (Reuters Health) - Many smokers are more likely to light up during a moment
                of anger or a fit of anxiety. But men seem to be more likely to puff away to alleviate
                feelings of sadness, while women are inclined to break out their smokes when they are
                feeling happy, the results of a small new study suggest.

                Smoking is related to negative moods and energy level, more clearly in men, and has
                soothing effects on sadness in men and on anger in men and women, according to Dr.
                Ralph J. Delfino of the University of California, Irvine, and colleagues.

Monday August 6, 2001 5:29 PM ET

                Smoking May Be Risk Factor for Infant Colic

                By Suzanne Rostler

                NEW YORK (Reuters Health) - Women who smoke at least 15 cigarettes a day during
                pregnancy or shortly after birth may be twice as likely to have a fussy and seemingly
                inconsolable baby than women who do not smoke, the results of a study suggest.

                The findings, published in the August issue of Pediatrics, support previous studies
                demonstrating a link between smoking after birth and infant colic. While studies have not
                looked closely at the relationship between smoking during pregnancy and colic, smoking
                is known to affect the fetal growth and later health of a child, the researchers note.

                Neither a mother's age, marital status, alcohol and caffeine intake, breast feeding habits,
                the child's birth weight, nor a father's smoking habits affected the risk of infantile colic.
                Colic is defined as prolonged bouts of crying or irritability that occur more than 3 days a
                week for more than 3 weeks and have no known cause.

                ``Our study indicates that maternal smoking during pregnancy or in the postpartum period
                increases the risk of infantile colic,'' according to Dr. Charlotte Sondergaard from the
                University of Aarhus in Denmark, and colleagues. ``Ante- and postnatal care that includes
                advice of smoking cessation is important and also might be important for preventing
                infantile colic.''

                In an interview with Reuters Health, Sondergaard suggested that maternal smoking may
                affect the baby's gastrointestinal tract or irritate the upper respiratory airway in a way that
                raises the risk of colic. She stressed, however, that the study did not examine how
                smoking, either during pregnancy or postnatally, affects the baby.
 
 
 


================================================================================================================

Friday January 05, 2001
Officials in California now say careless smoking and not a car fire sparked the 11,000-acre blaze that has destroyed homes and forced hundreds out of their homes in Southern California.


Investigators with California's Department of Forestry say careless disposal of a cigarette was the cause of the fire. "Investigators on the scene found a cigarette, probably from somebody driving by"

================================================================================================================

Wednesday June 6, 2001 6:32 PM ET

                Jury Awards Smoker in Philip Morris
                Suit

                By Deena Beasley

                LOS ANGELES (Reuters) - In one of the largest individual damage
                awards ever against the tobacco industry, a Los Angeles jury on
                Wednesday ordered Philip Morris Cos. Inc. to pay more than $3
                billion to a 56-year-old cancer patient who said the tobacco giant failed
                to warn him of the dangers of smoking.


================================================================================================================

Monday June 18, 2001 10:31 AM ET

                Quitting Smoking Can Boost Girls'
                Self-Esteem

                By E. J. Mundell

                TORONTO (Reuters Health) - Adolescent girls who make the decision
                to quit smoking experience higher-than-average increases in self-esteem,
                researchers report.

================================================================================================================

Monday June 4, 2001 2:49 PM ET

                Big Tobacco Found Guilty of Deceptive
                Business Practices

                NEW YORK (Reuters) - Several tobacco companies were found guilty
                of deceptive business practices on Monday in a case brought by Blue
                Cross Blue Shield, which sought to be reimbursed for funds it allegedly
                spent on smoking-related costs, as a jury ruled that the companies must
                pay about $29.6 million in damages.

                In the case -- a third-party payor complaint on behalf of health care plans -- Blue Cross Blue Shield
                sought reimbursement of alleged smoking-related medical care costs that were incurred by health care
                plans. Blue Cross sued in a Brooklyn, N.Y. court for direct claims on their own behalf and on behalf of
                their subscribers.

                All of the defendants except for British American Tobacco Plc were found guilty of deceptive business
                practices. The companies were ordered to pay Blue Cross Blue Shield about $17.8 million in direct
                liability and $11.8 million in non-direct liability, which would go to Blue Cross Blue Shield's subsidiary
                companies. Other defendants in the case were Philip Morris Cos. Inc.; R.J. Reynolds Tobacco
                Holdings Inc.; British American Tobacco's Brown & Williamson unit; Lorillard Tobacco Co., a unit of
                Loews Corp.; and Liggett Group, a unit of Vector Group Ltd.

                New York-based Philip Morris said its part of the direct and non-direct liability damages totals about
                $11 million.
 

================================================================================================================

Thursday August 24, 2000
                    Just one cigarette leaves brain wanting more

                    By Amy Norton

                   NEW YORK (Reuters Health) - Puffing on a single cigarette can leave a
                    lasting impression on the brain's pleasure center that primes it for nicotine
                    addiction, new research shows. This glimpse at nicotine's early effects could
                    lead to drug therapies to help smokers quit, a report suggests.

                   In the brain, nicotine uses mechanisms similar to those involved in learning
                    and memory to leave a nicotine ``memory'' in the brain's ``reward center,''
                    according to researchers at the University of Chicago, Illinois. The memory
                    basically says: ''Nicotine is good.''

                    The investigators used brain tissue from rats to uncover the path nicotine
                    takes to instill addiction. In doing so, they identified specific nicotine
                    receptors that could be potential targets of drug therapy to quash addiction,
                    Dr. Daniel S. McGehee told Reuters Health in an interview. The study
                    findings are published in the August issue of the journal Neuron.

                    Scientists have known that nicotine triggers a release of the feel-good
                    hormone dopamine. McGehee said this research shows that even small
                    amounts of nicotine create a ``long-term excitability'' in the connections
                    between the brain cells that produce dopamine. The cells are then primed to
                    react to the next nicotine exposure with a greater rush of dopamine.

                    According to McGehee, nicotine appears to attach to a specific receptor on
                    dopamine-producing cells. Therefore, he said, a drug that blocks these
                    receptors may help smokers kick the habit. While all addictive drugs affect
                    dopamine levels, he noted, the process identified in this study seems to be
                    unique to nicotine.

                    ``It's a tragedy,'' McGehee said, ``that cigarettes are such an easy delivery
                    system to nicotine.''

Tuesday October 3, 2000
                    Smoking May Lead to Teen Depression

                    CHICAGO (Reuters) - Contrary to the notion that depressed teenagers
                    were more likely to take up smoking, a study found that young people who
                    became smokers were more likely to become depressed, researchers said on
                    Monday.

                    Cigarette smoking was the ``strongest predictor'' of developing depressive
                    symptoms among a group of 8,704 teenagers who were not depressed a
                    year earlier, said study author Elizabeth Goodman of Children's Hospital
                    Medical Center and the University of Cincinnati College of Medicine.

                    The adolescents who were not depressed at the start of the study--and may
                    or may not have been experimenting with cigarettes--were four times more
                    likely to have depressive symptoms if they were moderate or heavy smokers
                    a year later.

                    The impact of nicotine or other cigarette additives on certain brain receptors
                    could be to blame for the onset of depressive symptoms, Goodman said.

                    There has been some success in using anti-depressants to help smokers stop,
                    suggesting a close link between the effects of cigarettes and the brain's
                    chemistry that dictates mood.
 
 

Monday August 7, 2000
                    Tobacco Foes to Unite Against Smoking

                    By Andrew Holtz

                    CHICAGO (Reuters Health) - Organizers of the largest ever anti-tobacco
                    meeting say their top priority is building a global network to combat the toll of
                    tobacco-related diseases, which is expected to rise to 10 million deaths per
                    year by 2030.

Monday August 14, 2000
                    Tobacco Kills 625,000 in the Americas Each
                    Year

                   By Charnicia E. Huggins

                    NEW YORK (Reuters Health) - At least 625,000 individuals in the
                    Americas die each year from tobacco use, according to the Pan American
                    Health Organization (PAHO). Tobacco use seems to be on the rise in most
                    countries in the Americas, and the PAHO are urging governments to clamp
                    down on tobacco sales to help reverse the trend.

                    ``Smoking in the Americas, as in any developing countries, is on the increase
                    (and) we can be sure that the amount of disease from smoking is going to go
                    up--particularly heart disease and cancer,'' said David Brandling-Bennett, deputy director of the PAHO. The
                    Pan American Health Organization serves as the regional office for the Americas of the World Health
                    Organization (WHO).
 

20 October 2000
Smoking doubles women's rheumatoid arthritis risk... all women involved in the study were 55 to 65 years old...women who smoked more tha 40 years had roughly a doubled risk...those who quit smoking more than 10 years before the beginning of the study had no increased risk.

Wednesday September 13 10:58 AM ET
Tobacco industry uses additives to mask odors
NEW YORK (Reuters Health) - Cigarette manufacturers have gone to great lengths to mask the acrid smell of secondhand smoke by adding chemical additives to their products, according to a review of tobacco industry documents.
``These documents suggest that this practice is part of an overall campaign to counter the decline in the social acceptability of smoking,'' report researchers from the Massachusetts Department of Public Health in the September issue of the journal Tobacco Control.
After searching through some of the millions of pages of documents made available as part of the tobacco settlement, the researchers learned that the tobacco industry used additives and other technologies to alter the visibility, odor, and irritating qualities of the smoke. The manufacturers did this without necessarily altering the overall level of smoke or the chemicals that make up the smoke and did little testing to see if the additives changed the smoke's toxicity, according to Dr. Gregory N. Connolly and colleagues.
In particular, manufacturers have tried to tinker with some of the more cosmetic aspects of cigarette smoking, such as reducing the smell of cigarette butts. The investigators found that many campaigns focused on making cigarettes more acceptable to young women by trying to limit the stale odor that can get trapped in hair or clothes.
One such campaign by R.J. Reynolds was termed Project TF for ``Tomorrow's Female,'' which was targeted toward 18- to 34-year-old women smokers who ``want a fresher, cleaner smoking experience,'' according to the researchers.
By ``reducing the normal warning signs of exposure to smoke toxins,'' the use of chemical additives in cigarettes can increase the potential harm of the smoker and those that breathe in secondhand smoke, note the authors. For example, women smokers with young children ``may increase their child's risk of developing respiratory diseases through increased environmental tobacco smoke exposure if they themselves are not bothered by the smoke,'' Connolly and colleagues write.
The researchers are calling for the tobacco industry to disclose a list of ingredients, including chemical additives, in an effort to ``protect the public from the dangers of smoking and exposure to (secondhand) smoke.'' SOURCE Tobacco Control 2000;9:283-291.

================================================================================================================


========================================

Study Suggests Why Cigarette Smoke a SIDS Risk
Tue Sep 3, 2002
BERLIN (Reuters Health) - Italian researchers have found a possible explanation for why exposure to cigarette smoke during pregnancy may increase a baby's risk of sudden infant death syndrome or SIDS.
  
In a study presented here at the European Society of Cardiology annual conference, Professor Alessandro Mugelli from the University of Florence and colleagues found that exposing rats to carbon monoxide, a component of cigarette smoke, can interfere with the maturation of heart cells in the developing fetus.
SIDS is the most common cause of death among newborns, Mugelli said. Placing a baby on his or her stomach rather than the back to sleep can greatly increase the risk of SIDS. Overheated rooms, secondhand smoke and fluffy bedding are also a risk.
===============================================================


R.J. Reynolds Fined $20M for Ads
Thu Jun 6, 2002
By SETH HETTENA, Associated Press Writer
SAN DIEGO (AP) - A judge fined R.J. Reynolds Co. $20 million Thursday for violating the terms of the 1998 national tobacco settlement by running magazine ads aimed at teen-agers.
  
