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Breaking New Grounds in Tobacco Control - Voluntary Health ...

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enterta<strong>in</strong>ment (28 per cent), followed<br />

by the workplace and the school (24 per<br />

cent) and at home (20 per cent).<br />

The smok<strong>in</strong>g ban did contribute to a<br />

drop <strong>in</strong> the heart disease death rate and<br />

hospital admissions <strong>in</strong> every country where<br />

it was <strong>in</strong>troduced. Unfortunately, it has<br />

had no impact <strong>in</strong> Malta where the ban has<br />

held sway s<strong>in</strong>ce April 2004, a local study<br />

revealed.<br />

The authors suspect that <strong>in</strong> places of<br />

enterta<strong>in</strong>ment the law is not enforced<br />

for fear of los<strong>in</strong>g out on bus<strong>in</strong>ess.<br />

This notion was backed by The Times<br />

when 14 bars <strong>in</strong> Paceville were visited<br />

over two even<strong>in</strong>gs and patrons could<br />

be noticed smok<strong>in</strong>g with impunity. An<br />

Italian study based <strong>in</strong> bars, cafés and<br />

restaurants <strong>in</strong> 2009 had shown that<br />

customers had <strong>in</strong>creased by three per<br />

cent, a clear sign that we collectively<br />

prefer a smoke-free environment.<br />

The impact of second-hand smoke cannot<br />

be overestimated: a 1992 study by the<br />

American Heart Association had <strong>in</strong>dicated<br />

that those exposed to environmental<br />

tobacco smoke at home had their risk of<br />

death due to heart disease <strong>in</strong>crease by<br />

about 30 per cent. Children are particularly<br />

vulnerable because they not only <strong>in</strong>hale<br />

smoke but also pick up the belief that<br />

smok<strong>in</strong>g is acceptable.<br />

The medical complications are serious<br />

and <strong>in</strong>clude the risk of chest <strong>in</strong>fections,<br />

ear <strong>in</strong>fections, admissions to hospital<br />

with wheez<strong>in</strong>g or asthma and cot death.<br />

Thankfully, this is be<strong>in</strong>g slowly addressed<br />

by recent legislation such as prohibit<strong>in</strong>g<br />

smok<strong>in</strong>g <strong>in</strong> playgrounds.<br />

Even more can be done. For example,<br />

a campaign called Fresh Start, meant<br />

to stop people smok<strong>in</strong>g <strong>in</strong> cars when<br />

children are travell<strong>in</strong>g with them, has<br />

been launched by the Welsh government.<br />

And an outright ban will be considered<br />

depend<strong>in</strong>g on the success of this threeyear<br />

campaign. This is because the level<br />

of toxic chemicals rises to very high<br />

levels <strong>in</strong> cars, even with a w<strong>in</strong>dow open.<br />

This is tantamount to parents deliberately<br />

poison<strong>in</strong>g their children.<br />

The British Medical Association has<br />

gone further, urg<strong>in</strong>g a total ban on<br />

smok<strong>in</strong>g <strong>in</strong> cars, regardless of the<br />

occupant’s age because even the elderly<br />

are put at risk when <strong>in</strong>hal<strong>in</strong>g secondhand<br />

smoke.<br />

Source: The Times, Malta, 20 th February, 2012<br />

Numbers Rise Astronomically<br />

Accord<strong>in</strong>g to Global Adult <strong>Tobacco</strong> Survey<br />

2009, at least 41.3 million people aged<br />

above 15 used tobacco either <strong>in</strong> smoke<br />

or smokeless form <strong>in</strong> Bangladesh. The<br />

number was 32.3 million <strong>in</strong> 2007.<br />

Accord<strong>in</strong>g to experts, tobacco usage<br />

has decreased <strong>in</strong> developed world but<br />

<strong>in</strong>creased <strong>in</strong> develop<strong>in</strong>g countries due to<br />

lax tobacco control laws.<br />

Estimation suggests with 5.4 trillion<br />

cigarettes consumed, the develop<strong>in</strong>g world<br />

constitutes about 70 percent of the total<br />

global tobacco use.<br />

Accord<strong>in</strong>g to the World <strong>Health</strong> Organisation,<br />

'very poor' households <strong>in</strong> countries such as<br />

Bangladesh, Indonesia, Mexico and Egypt<br />

spend up to 15 per cent of their <strong>in</strong>come<br />

on buy<strong>in</strong>g tobacco products.<br />

Source: bdnews24, Dhaka, 25 th February, 2012<br />

n 73<br />

January - March & April - June 2012

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