==========
Nov 11, 2002
British Study Warns of Health Danger of Cannabis
LONDON (Reuters) - Smoking three pure cannabis joints is as bad for your lungs as smoking 20 normal cigarettes and marijuana is more dangerous now than it was in the 1960s, British researchers said on Monday.
  
In what it described as a shocking new report, the British Lung Foundation (BLF) said tar from cannabis cigarettes contained 50% more carcinogens--the agents that produce cancer--than tobacco.
"Three cannabis joints a day cause the same damage to the lining of the airways as 20 cigarettes," it said in a statement.
It also said the health dangers of cannabis have substantially increased since the 1960s because today's marijuana has increased amounts of a key chemical compound.

=============================================================
Many Smokers Puff Away Despite Chronic Illness
Thu Dec 26, 2002 3:58 PM ET

NEW YORK (Reuters Health) - Many people with chronic illnesses that can be worsened, or even caused, by smoking continue to puff away on cigarettes, according to a survey conducted by the federal Agency for Healthcare Research and Quality (AHRQ).

In 2000-2001, 38% of people with emphysema, 25% of people with asthma, 20% of people with hypertension or cardiovascular problems and 19% of people with diabetes reported being smokers, according to a press release from the AHRQ.

Among all smokers, 57% reported that their doctors had urged them to give up cigarettes at some time during the 12 months prior to the survey. The researchers also found that people in fair to poor health were roughly 1.5 times more likely to smoke than those who reported being in excellent or very good health.

The findings stem from the AHRQ's Medical Expenditure Panel Survey, which went out to 15,661 adults in 2000-2001. The survey, designed to collect a variety of information on people's health and their satisfaction with health care, also included questions on smoking habits and whether or not smokers had been counseled by a doctor to quit.

About one quarter of US adults overall currently smoke cigarettes.

Among those 18 or older, people with less than a high school education were about twice as likely to smoke as those who reported more than 12 years of education, the survey found. One third of those who didn't finish high school smoked, compared to 16% of people who had graduated from high school.

==================================================================
Desire to Be Thin Linked to Smoking Habit in Girls
Mon Jun 10,2002 1:24 PM ET

NEW YORK (Reuters Health) - The drive to be thin is a strong indicator of whether or not young girls will take up smoking, new study findings suggest.

Parents and educators should "stress effective, healthy weight control methods" for girls who want to keep weight gain to a minimum, according to the authors of the report, which was sponsored by the National Heart, Lung, and Blood Institute (NHLBI) in Bethesda, Maryland.

To better understand what causes young women to take up daily smoking, lead author Dr. Carolyn Voorhees of Johns Hopkins University in Baltimore, Maryland and colleagues followed 9- and 10-year-old girls for a 10-year period. During that time, all of the girls participated in annual interviews that covered their smoking habits, self-esteem, exercise habits and home life. They also underwent physical exams.

As previous research has also shown, white girls were much more likely to be daily smokers than black girls by the age of 18 or 19. A range of factors influenced a girl's likelihood of becoming a smoker, including parental education, feelings of self-worth, alcohol use and wanting to be thin.

Girls were more likely to be daily smokers by age 18 or 19 if their parents had a lower level of education, if they lived in a single-parent household and if they drank alcohol at age 11 to 12. Those with a higher drive for thinness at age 11 to 12, as well as worse behavioral conduct at this age, were also more likely to smoke, the investigators found.

"The common thread in predicting daily smoking between black and white girls was their concern with weight," Voorhees and colleagues write in the June issue of the journal Preventive Medicine.

"This has not been reported previously in black girls and might indicate that more girls smoke as their desire to be thinner increases," the researchers add.

===========================================================================
Fetal Nicotine Exposure Tied to Breathing Problems
Fri Jul 12, 2002 1:35 PM ET

NEW YORK (Reuters Health) - Nicotine exposure in the womb, even in the absence of other substances present in tobacco smoke, may lead to breathing difficulties in newborns, results of an animal study suggest.

The findings indicate that nicotine can have lasting harmful effects on developing fetal lungs, according to Dr. Hakan Sundell and colleagues of Vanderbilt University School of Medicine in Nashville, Tennessee.

"The issue is of clinical significance, because nicotine replacement for pregnant women is often regarded as a safe alternative in smoking cessation programs," they write in the American Journal of Respiratory and Critical Care Medicine.

"Prenatal nicotine exposure appears to have long-term effects on the postnatal breathing pattern, suggesting altered lung function," Sundell and colleagues write. "These changes are most marked close to birth but persist during the initial postnatal period."

Nicotine easily passes through the human placenta to a developing fetus, the researchers point out. And concentrations of nicotine in the fetus can be equal to or higher than in the mother, they add.

===========================================================================
 Dow Jones Business News
Philip Morris Hit With $28 Billion Punitive-Damage Verdict
Friday October 4, 2002 2:20 pm ET

By Pat Maio

Dow Jones Newswires

LOS ANGELES -- After deliberating for just under two days, a Los Angeles jury awarded $28 billion in punitive damages to a 64-year old woman smoker dying of cancer in a lawsuit brought against tobacco giant Philip Morris Cos. .

"This is long overdue," said Michael Piuze, the lawyer representing Ms. Bullock in the case. "There's no amount of money big enough to punish Philip Morris."

===============================================================

Marijuana Smoking Tied to Depression, Schizophrenia
Fri Nov 22,10:22 AM ET    
Add Health - Reuters to My Yahoo!

By Amy Norton
NEW YORK (Reuters Health) - Young people who frequently smoke marijuana may be more likely to later develop depression, anxiety and even schizophrenia, the results of three studies released Friday suggest.

===============================================================




Thursday May 3, 2001 3:19 PM ET
  Quitting Cigarettes May Be Harder for
  Women

  By Keith Mulvihill

  NEW YORK (Reuters Health) - Women may have a tougher time
  kicking their smoking habits compared with men, according to a
  Pennsylvania researcher.

  In general, women are more concerned than men about possible weight
  gain and women are more likely than men to have a history of major
  depression, which is related to poor success rates for quitting, explained
  study author Dr. Kenneth A. Perkins of the University of Pittsburgh
  School of Medicine. What's more, women may get less support from
  their partners when it comes time to quit.




===============================================================
More Evidence Smoking Linked to Breast Cancer
Mon Oct 7, 200 1:51 PM ET
NEW YORK (Reuters Health) - Women who smoke or who are exposed to secondhand smoke may have an elevated risk of breast cancer a new report suggests.
The findings support those of previous studies, including a report released on Friday showing that girls who begin smoking as teens may be more susceptible to breast cancer later in life. Another recent report linked heavy smoking with breast cancer risk.
In the new study, current smokers were 50% more likely to be diagnosed with breast cancer compared with women who had never smoked and were not exposed to passive smoke, while former smokers were 20% more likely to be diagnosed, the investigators found.
Likewise, women who reported that they had never smoked but that they were exposed to cigarette smoke for more than an hour a day for at least a year were 60% more likely to have breast cancer, report researchers in the October 1st issue of the American Journal of Epidemiology. But if this exposure occurred during childhood or before a woman's first pregnancy, it did not appear to increase her breast cancer risk.


===============================================================


Smoking, Drinking May Up Risk of Eye Disorder
Mon Oct 7, 2002 10:47 AM ET
NEW YORK (Reuters Health) - Smokers and heavy drinkers may be more susceptible to age-related maculopathy (ARM), the leading cause of blindness in the industrialized world, researchers report.
  
Dr. Ronald Klein and colleagues from the University of Wisconsin in Madison evaluated the association between smoking and alcohol consumption and the long-term risk of ARM in more than 3,600 adults aged 43 to 86 years.
Cigarettes and alcohol can both result in oxidative damage to the cells of the retina, they explain. Antioxidant nutrients such as vitamins A, C and E may help protect against the development of ARM, an irreversible deterioration of the retina of the eye.
The study found that heavy drinkers, or adults who consumed at least four drinks a day, were about 6 times more likely to develop symptoms of late ARM over a 10-year period. And those who reported that they were heavy drinkers in the past were more than twice as likely to develop late ARM. Current smokers were also more likely to develop the disorder, report researchers in the October 1st issue of the American Journal of Epidemiology.
However, more research is needed, since there were few women in the study who reported being heavy drinkers and smokers. Older people, who are more likely to develop ARM, were also less likely than middle-aged adults to report smoking or drinking heavily, when the study began. And several smokers dropped out of the study after 5 years.
"Although these data do not permit us to provide definitive evidence regarding whether stopping smoking and heavy drinking will prevent the development of late age-related macular degeneration, patients should be advised not to smoke or drink heavily because of their significant known adverse affects on health," the researchers conclude.
SOURCE: American Journal of Epidemiology 2002;156:589-598.
===============================================================

Smoking, Pelvic Infections Up Tubal Pregnancy Risk

Fri Feb 14, 2002
NEW YORK (Reuters Health) - Smoking and sexually transmitted pelvic infections can more than triple a woman's risk of having an ectopic pregnancy, French researchers report in the February issue of the American Journal of Epidemiology.
===============================================================

Nicotine 'Cooks' Proteins in the Body
Mon Oct 28, 5:22 PM ET
By Merritt McKinney
NEW YORK (Reuters Health) - As if smokers need another reason to kick the habit, California scientists have discovered that a byproduct of nicotine, the substance that makes cigarettes so addictive, causes a type of chemical reaction in the body similar to that which occurs when sugar is scorched or food goes bad. This reaction is thought to play a role in diabetes, cancer and other diseases.
  
Although the health effects of the nicotine byproduct, known as nornicotine, are uncertain, researchers also found that the substance interferes with the actions of a commonly used steroid medication.
The interaction between sugars and proteins can produce substances called advanced glycation endproducts, or AGEs. The accumulation of AGEs appears to contribute to the aging process and certain diseases.
Now Drs. Kim D. Janda and Tobin J. Dickerson at The Scripps Research Institute in La Jolla have found that nornicotine, which is found in tobacco and is produced as nicotine is metabolized, leads to small, but significant, accumulation of one type of AGE. They also found that blood collected from smokers had higher levels of the nornicotine-related AGE than blood from nonsmokers.
"Our results provide a direct chemical link between tobacco use and the development of AGEs, a class of compounds previously implicated in various disease states," Janda and Dickerson conclude in a report in the online early edition of the journal Proceedings of the National Academy of Sciences (news - web sites).
The findings suggest an "unrecognized pathway" through which tobacco use can be harmful to health, according to the report.
In comments to Reuters Health, study author Janda said that the "very startling point is that this chemical reaction that nornicotine can cause also can take place with certain drugs." The researchers found that nornicotine interacted with the steroid prednisone to form byproducts that may interfere with the activity of the steroid as well as cause harmful effects.
The interaction with prednisone raises the question of whether nornicotine also interacts with other drugs, according to the California researcher.
Janda said that "the public needs to be made more aware" that tobacco and other nicotine-containing products create a substance "that was previously unrecognized as a potential danger to proteins in the body and administered prescription drugs."
Janda pointed out that even nicotine patches and gums that people use to quit smoking can trigger the reaction. Of course, if these products are successful, then a person will no longer have to consume any sort of nicotine--in cigarettes or in gums or patches.
SOURCE: Proceedings of the National Academy of Sciences 2002;10.1073/pnas.222561699.



=========================================
Wednesday January 17, 2001 10:32 AM ET
                    'Mild' Cigarettes Still Pack Nicotine Punch

                    NEW YORK (Reuters Health) - Smokers who choose to puff on ''light'' or
                    ``ultralight'' cigarettes may not be getting the break from tar and nicotine they've been promised, researchers
                    report.

                    Study results show that the amount of tar and nicotine inhaled by smokers depends on the number and strength
                    of their puffs and therefore varies tremendously among smokers--even with cigarettes touted as being low in tar
                    or nicotine.

                    In fact, people who smoke ``light'' or ``mild'' cigarettes inhale up to eight times as much tar and nicotine as
                    printed on the label. People who smoked brands listing higher levels of nicotine inhaled about 1.5 times as much
                    of these chemicals, report researchers in the January 17th issue of the Journal of the National Cancer Institute.

                    ``The conclusion has to be that the tar and nicotine ratings on cigarette packets are not worth the paper they are
                    written on,'' said Dr. Martin J. Jarvis, from University College London, UK, in a prepared statement. ``Not
                    only are they misleading to consumers, but machine-measured ratings are also downright dangerous as they
                    encourage 'health-conscious' smokers to switch to 'light' brands rather than quit.''

                    In the study, Jarvis and colleagues interviewed more than 2,000 adult smokers and measured levels of
                    cotinine--a byproduct of nicotine--in their saliva. The findings appear to confirm several past studies--some
                    conducted using smoking machines--that have suggested that the level of tar and nicotine ingested by smokers
                    is indeed higher than that listed on the label.

                    The researchers explain that the information printed on cigarette labels is based on test results from such
                    machines, which simulate smoking. But people tend to take stronger puffs than machines. Low-nicotine brands
                    have special filters, which dilute the smoke during the machine simulation by as much as 83%. However, the
                    filters do not appear to have the same effect when humans smoke cigarettes.

                    ``Smokers can achieve essentially whatever delivery they desire...through taking larger and more frequent puffs
                    and through maneuvers such as blocking ventilation holes with lips or fingers,'' the report indicates.

                    The authors suggest that socioeconomic and genetic factors might shape a person's preference for a certain
                    nicotine level. In fact, people who smoked low-nicotine brands tended to be older, female and better educated.
                    They also smoked fewer cigarettes each day, the researchers add.

                    SOURCE: Journal of the National Cancer Institute 2001;93:134-138.

================================================================================================================

Friday August 18, 2000 5:37 PM ET


                    Smoking raises risks of sinusitis

                    NEW YORK (Reuters Health) - The results of a new study provide yet
                    another reason to stop smoking: People who smoke are more likely to
                    develop the headaches, nasal congestion and sinus pain and pressure of
                    sinusitis.

================================================================================================================
Tuesday October 3, 2000 10:48 AM ET


                    Smoking May Lead to Teen Depression

                    CHICAGO (Reuters) - Contrary to the notion that depressed teenagers
                    were more likely to take up smoking, a study found that young people who
                    became smokers were more likely to become depressed, researchers said on
                    Monday.

                    Cigarette smoking was the ``strongest predictor'' of developing depressive
                    symptoms among a group of 8,704 teenagers who were not depressed a
                    year earlier, said study author Elizabeth Goodman of Children's Hospital
                    Medical Center and the University of Cincinnati College of Medicine.

                    The adolescents who were not depressed at the start of the study--and may
                   or may not have been experimenting with cigarettes--were four times more
                    likely to have depressive symptoms if they were moderate or heavy smokers
                    a year later.

                    The impact of nicotine or other cigarette additives on certain brain receptors
                    could be to blame for the onset of depressive symptoms, Goodman said.

                    There has been some success in using anti-depressants to help smokers stop,
                    suggesting a close link between the effects of cigarettes and the brain's
                    chemistry that dictates mood

================================================================================================================
Thursday August 3, 2000


Tobacco Firms United to Contest Health
      LONDON (Reuters) - Seven of the world's leading tobacco firms
      cooperated for more than two decades in denying the health risks of smoking
      and designed strategies to reassure smokers, according to a study published
      on Friday.

      Secret tobacco industry documents revealed that top firms launched
      ``Operation Berkshire,'' a plan that contested the causal link between
      smoking and lung cancer, heart disease, emphysema and other illnesses.

      Australian researchers said the documents, made public during U.S. court
      cases and now available on the Internet, show the industry was determined to
      protect its commercial interests at the expense of public health.

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Friday June 23, 20000 2:43 PM ET
 Teen Smokers Need Help in Kicking the Habit
 NEW YORK (Reuters Health) - Many teen smokers try to kick the habit early on, but they


 generally don't succeed until their 30s. Teenaged smokers may need specially tailored
 treatments that can help them quit smoking, report researchers from the National Institute on
 Drug Abuse in Bethesda, Maryland.

 ``By age 17, one half of smokers have tried to quit and failed, two thirds regret ever having
 started, and nearly 40% express interest in some form of treatment for tobacco
 dependence,'' report Dr. Eric T. Moolchan and colleagues in the June issue of the Journal of
 the American Academy of Child and Adolescent Psychiatry.

 Those findings are from a 1994 study conducted by the Centers for Disease Control and
 Prevention, note the researchers, who analyzed dozens of studies on teenage smoking
 published over the last 20 years.

 They conclude that more effort is needed to find out why teens start smoking and find
 specific ways that help them kick the habit.

``As approaches to adult smoking cessation expand, our commitment to the long-term health of children must prompt youth-targeted interventions aimed at cessation or long term-reduction of smoking, as well as prevention of smoking initiation,'' they write. One study of 18-year old smokers who wanted to quit showed that cost (52%), health (52%), fitness (27%), unacceptable/bad image (16%) or social pressure (11%).were important reasons for wanting to give up the habit. Not surprisingly, peer pressure is a strong influence  on teenage smoking, especially among high-school students. After that, they note that parental smoking and family conflicts are the most significant predictors of the transition from occasional to regular smoking. A study of 11- to 13-year olds found that 75% of kids who smoked had one or two parents who smoked. The earlier teens start smoking, the more severe their nicotine addiction will be, according to the study authors.

 They note that the rate of teenage smoking is on the rise--36.4% of high school students in
 1997 smoked compared with 27.5% in 1991--despite price hikes and other measures
 designed to restrict kids' access to tobacco products.

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Monday May 15, 2000 6:08 PM ET
Smokers Have Lower Levels of Heart-Protecting Protein

 NEW YORK (Reuters Health) - Compared with nonsmokers, smokers have lower levels
 of paraoxonase (PON), a protein in the blood that provides a measure of protection against
 coronary artery disease, Swiss researchers report.

 The study results ``are highly consistent with the hypothesis that modifications of serum
 PON could be a mechanism by which smoking accelerates the (process that leads to arterial
 disease),'' according to Dr. Richard W. James and colleagues from University Hospital in
 Geneva, Switzerland.

 PON, an enzyme attached to HDL (''good'') cholesterol, may have a role in protecting LDL
 (''bad'') cholesterol from being damaged and contributing to arterial disease. Low serum
 PON was recently identified as a significant risk factor for coronary artery disease, the
 authors explain.

`The novelty of our study is that it shows smoking not only makes LDL cholesterol more
 toxic by producing free-radicals, but also weakens one of the means of limiting oxidation of
 LDL cholesterol,'' he added.

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Tuesday August 8 5:39 PM ET
Upping Nicotine Levels May Help Smokers Quit

By Andrew Holtz

CHICAGO (Reuters Health) - Boosting nicotine levels in smokers may actually help them reduce their smoking, perhaps even easing the path to smoking cessation, according to research presented Monday at the 11th World Conference on Tobacco OR Health in Chicago.

Dr. Rachel Tyndale, associate professor at the University of Toronto's Center for Addictions and Mental Health in Canada, said genetic clues led her team to experiment with a new approach to nicotine replacement compound. In a short-term study, the new compound reduced smoking by 50% compared with (an inactive) placebo.

The key to success is an enzyme inhibitor that slows the inactivation of nicotine in the liver. Until now, nicotine pill development has been stymied by the fact that the liver metabolizes 70% of ingested nicotine before it can reach the brain.

================================================================================================================
Tuesday August 8 5:36 PM ET


A Link Between Nicotine And Alcohol Dependence

By Andrew Holtz

CHICAGO (Reuters Health) - Not only do smoking and drinking often go together, new research on identical twins indicates nicotine dependence may influence some people's risk of becoming alcohol dependent, according to research presented here Monday at the 11th World Conference on Tobacco OR Health.

================================================================================================================
Tuesday August 8 5:46 PM ET


Quitting Smoking Reduces Cataract Risk

NEW YORK (Reuters Health) - Cigarette smoking increases the risk of developing age-related cataracts, clouding of the lens in the eye that impairs vision. But it has not been clear if quitting smoking reduces this risk. Study results published in the August 9th issue of The Journal of the American Medical Association suggest that quitting does reduce cataract risk--but also provides evidence that only some smoking-related damage to the lens is reversible.

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Tuesday August 8 5:43 PM ET
Environmental Smoke Exposure Linked to Illness

NEW YORK (Reuters Health) - There is ample evidence that smoking is bad for your health. It is also known that exposure to environmental tobacco smoke may lead to respiratory illness in children.

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Tuesday August 8 4:53 PM ET
Smoking and Pregnancy

NEW YORK (Reuters Health) - Women who quit smoking midway through their pregnancies can still reduce some of the smoking-related risks to their babies, including low birth weight and small head circumference, results of a study suggest.

However, quitting at this point may not reduce other risks such as intrauterine growth stunting, according to Dr. Anna A. Lindley of Case Western Reserve University in Cleveland, Ohio, and colleagues.

According to the report in the August 1st issue of the American Journal of Epidemiology, the ``findings suggest that early-to-midpregnancy smoking cessation prevents deficits in infant birth weight, head circumference and BBR''--brain to body weight ratio, which is an indicator of brain mass.

Previous studies have shown that smoking during pregnancy increases the risk of delivering low birth weight babies; those with a smaller head circumference--a measurement that is used to gauge brain development; and babies with a small crown-heel length, a measurement of fetal growth.

================================================================================================================


Twin Study Shows Alcohol, Nicotine Vulnerability Linked

 There may exist a common genetic vulnerability to nicotine and alcohol dependence in men, according to an
 article in the July issue of the Archives of General Psychiatry, a member of the JAMA family of journals.

================================================================================================================
Monday June 12, 2000


NEW YORK (Reuters Health) - Computer software has become an essential part of great
 endeavors, from Internet start-ups to guiding space probes. A new report suggests that the
 computer can also play a role in a more personal feat for many people--to quit smoking.

 A report from the University of Pittsburgh suggests that a self-help, computer-based
 smoking cessation program that includes use of nicotine gum and is tailored to the individual
 may improve smokers' quit rates.

 Researchers found that smokers using the program, the SmithKline Beecham's Committed
 Quitters Program (CQP), had an over 50% higher rate of quitting smoking compared with
 those just using the gum and an audiotape (the UG group), according to study results
 published in the June 12th issue of the Archives of Internal Medicine.

                         The study was funded by SmithKline Beecham Consumer
                         Healthcare, which manufactures Nicorette nicotine gum and
                         the NicoDerm CQ nicotine patch.

                         ``The Committed Quitters Program is a set of
                        computer-tailored printed materials designed to help people
 successfully quit smoking with Nicorette gum,'' lead author Dr. Saul Shiffman, from the
 university's Smoking Research Group, explained to Reuters Health. ``Avoiding the
 one-size-fits-all approach of most materials--which doesn't work well--the CQ program
 creates for each smoker materials that address that smoker's particular concerns about
 quitting smoking,'' he added.

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Tuesday April 18 9:15 PM ET

 Diet suffers when spouse is a smoker

SAN DIEGO, Apr 18 (Reuters Health) -- For the husbands and wives of those addicted to
 tobacco, good nutrition may be going up in smoke.

 ``We found that men and women who were married to smokers -- as compared to men and
 women married to nonsmokers -- consumed significantly more total fat and saturated fat,'' said
 researcher Dr. Jeffrey S. Hampl of Arizona State University in Tempe. He presented his
 team's findings at the Experimental Biology 2000 conference held here this week.

 Numerous studies have found that nonsmokers who breathe in the secondhand smoke of a
 spouse or family member have an increased risk for cancer and heart disease. But Hampl's
 team sought to determine if living with a smoker was also associated with poor nutrition.
-------
Smoking Linked to Impaired Intellect in Elderly (Reuters)
British and Spanish researchers warned on Wednesday that smoking late in life could impair intelligence in the elderly.
- Apr 18 9:27 PM ET
----------
Terrible twos worse if mother smoked during pregnancy (Reuters)
Yet another reason to give up cigarettes -- results of a new study show that women who smoked during pregnancy are more likely
to have toddlers with behavior problems.
- Apr 13 10:29 PM ET
---------
Japanese Researchers Show How Smoking Harms Skin (Reuters)
If the increased risk of lung cancer and heart disease isn't enough to convince smokers to quit, Japanese scientists have a new
incentive -- it causes wrinkles. - Apr 12 3:03 PM ET

================================================================================================================


New York hospitals sue tobacco industry for $3.4 billion

 NEW YORK, Mar 30, 2000 (Reuters Health) -- New York hospitals are taking aim at Big
 Tobacco. On Thursday, the Healthcare Association of New York State and 145 hospitals
 throughout the state filed a $3.4 billion lawsuit against eight tobacco manufacturing,
 marketing and research firms. The hospital group says it is seeking to recover the unpaid
 costs of treating smokers and other victims of tobacco-related illnesses.

 ``Although it is part of the charitable mission of New York's nonprofit hospitals to care for all
 who come to us, we should not have to bear the burden of intentional fraud, deceit, and
 greed of Big Tobacco,'' Sisto said in a statement announcing the lawsuit. ``Treating these
 illnesses diverted precious and scarce resources from other public and community health
 needs,'' he explained. ``That, in itself, is an offense for which tobacco companies should
 pay,'' he said.

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28MARCH00
The 12-member San Francisco Superior Court panel ordered Philip Morris Cos
 Inc.(NYSE:MO - news) and R.J. Reynolds Tobacco Holdings Inc.(NYSE:RJR - news)
 each to pay $10 million to Leslie Whiteley, a California woman who developed lung cancer
 after smoking for 25 years.

 The same jury decided last week that the two companies should pay Whiteley, a
 40-year-old mother of four, $1.7 million in compensatory damages after finding that the
 cigarette makers acted with malice, knew about the health hazards of smoking and
 deliberately misled the public about those dangers.

The jury's first verdict, which also found that the two companies committed fraud, set the stage for Monday's
punitive damage award -- sums which in prior cases have gone as high as $81 million.

================================================================================================================


FEB 2000
 Prior studies have shown that cigarette smoking promotes the formation of molecules called
 ``free radicals'' in the bloodstream. These free radicals are highly reactive chemicals that
 cause oxidation, or changes that alter the cell lining of the arterial walls (the endothelium).
 Vitamin E can counter these changes because it is an antioxidant, meaning that it can absorb
 or neutralize damage-causing free radicals.

 ``Free radicals have been implicated in several chronic diseases such as cancer or arthritis.
 They can cause terrible harm to the body, and not only to the endothelium,'' said Dr. Jerome
 D. Cohen, professor of medicine in cardiology at Saint Louis University School of Medicine,
 Missouri, in an interview with Reuters Health.

 According to Cohen, ``The chemicals in cigarette smoke lessen and can reverse the ability of
 the arterial walls to dilate during periods of stress or exercise, when increased blood flow is
 necessary. In fact, cigarette smoking may even cause the arterial walls to constrict. This may
 account for the increased incidence of sudden death and heart attacks seen in smokers.''

Friday March 10 3:01 PM ET

 Tough laws can snuff out smoking rates

 NEW YORK, Mar 10 (Reuters Health) -- Tough antismoking measures such as a cigarette
 tax and an aggressive antismoking media campaign can help extinguish smoking habits among
 adults, results of a recent study suggest. The aggressive tactics, which have already worked
 in California, could benefit the rest of the country as well, according to the report.

================================================================================================================


Friday March 10 1:21 PM ET 2000

 Pot smokers tend to become dropouts

 NEW YORK, Mar 10 (Reuters Health) -- Teens who smoke marijuana may be more than
 twice as likely to drop out of high school than their nonsmoking peers, results of a recent
 study suggest.

================================================================================================================
Wednesday March 8, 2000


 Cigarette smoke increases risk of deadly infections

 NEW YORK, Mar 08 (Reuters Health) -- If you're a smoker -- or even exposed to
 secondhand smoke -- you are at greater risk for serious infections with pneumococcal
 bacteria, which include meningitis, pneumonia, or blood stream infections.

The risk of infection caused by Streptococcus pneumoniae, the virus that causes pneumonia, was four times higher for cigarette smokers and two-and-a-half times higher for those exposed to secondhand smoke.

================================================================================================================


March 2, 00
 Aging pot users at risk for heart attack

SAN DIEGO, Mar 02 (Reuters Health) -- Aging marijuana smokers have almost a five
 times higher than normal risk of having a heart attack in the first hour after smoking cannabis,
 according to findings presented at the American Heart Association's 40th Annual
 Conference on Cardiovascular Disease Epidemiology and Prevention.

================================================================================================================


Tuesday February 29 4:15 PM ET

 Anti-Smoking Ads Affect Youth Behavior-US Study

 WASHINGTON (Reuters) - Younger adolescents who are regularly exposed to
 anti-smoking messages on television are half as likely to start smoking as those not exposed,
 a study released on Tuesday found.

 A second study in the same journal found that teen-agers who could name a cigarette brand
 as having attracted their attention the most and owned a tobacco-sponsored promotion item,
 such as a sun visor or sports bag, were more than twice as likely to become established
 smokers.

``Both show that advertising techniques are effective whether you're trying to promote
 tobacco use or prevent it,'' said Michael Seigel, associate professor at Boston University
 School of Public Health and lead author of the study on anti-smoking advertising.

================================================================================================================


The government accuses cigarette makers of conspiring for 45 years to mislead the public about the dangers of smoking and seeks to recover billions of dollars spent by Medicare and other federal health programs treating smoking-induced illnesses.

In filing the lawsuit last September, Attorney General Janet Reno said federal health plans spend more than $20 billion a year treating smoking-related illnesses, which take 400,000 lives a year.

================================================================================================================
(Knowledge alone does not bring change)
 NEW YORK, Feb 04, 2000 (Reuters Health) -- Although most smokers in the US know that


 cigarettes can cause heart and lung disease, few have been able to kick the habit, according
 to results of a nationwide poll.

 The survey of more than 1,000 adult smokers revealed that 89% know that smoking
 increases the risk of lung cancer, 86% know that it increases the risk of heart disease, and
 84% believe that it will shorten their lives.

 While 70% of respondents have tried to quit smoking in the past, none were successful,
 according to the poll, conducted by New York City-based Harris Interactive.

================================================================================================================


Tuesday February 8, 2000

 Nicotine as addictive as heroin

 By Patricia Reaney

 LONDON, Feb 08 (Reuters) -- Nicotine is a powerful addictive substance on a par with
 heroin and cocaine and should be controlled like a drug or medicine, British doctors said on
 Tuesday.

 In a hard-hitting report prepared by international experts, the Royal College of Physicians
 said cigarettes are nicotine delivery products and said nicotine addiction should be
 recognised as a major medical and social problem.

================================================================================================================

Monday January 21, 2002 2:37 PM ET

                Lower-Status Monkeys More Likely to
                Take Cocaine

                By Faith Reidenbach

                NEW YORK (Reuters Health) - The alpha male in a group of monkeys
                gets the best banana, doesn't have to fight--and is less likely than
                subordinate monkeys to use cocaine, scientists have observed.

                Dr. Michael Nader of Wake Forest University in Winston-Salem, North
                Carolina and colleagues found that animals who became dominant after
                moving from solitary housing to social housing showed changes in brain
                chemistry that made them less likely to use drugs. But monkeys who
                were subordinate after the move showed no brain chemistry changes.
 


================================================================================================================


Friday December 17,99 3:05 ET
WASHINGTON (Reuters) - Smoking marijuana can cause cancer, California researchers said Friday, and aging baby boomers who have been indulging since the swinging 60s may just be starting to feel its ravages.  The report, by Dr. Zuo-Feng Zhang of the Jonsson Cancer Center at the University of California Los Angeles, adds to evidence that smoking cannabis can have cancer-causing effects similar to those linked to cigarette smoking.
``Many people may think marijuana is harmless, but it's not,'' Zhang said in a statement. ``The carcinogens in marijuana are much stronger than those in tobacco. The big message here is that marijuana, like tobacco, can cause cancer.''

================================================================================================================


Monday December 27, 99
Smoking marijuana increases head  and neck cancer risk

================================================================================================================


NEW YORK, Dec 01, 99 (Reuters Health) -- Teens who smoke have an increased risk of depression.

================================================================================================================


Smoking during pregnancy risks newborn health

NEW YORK, Oct 05, 99 (Reuters Health) -- Pregnant women who smoke 15 or more cigarettes per day double the risk that their newborns will be hospitalized during the first 8 months of the infant's life, report Danish researchers.

================================================================================================================


NEW YORK, Nov 30, 99 (Reuters Health) -- Bladder cancer patients who continue to smoke
 after being diagnosed tend to be younger than nonsmokers diagnosed with the disease. In
 addition, patients with the cancer who smoke are at increased risk for faster disease
 recurrence than nonsmokers, report researchers.

Writing in an accompanying editorial, Smith adds, ''Nevertheless, even the suggestion that
 continued smoking may promote tumor recurrence and progression seemingly would be a
 powerful deterrent against continued smoking.''

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 NEW YORK, Nov 22, 99 (Reuters Health) -- Smoking cigars may increase an individual's risk
 of dying from coronary heart disease (CHD), results of a recent study suggest.

================================================================================================================


 NEW YORK, Oct 08, 99 (Reuters Health) -- Every day, almost 5,000 US teens try cigarettes
 for the first time, and about 2,000 young people become regular smokers, according to new
 survey results.

 The majority of the individuals surveyed were as young as 12 or 14 years when they first
 experimented with smoking. The researchers speculate that many youngsters start smoking
 at an early age because of peer pressure experienced during ``the transition from elementary
 to junior high school at age 12 years and from junior high to high school at age 14 years.''

 The authors also point to the glamorization of smoking on television and in movies as
 possible factors encouraging teens to smoke.

================================================================================================================


4-NOV-99
Smoking tied to impotence after prostate cancer treatment
Smoking increases the risk of impotence in patients who receive radiation treatment for prostate cancer, according to a report from the Fox Chase Cancer Center in Philadelphia, Pennsylvania.

================================================================================================================
Tuesday October 12, 99
 GENEVA (Reuters) - The World Health Organization (WHO) launched an inquiry Tuesday into what it called a ``systematic and global'' bid by the tobacco industry to undermine U.N. efforts to control smoking.
 The U.N. health agency named top Swiss public health official Thomas Zeltner to head a committee of independent experts  who are to review evidence and recommend further action.
The London-based group ASH (Action on Smoking and Health) said in a statement it backed the WHO inquiry and would hand over relevant documents it had uncovered in the public domain. ``There is strong suspicion that the tobacco industry has been using its money and influence to stop the U.N. doing anything  effective to prevent millions dying from smoking, especially in the Third World,'' ASH international campaign manager Emma Must said in the text made available in Geneva.

================================================================================================================


Wednesday September 22, 99

U.S. Sues Tobacco Firms Over Smoking Costs

                 WASHINGTON (Reuters) - The U.S. Justice Department Wednesday filed a massive lawsuit that
                 accuses the tobacco industry of fraud and deceit since the 1950s, and seeks to recover much of the $20
                 billion spent by the federal government every year on smoking-related illnesses.

                 ``In the complaint, the United States alleges that for the past 45 years, the companies that manufacture
                 and sell tobacco have waged an intentional, coordinated campaign of fraud and deceit,'' Attorney General
                 Janet Reno told a news conference in unveiling the landmark civil lawsuit.

================================================================================================================


Monday September 13 3:25 PM ET
California Cigarette Sales Plunge After New Tax

SAN JOSE, Calif. (Reuters) - Anti-smoking activists Monday hailed news that cigarette sales in California fell by 30 percent in the first half of 1999, as higher state taxes and tobacco company price hikes pushed up the cost of cigarettes to as much as $4 per pack.

``It's beyond our expectations,'' said movie director Rob Reiner, who led the ballot battle to pass Proposition 10, the extra 50-cent-per-pack tax California implemented in January to help fund children's educational programs.

================================================================================================================


NEW YORK, Aug 31 (Reuters Health) -- While quitting smoking remains the number one means of
reducing a smoker's risk for fatal lung cancer, real declines in death risk only appear between 15-20
years after individuals kick the habit, according to new study findings.

================================================================================================================


Tuesday August 31 12:53 PM ET

Brand switchers have better luck quitting smoking

NEW YORK, Aug 31 (Reuters Health) -- Smokers who switch to lower tar- or nicotine-containing
brands for health reasons may be more likely to subsequently kick the habit than their more
brand-loyal counterparts, a new study suggests.

================================================================================================================


Monday August 16 1:02 PM ET
Smoking triples pneumonia risk
NEW YORK, Aug 16 (Reuters Health) -- Pack-a-day smokers face nearly three times the risk of developing pneumonia compared with nonsmokers, according to researchers.
According to the authors, smoking may contribute to pneumonia by triggering ``alterations in the immune system and inflammatory functions'' that reduce the body's ability to fight off disease.
But there was also some good news in the report -- studies have shown that immune responses return to normal, healthy levels soon after individuals quit smoking. In fact, Gonzalez and colleagues report that pneumonia risks among ex-smokers dropped by 50% within 5 years of kicking the habit.

================================================================================================================


Tuesday August 17 6:40 PM ET - Secondhand Smoke Hikes Stroke Risk
LONDON (AP) - Highlighting the dangers of passive smoking, a new study suggested Tuesday that
breathing in other people's cigarette smoke makes nonsmokers 82 percent more likely to suffer a stroke.

================================================================================================================


A mother who smokes during pregnancy may more than triple her child's risk for ear infection, researchers report.
- Aug 03 2:13 PM EDT

================================================================================================================

Friday July 6, 2001 5:43 PM ET

                A Single Cigarette Can Affect Heart Function

  SEATTLE (Reuters Health) - Smoking just one cigarette can cause an abrupt change in the
                function of the heart's key pumping chamber, according to research presented here last week
                at the 12th Annual Scientific Sessions of the American Society of Echocardiography.

                Dr. Firas A. Ghanem and colleagues at the Brody School of Medicine of East Carolina
                University in Greenville, North Carolina, suspected that smoking might immediately, but
                transiently, impair the function of the left ventricle-the heart's key pumping chamber--between
                heart muscle contractions. This impairment, also called LV diastolic dysfunction, has been
                linked to shortness of breath.

                Cigarettes did indeed cause changes in left ventricle function, but nicotine chewing gum did
                not, suggesting that other chemicals act in conjunction with nicotine to cause heart problems,
                the researchers note.

                Ghanem and his colleagues evaluated the effects of smoking and nicotine gum on 27 healthy
                people. None had any evidence of heart disease, and none were taking any medications.

                People were divided into two groups. One group smoked a single cigarette and the second
                group chewed nicotine gum for 15 minutes. Before and after exposure to either gum or the
                cigarette, the researchers used a Doppler echocardiogram to measure the blood flow in the
                heart. Doppler echocardiograms use sound waves to produce images of structures within the
                body.

                In the cigarette group, there were differences in several measures of heart blood flow, but no
                changes were noted in the second group, before or after chewing nicotine gum.

                There were limitations to the study, Ghanem pointed out. The number of patients was small
                and nicotine levels were not measured. Also, the changes in heart function observed didn't
                meet clinical criteria for dysfunction of the left ventricle, Ghanem noted. ``In conclusion,
                immediately after smoking a single cigarette, LV diastolic function, as measured by Doppler
                echo, significantly worsens,'' Ghanem said. ``Chewing nicotine gum does not seem to have the
                same effect.''
 
 
 
 
 

Thursday June 28, 2001 1:23 PM ET

                Smoking Risk Factor for Multiple Sclerosis: Study
 
 

                By Emma Patten-Hitt, PhD

                NEW YORK (Reuters Health) - Long-time smokers may face an increased risk of multiple
                sclerosis, according to researchers from Harvard University. They found that women who
                smoked a pack a day for 25 years or more were more likely than nonsmokers to develop the
                disease.

                Multiple sclerosis (MS) is a disease of the central nervous system believed to involve an
                abnormal immune system attack on nerve cells. The disease can lead to vision changes, muscle
                weakness, coordination problems and other debilitating symptoms. It strikes women more
                often than men.

                According to the Boston researchers, led by Dr. Miguel A. Hernan, smoking has been linked
                to other immune system-related diseases such as rheumatoid arthritis and lupus.

                To investigate a possible link between smoking and MS, the researchers combined data from
                two ongoing studies of nearly 240,000 US female nurses. Their smoking history was taken at
                the beginning of each of the studies. Every 2 years after that, the participants answered
                another survey about their smoking status and health.

                Women from one study were followed for 18 years, and those from the other were tracked
                for 6 years. During that time, the researchers identified 315 definite or probable cases of MS.

                Compared with nonsmokers, the risk that current smokers would develop MS was increased
                by 60%. Former smokers had a 20% higher risk than women who had never smoked.

                Hernan's team also found that the more a woman smoked, the more likely she was to develop
                MS. Nurses who smoked a pack per day for 1 to 9 years were at a 10% increased risk of
                developing MS. Those who smoked the same amount for 10 to 24 years were at a 50%
                increased risk, and those who smoked a pack a day for 25 years were 70% more likely than
               nonsmokers to develop MS.

                The researchers report the findings in the July 1st issue of the American Journal of
                Epidemiology.

                ``It is not known why smoking is linked to MS,'' Hernan told Reuters Health. The
                explanations, he said, range from the fact that smokers are more likely to develop respiratory
                infections (which may increase the risk of MS) to the direct toxic damage that components of
                cigarette smoke inflict on the nervous system.

                Hernan also pointed out that these results probably hold true for men, as well. ``Although no
                data are available, it seems likely that the association between smoking and MS exists among
                men, too,'' he said.

                ``If smoking causes MS, this would be...an additional reason to avoid smoking,'' Hernan
                pointed out, while noting that the risk of cancer and heart disease are even stronger reasons.

                In addition to underscoring the importance of not smoking, he added, ``elucidating the link
                between smoking and MS may help us understand the causes and lead to therapeutic and
                preventive advances.''

                SOURCE: American Journal of Epidemiology 2001;154:69-74.
 


================================================================================================================

Smoking Ups Heart Risks Despite Low
                Cholesterol
                Fri Feb 15, 2002 1:22 PM ET

                NEW YORK (Reuters Health) - Low cholesterol levels are no
                protection against the heart risks caused by smoking, according to
                findings from a study of middle-aged American men.
 
 
 
 

================================================================================================================


Wednesday July 14 10:37 AM ET
Chemicals Increase Smoking's Grip - Report
LONDON (Reuters) - Tobacco companies have been adding chemicals to cigarettes to enhance their
flavor and make them more addictive, a new report said Wednesday.

The joint report by British charity Imperial Cancer Research Fund (ICRF), the anti-smoking group ASH and the U.S. state of Massachusetts revealed more than 60 tobacco industry documents dealing with the use of additives in cigarettes.

``They have taken a traditional tobacco product and turned it into a high delivery nicotine product,'' Dr Gregory Connolly, the director of the Massachusetts Tobacco Control Program, told a news conference to launch the report.

Additives are being used to initiate young people into smoking and to speed the delivery of nicotine to the brain, he added.

The report is based on internal tobacco industry documents about the use of additives which were released during recent tobacco court cases in the United States.

================================================================================================================


NEW YORK, Jun 25 (Reuters Health) -- Women who smoke during pregnancy substantially increase
the likelihood that their child will develop certain psychiatric disorders during adolescence, namely
behavioral problems if it is a boy, and drug abuse problems if it is a girl, US researchers report. In their study, Dr. Myrna M. Weissman of Columbia University, New York, and colleagues followed children over a 10-years period and compared outcomes in 50 children whose mothers smoked during pregnancy with those of 97 other children whose mothers did not smoke. All of the pregnant mothers who smoked had at least 10 cigarettes a day on most days throughout the pregnancy.

================================================================================================================


NEW YORK, Apr 06, 99 (Reuters Health) -- People who start smoking during adolescence may be more susceptible tosmoking-related DNA changes linked to cancer than those who start smoking in adulthood, report US researchers in the April7th issue of the Journal of the National Cancer Institute.

================================================================================================================


March 99: Male children born to women who smoke during pregnancy run a risk of violent and criminal behavior that lasts well into adulthood, perhaps because of central nervous system damage, a study published Sunday said. The finding was consistent with earlier studies that linked prenatal smoking by women not only to lawbreaking by their offspring but to impulsive behavior and attention deficit problems, researchers at Emory University in Atlanta said.


================================================================================================================

Wednesday October 3, 2001

                Report: Laughing Gas May Help Smokers Quit

                By Emma Hitt, PhD

                ATLANTA (Reuters Health) - A dose of laughing gas on quit day may help smokers kick the habit,
                according to new research.

                Dr. Jesse H. Haven at the Anchor Health Center in Naples, Florida, and colleagues will report the
                findings here at this week's 2001 Annual Scientific Assembly of the American Academy of Family
                Physicians (news - web sites).

                Laughing gas, or nitrous oxide, is the same gas used to anesthetize patients in the dentist's chair.

                Haven's team hypothesized that nitrous oxide may help smokers quit because it has been shown to
                replenish stores of dopamine, a brain signaling chemical that becomes depleted during drug and alcohol
                withdrawal.

                In their study, Haven and his colleagues administered a mix of half nitrous oxide and half oxygen to 25
                smokers on the day that they planned to quit. The patients inhaled the gas for 20 minutes through a
                mask.

                The researchers then monitored the smokers for 3 days after the treatment to see how many had
                refrained from smoking. None of the smokers were taking any other kind of smoking cessation therapy
                during the study.

                Overall, the investigators found an 85% reduction in the number of cigarettes smoked per day in the 3
                days after the patients took the gas. Forty percent of patients were able to completely abstain from
                smoking during the 3-day period, and 92% said their craving for tobacco had ``noticeably decreased.''

                The authors conclude that ``nicotine cravings were helped significantly by the administration of nitrous
                oxide.''

                According to Haven, many of the patients who quit completely have remained cigarette free until this
                point, about 6 months after the nitrous oxide treatment. He added that smokers who abstain for the
                first 3 days are more likely to quit for the long-term than those who don't.

                ``I was encouraged by the results,'' Haven told Reuters Health. ``Patients seemed to enjoy the
                treatment and it simultaneously helped them quit, so we want to continue to see if it works with some
                other smoking cessation treatments that are already available.''

                Haven noted that many physicians may not be set up to administer the gas in their own office yet;
                however, he encourages physicians to recommend the therapy to patients.

                ``This is an extremely safe procedure,'' he said. ``If there is any therapy that helps a few more smokers
                quit, physicians should be recommending it to their patients.''

                In an interview with Reuters Health, Terry F. Pechacek from the Centers for Disease Control and
                Prevention (news - web sites)'s Office on Smoking and Health said, ``we are always happy that people
                are trying to help in the antismoking effort.''

                But Pechacek added that without comparing the results of patients who inhaled nitrous oxide with
                those from a control group--for example, patients who inhaled an inactive gas--it is difficult to draw
                any conclusions about the effectiveness of laughing gas as an aid to smoking cessation.

                ``Additional studies are needed,'' he said.

================================================

Thursday October 11, 2001

                Poorest Spend Scarce Funds on Tobacco, Not Food

                NEW YORK (Reuters Health) - Even people living in one of the world's poorest nations have not
                escaped the lure of cigarette smoking, a new report suggests.

                In Bangladesh, despite abject poverty, many men who earn as little as $24 a month spend a portion of
                their income on tobacco products, forgoing other seemingly more critical expenditures such as food,
                clothing and housing for themselves and their families, investigators found.

                ``An estimated 10.5 million people currently malnourished could have an adequate diet if money on
                tobacco were spent on food instead,'' according to Dr. Debra Efroymson of PATH Canada in Dhaka,
                Bangladesh, and colleagues.

                In the report, published in the October issue of the journal Tobacco Control, the researchers evaluated
                surveys that included information about tobacco use and other basic expenditures for 32,000
                Bangladesh households.

                Overall, rates of smoking in the country are high. Men aged 35 to 49 had the highest prevalence of
                tobacco use, with 70.3% being smokers. Women's smoking rates were much lower, the findings show.

                The rate of smoking increased as income decreased, Efroymson and colleagues note. Among the
                poorest men--those with a household income below $24 a month--58.2% smoked. In the
                highest-income group of men, those whose household incomes were higher than $118 per month,
                32.3% smoked.

                ``Average male cigarette smokers spend more than twice as much on cigarettes as per capita
                expenditure on clothing, housing, health and education combined,'' the researchers report.

                Possible solutions that might encourage people to spend less money on tobacco, according to
                Efroymson and colleagues, would be for the country to impose an increase in taxes on tobacco
                products and disseminate educational information on the dangers of tobacco.

                ``From our research, we conclude that tobacco use is a neglected issue in poverty reduction--and that
                poverty is a neglected issue in tobacco control,'' Efroymson's team writes.

                ``A further benefit of tobacco control measures could be decreased expenditure on non-essential
                goods, and a concurrent improvement in the health and well-being of the poor,'' they add.

                SOURCE: Tobacco Control 2001;10:212-217.
 

==========================
Friday October 12 2001

                German Anti-Smoking Campaign Focuses on Wrinkles

                By Ned Stafford

                FRANKFURT (Reuters Health) - In the battle to convince young women to stop smoking, the
                Association of European Cancer Leagues (ECL) thinks the desire to be beautiful may be a more
                powerful weapon than the fear of lung cancer.
 

                Beauty and wrinkles--or lack thereof--is the major theme of European Week Against Cancer 2001:
                Women and Tobacco, which is targeting women from 20 to 35 years old.

                The ECL says lung cancer is rising more rapidly among women than among men in the European Union
                (news - web sites), and in some countries lung cancer among women under 45 years of age is more
                common than among men in the same age group.

                In Germany, the Week Against Cancer has been organized by the charity German Cancer Aid. Dr.
                Eva Kalbheim, spokeswoman for the group, told Reuters Health on Friday that in the battle against
                smoking, she is convinced a positive message, such as looking pretty, is much more effective with
                women than the scare tactics of lung cancer.

                ``Research shows that you do not get results with negative tactics,'' she said. ``People shrink back.
                They do not want to hear it.''

                She also noted that young women have trouble understanding the concept of mortality. ``They feel like
                lung cancer could never happen to them,'' she said. ``But young women want to look beautiful.''

                She said the negative cosmetic effects appear relatively soon after women start smoking, but that the
                effects are reversible if women quit smoking early enough.

                But ``the damage on skin and the subsequent formation of wrinkles is irreversible if smoking continues
                for decades. After 20 years of smoking, the skin of a 40-year-old woman has aged an additional 20
                years.''

                The German effort has enlisted the support of Caroline Beil, a well-known TV personality. Beil, 34, is
                an ex-smoker whose message will be listened to by younger women, Kalbeim said.

                Beil, speaking at a Berlin press conference, said: ``I feel more fitter and prettier without cigarettes.''

=====================================
                ``These four companies, for over 50 years, have knowingly and consciously manufactured,
                designed and sold a nicotine-delivery device called a cigarette ... in a negligent and wrongful
                manner,'' plaintiffs' attorney Scott Segal said during opening arguments in the First Judicial
                Circuit of West Virginia.


================================================================================================================

Tuesday November 27, 2001 5:20 PM ET

                US Report: Light Cigarettes as Deadly as Regulars

                By Todd Zwillich

                WASHINGTON (Reuters Health) - ``Light'' and ``low-tar'' cigarettes have done nothing to reduce the rates of
                smoking-related deaths since their introduction in the 1970s, and may have even contributed to a rise in illness rates among
                smokers, according to a US government report released Tuesday.

                Anti-smoking groups said that the marketing of low-tar and light cigarettes has deceived the public and policymakers into
                thinking that it is possible to smoke without a high risk of lung cancer and other diseases. Many public health authorities
                advocated the use of low-tar cigarettes throughout the 1980s as a means to reduce the health risk associated with
                tobacco.

                ``There's no safe cigarette. The only way to reduce your risk from smoking is not to start, or to quit,'' said Dr. David M.
                Burns, the senior scientific editor of the report, published by the National Cancer Institute (news - web sites).

                ``Smokers are being duped. They're being conned. It's a scam that's being put forward on the American public by the
                tobacco industry,'' said John L. Kirkwood, CEO of the American Lung Association.

                A statement issued by Phillip Morris USA, the maker of several popular cigarette brands including Marlboro Lights, said
                that tar levels in government tests are averages that show relative differences in toxin yields between brands, not risk
                differences to smokers.

                ``The tar and nicotine yield numbers that are reported for cigarette brands are not meant (and were never intended) to
                communicate the precise amount of tar or nicotine inhaled by any individual smoker from any particular cigarette,'' the
                statement read.

                ``Tar'' is a catch-all phrase used to describe levels of dozens of toxic chemicals in cigarettes. The Federal Trade
                Commission allows tobacco companies to tout ``low-tar'' and light cigarettes if tar and nicotine levels fall below a certain
                point in machine tests.

                Burns and others said that public health experts assumed starting in the 1960s that reducing tar levels would help smokers
                who did not quit to reduce their health risk. The assumption did not take into account a key fact that government sampling
                machines miss: smokers take deeper puffs or simply smoke more cigarettes to compensate for the lower nicotine in each
                cigarette.

                Results in the report show that people who smoked ``light,'' ''ultra light'' or low-tar cigarettes had the same overall tar
                exposure as those smoking regular cigarettes. They also show that the death rates from smoking-related illnesses such as
                lung cancer and heart disease were similar in the different groups.

                Some data, though still preliminary, even suggest that the widespread use of light cigarettes may have contributed to a rise
                in smoking-related illness. Overall death rates from lung cancer among women rose from 44 per 100,000 in the mid-1960s
                to 119 per 100,000 in the mid-1980s, according to the report. Similar trends were seen for men, and the rises correspond
                to a flood of light and low-tar cigarettes on the market.

                One possible culprit is that smokers may inhale smoke from light cigarettes deeper into the lungs to increase their nicotine
                dose. The deeper inhalations could increase the risk of certain deep lung cancers like adenocarcinoma, said Burns, a
                professor of medicine at the University of California, San Diego.

                ``We can't say that for certain, but things didn't get any better'' with the advent of light cigarettes, he said.

                Activists attacked tobacco companies who promote new reduced-carcinogen cigarettes as a healthier way to smoke. One
                new product called Omni, sold by Liggett & Myers subsidiary Vector Tobacco, uses a chemical treatment to keep some
                toxic gasses out of smoke. Another product, RJ Reynolds' ``Eclipse,'' promotes the reduced-toxin cigarette as the safest
                alternative for people who choose to smoke.

                ``We have no more proof...that the products and claims being introduced today will produce any more of a reduction in
                disease risk than the products introduced by the tobacco industry 40 years ago,'' said Matthew L. Meyers, president of
                the Campaign for Tobacco-Free Kids.

                Meyer and leaders from the American Cancer Society (news - web sites) and other health groups urged Congress to pass
                legislation granting the US Food and Drug Administration (news - web sites) (FDA) the authority to regulate tobacco
                products. The Supreme Court barred the FDA from regulating tobacco in 1996 because the agency lacked the
                appropriate legal authority.

                ``Without FDA authority, the tobacco industry will continue to be free to use advertising and marketing gimmicks to
                portray their deadly product as safer and less harmful,'' said M. Cass Wheeler, CEO of the American Heart Association
                (news - web sites).

                In a statement, Phillip Morris said that the company sees ''FDA regulation as the best way to establish appropriate
                standards for determining what is a 'reduced risk' cigarette. This would include setting guidelines for any claims that could
                be made by manufacturers, including the type and manner of communication that should be provided to consumers.''

================================================================================================================

Wednesday May 9, 2001 6:36 PM ET
                Cigarette Smoking Linked to Breast Cancer Risk

                By Will Boggs, MD

                NEW YORK (Reuters Health) - Smoking is a major risk factor for
                breast cancer among women with a family history of breast or ovarian
                cancer, US researchers report.

                Their study of 132 families with at least three breast or ovarian cancer patients found that patients'
                sisters and daughters who smoked were more than twice as likely to develop breast cancer, compared
                with the nonsmoking sisters and daughters of patients.

================================================================================================================


Tuesday July 11,2000 5:53 PM ET
                    Mother's Smoking Linked to Muscle
                    Problems in Infants

                    NEW YORK (Reuters Health) - Cocaine use during pregnancy can cause
                    serious complications in infants. And researchers note that many women who
                    use cocaine also smoke cigarettes. Now, US researchers report that cigarette
                    smoking and not cocaine use during pregnancy is likely to be the cause of
                    increased muscle tone, or hypertonia, in babies born to these women.

                    ``The majority of babies that are born to moms that use cocaine are normal,
                    but this specific population does show a higher prevalence of hypertonia,''
                    according to lead researcher Dr. Delia A. Dempsey of San Francisco
                    General Hospital in California.

================================================================================================================


The following very interesting information was extracted from www.tobaccofacts.org.

Annually smoking kills four times as many people as all other drugs, car accidents, suicides, homicides, and AIDS put together.

Following are some statistics showing how easy it is to be caught:

 The earlier people start smoking, the harder it is to quit when they are older. People who start smoking in their teenage years run the risk of becoming life-long smokers. One-third to one-half of young people who try cigarettes go on to be daily smokers. Eighty-five percent of teenagers who smoke two or more cigarettes completely, and overcome the initial discomforts of smoking, will become regular smokers. In a study of high school seniors, only 5% of those who smoked believed they would still be smoking two years after graduation. In fact, 75% were still smoking eight years later. It takes an average of five attempts for an adult to successfully quit smoking. Nicotine addiction is "the most widespread example of drug dependence in our country" according to the U.S. Public Health Service. In 1989, about 64% of teenagers who are current smokers had made at least one serious attempt to quit but could not.

 Health impact of tobacco

 By now, almost everyone knows that smoking and other tobacco use causes cancer. But did you know it's also the number one cause of heart disease and emphysema, too? In fact, smoking is the main cause of preventable death in Canada.

 That first puff... and afterward

 When you use tobacco, the effects on your body are immediate. Your pulse increases. Breathing becomes faster and more shallow. Circulation begins to drop.

 A cocktail of more than 4,000 substances - more than 50 of them cancer- causing - hits your lungs. Poisonous compounds like carbon monoxide, hydrogen cyanide and ammonia gas enter your bloodstream. Meanwhile, nicotine begins to feed the cycle of addiction.

 If you're allergic to smoke or susceptible to asthma (and if you smoke, the chances of developing asthma rise sharply), flare-ups and chest spasms can begin quickly. And over the medium term, you become much more susceptible to colds, flu and pneumonia.

 No life like it

 Surprise - research shows that if you use tobacco, you're more susceptible to physical injury. A study by the U.S. Army found that heavy smokers were twice as likely to be injured while exercising as non- smokers.

 Physically-fit smokers broke bones and sprained ankles more often that similarly fit non-smokers. And the more the soldiers smoked, the more likely they were to develop blisters on 160-km marches.

 Amount smoked Injury rate Non-smokers 20 per cent 1-10 cigarettes per day 35 per cent 10 or more cigarettes per day 40 per cent

 It isn't just soldiers, and it isn't just young people who face a higher risk of injury.

 Older women who smoke, for example, get more hip fractures. Researchers at St. Bartholomew's Hospital and the Royal London School of Medicine in the U.K. reported recently that "of all hip fractures, one in eight is attributed to smoking."

 The risk of hip fractures is 17 per cent higher for smokers than non-smokers at the age of 60, they report in the British Medical Journal. 70-year-old smokers have a 41 per cent higher risk, and 90-year-olds have more than twice the risk.

 While there isn't as much data on men, what information exists suggests "a similar proportionate effect in smokers."

 But there's good news for women. "Stopping smoking prevents further excess bone loss, and stopping at the time of menopause should avoid the excess risk."

 The young and the breathless

 Youthful invulnerability is no defence from tobacco. Even adolescent smokers develop more respiratory problems like shortness of breath and wheezing „ and suffer more severely from the symptoms.

 Young tobacco users have:

 abnormally high heartbeats, low tolerance for exercise, lower lung capacity, worse asthma, and an increased risk of damaging arteries from fatty buildups associated with heart disease.

 Dying for a smoke

 Every 13 seconds, someone in the world dies from a tobacco-related illness. And every year, tobacco kills:

 5,800 British Columbians, 45,000 Canadians, 418,000 Americans (compared to 1,000 Americans who die from cocaine abuse), and 2.5 million people world-wide - a number the World Health Organization says will grow to 4 million by the year 2000.

 Of the 3,000 American youth who start smoking every day,

 30 will be murdered,

 60 will die in traffic accidents,

 and 750 will be killed by a smoking related disease.

 It's a huge health problem, accounting for one in every five deaths in B.C. - including 30 per cent of all cancer deaths and one in four deaths from heart disease. Nationally, 85 per cent of all lung cancers and 33 per cent of all strokes are caused by tobacco.

 It all costs B.C. society $1.5 billion dollars every year.

 But the real bottom line is this:

 More than half of young smokers today - 55 per cent of boys, and 51 per cent of girls - can count on dying from a tobacco-related disease... unless they quit.

 Youth smoking behaviour and attitudes:

 Even though more than 90% of youth know that smoking is addictive, most children under ten believe if they were to start smoking, they could stop any time they wanted. In fact, although only 5% of high school seniors believed they would still be smoking two years after graduation, 75% were still smoking eight years later. (Source: kickbutt.org)

 Here are some other smoking assumptions, attitudes and behaviours of Canadian young people. (Source: Ottawa Citizen, November 1996)

 PREVALENCE

 29% of 15 to 19 year olds, and 14% of 10 to 14 year olds are current smokers. Smoking among teens 15 to 19 years of age has increased 25% since 1991. 2 About 85% of smokers began before they were 16 years of age 3

 CONSUMPTION

 Generally, males smoke more than females, and as all youth smokers get older, they smoke more. Daily smokers 15 to 19 years of age smoke an average of 13 cigarettes per day while those 10 to 14 years smoke 10 cigarettes per day.

 BEHAVIOUR

 Age 13 to 14 is a critical time for adoption of smoking. Daily smoking steadily increases until age 15, then remains stable. There is a strong association between the smoking habits of youth and the number of friends who smoke. The most common reason cited for starting to smoke is the influence of friends. 80% of current smokers have seriously thought of quitting; and 80% of those have made at least one attempt. Corner stores are the number one source for cigarettes. In 1994, about half of 10 to 14 year olds who tried to buy cigarettes in a store were never asked their age, and were never refused when trying to buy cigarettes.

 ATTITUDES

 91% of youth believe tobacco is addictive. 83% who have seen tobacco company sponsorship advertisements feel this is brand advertising. Lung cancer and heart disease are among the most common smoking-related health problems known by youth. Knowledge of health problems increases with smoking experience.
 
 
 
 

 Cigarette smoking has a heavy impact on the world's natural environment.

 You can guess what cigarette smoke does to the air in a room. But according to the San Francisco Tobacco-Free coalition, the environmental damage caused by the tobacco industry goes way beyond air pollution:

 Litterbutts: Take those cigarette butts you see all over the ground. They take roughly 25 years to decompose. After their annual beach cleanup, California officials discovered that cigarette butts made up half of the garbage they found on the state's beaches.

 Butts wash down storm drains and into rivers, lakes and the ocean. Fish, birds and other animals eat the butts, mistaking them for food - but with no way to digest the filters, they die.

 Great - one more chemical to worry about: Growing tobacco means using pesticides - lots of pesticides. In developing countries, farmworkers - many of them children - end up exposed to cancer-causing chemicals that also leach into the local soil and water.

 Smoke a butt, kill a tree: In some countries, tobacco curing barns burn an entire square kilometre of forest for every square kilometre of tobacco they cure. In a single hour, one cigarette-making machine uses four miles of paper rolling and packing cigarettes.
 
 

 Who in the world smokes the most?

 "Worldwide, tobacco is going like gangbusters."

 -Geoffrey C. Bible, CEO of Philip Morris

 According to the World Health Organization (WHO), "Tobacco causes more deaths than all other forms of substance abuse combined," killing 3 million people a year. That's one every ten seconds. WHO estimates the worldwide costs of tobacco at more than $200 million U.S.

 Globally, the industry is huge, selling 6 trillion cigarettes a year. In 1993, world tobacco production was 7.7 billion kilograms.

 With that kind of production comes a lot of money. The tobacco industry pulls in $168 billion a year. If the tobacco industry became a country, economically it would be larger than 180 of the world's 205 countries.

 But that's not enough for the tobacco companies. With smoking on a steady decline in many Western developed countries, they're turning their attention to the developing world with massive advertising campaigns that link smoking with the good life.

 And in many countries, children and teens are being openly targeted. One multinational made the pages of Reader's Digest when a khaki-clad woman, arriving in front of a school in a Jeep bearing the "Camel" logo, handed free cigarettes to 15- and 16-year-old students in Buenos Aires, Argentina during recess.

 To determine the world's heaviest smokers, WHO compiled data between 1990 and 1992 showing the number of cigarettes consumed in a particular country divided by the adult population (considered 15 years and older). The number gives us an estimate of the "per capita" consumption. In other words, if every adult in the country smoked, this is the average number of cigarettes each adult would consume in one year.

 But every adult doesn't smoke which means, in practical terms, the number of cigarettes consumed per smoker (rather than per adult) is actually much higher than the number which appears below.

 For example, if half of all Canadian adults smoke, the average consumption doubles to more than 5,000 cigarettes per year. Note that Canada has the 13th highest cigarette consumption in the world!!

Rank
 Country
 # cigarettes/person
 (15 yrs. and over)
 1. Poland 3,620
 2. Greece 3,590
 3. Hungary 3,260
 4. Japan 3,240
 5. Korea (Rep.) 3,010
 6. Switzerland 2,910
 7. Iceland 2,860
 8. Netherlands 2,820
 9. Yugoslavia 2,800
 10. Australia 2,710
 11. United States 2,670
 12. Spain 2,670
 13. Canada 2,540
 14. New Zealand 2,510
 15. Ireland 2,420
 16. Germany 2,360
 17. Belgium 2,310
 18. Israel 2,290
 19. Cuba 2,280
 20. Bulgaria 2,240
 21. United Kingdom 2,210
 22. Austria 2,210
 23. Saudi Arabia 2,130
 24. France 2,120
 25. Turkey 2,100
 26. Luxembourg 2,080
 27. Portugal 2,010
 28. Syria 2,000
 29. Italy 1,920
 30. Venezuela 1,920
 31. Denmark 1,910
 32. China (P.Rep.) 1,900
 33. Surinam 1,870
 34. Norway 1,830
 35. Mauritius 1,830
 36. Trinidad &  Tobago 1,780
37. Philippines 1,760
38. Columbia  1,750
39. Tunisia 1,750
40. Finland 1,740

================================================================================================================


Each day, over 3,000 young Americans become regular tobacco users. (source: American Legacy Foundation )

================================================================================================================


Jul 2001
Philip Morris Apologizes for Czech Report -Newspaper
CHICAGO (Reuters) - Tobacco giant Philip Morris Cos. Inc. has apologized for a widely criticized company-funded study that said the Czech Republic reaps a financial benefit when smokers die early, the Wall Street Journal reported Thursday.
``We understand that this was not only a terrible mistake, but that it was wrong,'' Steven Parrish, a senior vice president, was quoted in the newspaper. ``To say it's totally inappropriate is an understatement.''
Company officials last month distributed an economic analysis in the Czech Republic that concluded cigarettes are not a drain on the country's budget, in part because the government saves money on health care, pensions and housing when smokers die prematurely.
Anti-tobacco advocates and others roundly criticized the report when it came to light in news accounts last week.
According to the Journal, Sen. Dianne Feinstein wrote a letter to Philip Morris chief executive Geoffrey Bible after reading about the report. Bible answered in a letter saying that the funding and release of the report ``exhibited terrible judgement as well as a complete and unacceptable disregard of basic human values.''

================================================================================================================


Feds Seek Restraints on Big Tobacco
                Tue Mar 12, 2002 1:41 AM ET

                By NANCY ZUCKERBROD, Associated Press Writer

                WASHINGTON (AP) - The Justice Department (news - web sites) wants to impose sweeping new
                restrictions on cigarette manufacturers, including banning the terms "low-tar" and "light" and eliminating
                cigarette vending machines.

                Tobacco companies are insisting only Congress can do that.

                The government's proposal, contained in documents sent to tobacco companies, would require that
                graphic health warnings cover 50 percent of cigarette packs and advertisements. It also would ban
                cigarette vending machines and the use of the terms "light" and "low tar."

                All cigarette advertising and packaging would have to be black-and-white and the companies would be
                prohibited from using in-store promotions, such as giveaways and rebates. Companies also would be
                required pay for efforts to help smokers quit, including a toll-free "quit line."
 

                The Bush administration inherited the 3-year-old lawsuit from the Clinton administration. The lawsuit
                seeks to collect damages from tobacco companies for profits allegedly earned through fraudulent
                practices and to bar the companies from similar future behavior.

                It is separate from the lawsuit brought against the industry by the states, which was settled in 1998 for
                $246 billion. The settlement included restrictions on advertising that might attract teen-agers, including
                billboards and cartoon characters such as R.J. Reynolds' Joe Camel.

                Last summer, the Justice Department said it wanted to enter into settlement talks with the tobacco
                companies. Anti-smoking groups feared the administration was bowing to tobacco interests, but the
                talks went nowhere.

                William Corr, executive vice president of the Campaign for Tobacco-Free Kids, was cautiously
                optimistic about the Justice Department's latest proposal.

                "While the remedies appear to be strong, the devil will be in the details," he said. "Any remedy must be
                comprehensive and free of the loopholes that the tobacco industry has always been so adept at
                exploiting in order to continue business as usual."

                Cheryl Healton, president and chief executive officer of the American Legacy Foundation, an
                anti-smoking group, said she would prefer the Food and Drug Administration (news - web sites)
                regulate tobacco rather than have standards imposed by a judge. "But absent that, this will do," she
                said.

                The FDA asserted its jurisdiction over tobacco and sought to crack down on cigarette sales to minors
                in 1996, but the Supreme Court later ruled the agency had overstepped its authority.


================================================================================================================
Tobacco Company Ordered to Pay $150M
Fri Mar 22, 8:06 PM ET
                By GILLIAN FLACCUS, Associated Press Writer
                PORTLAND, Ore. (AP) - A jury ordered Philip Morris to pay $150
                million in punitive damages Friday in a lawsuit that contended low-tar
                cigarettes are as dangerous as regular ones.
                                   The jury found that Philip Morris had falsely
                                   represented that low-tar cigarettes are
                                   healthier, the first verdict in the nation to make
                                   that finding. The tobacco company said it
                                   would appeal.
                                   The jury also awarded $168,000 in
                                   compensatory damages to the estate of
                Michele Schwarz of Salem, who died of lung cancer at age 53 in 1999
                after smoking low-tar Merit cigarettes.
                Schwarz had switched from a regular filtered cigarette because she
                believed the low-tar version would be better for her health, said the
                attorney for her estate, Lawrence Wobbrock.
                Wobbrock contended in court that Philip Morris marketed the
                cigarettes as having fewer health risks.
                But James L. Dumas, one of the company's attorneys, said Philip Morris
                did not market Merits as healthier than regular filtered cigarettes. He
                said the company advertises them as milder, or feeling less harsh.
                Wobbrock said smokers were getting the same amount of tar by taking
                more puffs on their cigarettes and smoking them closer to the butt.
                But Dumas said it was not the company's fault that smokers figured out
                how to get around the low-tar design.
                Dumas also said that Schwarz, who worked for many years in the
                medical office of her physician husband, was well aware of the dangers
                of cigarette smoke.
                Attorney John Philips contended jurors were given "erroneous
                instructions" by the judge, but would not elaborate. He also said that
                when plaintiffs highlighted portions of documents on an overhead
                projector, it amounted to "a guided tour through the documents."
                Anti-tobacco groups hailed the verdict as a big victory.
                The decision could become a significant factor in other lawsuits where
                low-tar cigarettes are at issue, said Edward L. Sweda, attorney with the
                Tobacco Products Liability Project in Boston.
                "It proves such a case is winnable in a big way," said Sweda.
                Martin Feldman, a tobacco analyst with Salomon Smith Barney in New
                York, said the verdict appeared to be the first time a jury issued a ruling
                on low-tar cigarettes.
                He said the size of the award "indicates the tobacco industry still has
                significant work to do if it is ever to convince West Coast jurors of its
                defenses."
                The trial came three years after another Multnomah County jury ordered
                Philip Morris to pay $80.5 million to the family of Jesse Williams, a
                retired janitor who died of lung cancer in 1997.
                At the time, it was the largest individual smoker verdict in the country.
                The punitive damages were later reduced to $32 million and the case is
                pending before the Oregon Court of Appeals.
                Although tobacco companies win most cigarette lawsuits, they have
                recently fared poorly in West Coast courts. Three large verdicts were
                lost in California in the past three years, including a $3 billion verdict last
                summer that was reduced to $100 million.
                That award was the largest to date in a case brought by an individual
                against a tobacco company. Philip Morris is appealing the reduced
                award, calling it "excessive."
                The smoker, Richard Boeken of Los Angeles, died in January of lung
                cancer at age 57.


================================================================================================================

Study: Smoking, Baby's Sex Linked
  Fri Apr 19, 2002 - 1:32 PM ET

  By EMMA ROSS, AP Medical Writer

  LONDON - Couples are more likely to have a girl than a boy if either
  of the partners smoked heavily while they were trying to conceive, new
  research suggests.

  Some scientists consider the ratio of male to female births to be an
  indicator of a population's health, because male sperm and embryos are
  more fragile than their female counterparts.

  The study published this week in The Lancet medical journal is the first
  to propose that smoking may play a role.

  Normally, boys have a slight edge over girls, with almost 52 percent of
  all babies born worldwide being male. The balance tends to even out
  later in life because females are better at survival.

  However, the comparative number of males has been declining in
  several industrialized countries over the past few decades and
  researchers suspect toxic substances may be partly to blame.

  Dr. Henrik Moller, who has conducted extensive research on sex ratios
  but was not connected with the latest study, said the findings "fit with
  what is already known about certain exposures, certainly in the male."




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Tobacco Giants Campaigned Against Smoke-Free Zones
Wed May 29, 2002 10:40 AM ET

By Patricia Reaney

LONDON (Reuters) - Leading tobacco companies have manipulated the hospitality industry in a worldwide campaign to prevent restaurants and bars from introducing smoke-free areas, according to research published on Wednesday.

By capitalizing on fears of lost profits and through donations to industry organizations such as the International Association of Hotels, Restaurants and Cafes (HORECA), tobacco firms led by Philip Morris tried to stifle support for smoke-free premises.

"The tobacco industry has effectively turned the hospitality industry into its de facto lobbying arm on clean air," said Dr. Stanton Glantz of the University of California, San Francisco.

In a report in the journal Tobacco Control, Glantz and his colleagues analyzed publicly available tobacco industry documents that they said show the industry aggressively recruited hospitality groups to convince restaurants to fight against smoke-free areas.

If an association refused, the tobacco industry created its own organization to promote its agenda.

"Develop, as needed, creation of national hospitality associations where none exist and encourage their affiliation with HORECA International," Philip Morris said in a 1996 worldwide strategy plan quoted in the research.

But Marc Fritsch, a spokesman for Philip Morris International in Lausanne, Switzerland, said the scientists inaccurately reported the company's policies on public smoking restrictions.

"We continue to believe that a total ban on smoking in restaurants, bars, night clubs, hotels and similar establishments that cater to smokers and non-smokers is extreme," the company said in a statement.

"Apparently, the authors of the Tobacco Control article believe that it is inappropriate for us to express these views or to seek the support of business sectors that might share the same concerns. We respectfully disagree," it added.

The researchers also accused the tobacco industry of promoting the idea that ventilation systems could reduce the dangers of second-hand smoke so smokers and non-smokers could share the same space.

Glantz said the strategy was first developed in the 1970s and intensified as more evidence accumulated about the dangers of second-hand smoke.

"For more than a decade the tobacco industry disseminated misinformation asserting that the hospitality industry will suffer financially when smoke-free environments are instituted," Glantz said.

But he added that 100% smoke-free policies had been shown not to harm a business's profits.

Glantz and his colleagues said public health advocates should be aware of the relationship between organized restaurant associations and the tobacco industry


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Firms Ordered to Pay Smoker $37.5 Million
Tue Jun 11, 2002 6:23 PM ET

MIAMI (Reuters) - A jury in Miami on Tuesday ordered three U.S. tobacco companies to pay $37.5 million to a sick former smoker in a follow-on case to the landmark class-action suit that resulted in a record $145 billion judgement against cigarette makers.


   
Brown & Williamson Tobacco Corp., a unit of British American Tobacco Plc , and Philip Morris Cos. Inc. said the jury in the 11th Judicial Circuit Court for Miami-Dade County found in favor of plaintiff John Lukacs, 76, who claims that his use of cigarettes caused him to develop diseases.

In July 2000, a Florida jury, in what has become known as the Engle case, stunned tobacco companies by ordering them to pay $145 billion to sick smokers, the highest punitive damages award in U.S. history. The case is on appeal in the Florida Third District Court of Appeals and the Lukacs verdict will be subject to the outcome of the Engle appeal.

Both companies said they intend to appeal the verdict. A ruling on the appeal from Florida's Third District Court of Appeals in Miami is not expected before late 2002.

"We remain confident that the appeals courts will reverse both this verdict and Engle," said Jeff Raborn, attorney for Brown & Williamson, in a written statement.

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Cigarette Campaigns Hook Youth with Lifestyle Ads
Tue Jun 11, 2002 5:35 PM ET

By Suzanne Rostler

NEW YORK (Reuters Health) - When it comes to creating anti-smoking campaigns, public health officials should take a page from cigarette advertisers' book, researchers suggest.


   
Their analysis of roughly 100 previously secret marketing reports, memos and strategic planning documents from tobacco companies revealed that cigarette advertising is largely focused on the consumer attitudes and lifestyles of young adults, who are on the brink of becoming fully addicted smokers or deciding not to smoke.

This group of 18- to 24-year-olds also serves as a role model for teenagers, who may try smoking for the first time, researchers point out in the June 12th issue of The Journal of the American Medical Association ( news - web sites ).

"Market segmentation strategies based on the attitudes, lifestyle, aspirations and activities of young adults may be more useful than demographic data alone," conclude Drs. Pamela M. Ling and Stanton A. Glantz from the University of California, San Francisco.

"Physician counseling and public health campaigns that identify with the psychological needs and values of smokers and nonsmokers may improve smoking prevention and cessation efforts," they add.

According to their analysis, cost emerged as an important issue among young smokers during the 1980s. To attract potential consumers in this group, R. J. Reynolds began offering savings opportunities such as "buy one, get one free," coupons and free promotional items.

Philip Morris also discussed targeting smokers based on their leisure activities, political opinions, media use, attitudes and goals in its internal memos.

Over the next decade, smoking became less socially acceptable, which threatened to cut profits in the tobacco industry. Many smokers felt guilty about the effect of secondhand smoke on others. Based on this, R. J. Reynolds defined a new market segment, which it dubbed "Social Guilt." This segment accounted for roughly one quarter of the market.

In an interview with Reuters Health, Glantz suggested that clean indoor air and price increases might be effective targets of anti-smoking campaigns, based on the findings.

"We need to be concentrating more on young adults than teens and use the same marketing approaches that the tobacco industry does," he said.

For instance, anti-smoking campaigns that used a rebellious tone and encouraged young people to fight tobacco-industry manipulation were successful in the 1990s because they provided an alternative way to rebel.

"Exposing specific manipulative targeting in tobacco-industry campaigns, such as Philip Morris' program to reach black smokers with so-called inner-city bar nights...may be useful in reaching other rebellious smokers," the authors suggest.

SOURCE: The Journal of the American Medical Association 2002;287:2983-


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