'It
ain't necessarily so'
by
David Grand
June 26, 2003
At
least that's what a study published in the British Medical Journal
concluded about secondhand smoke increasing the risk for lung
cancer and heart disease among nonsmokers.
As
one of the 47 million dumb Americans addicted to smoking, I
always viewed with skepticism the generally accepted premise,
put forth by the World Health Organization, the American Cancer
Society and other health agencies, that secondhand smoke poses
a serious health threat to others.
As
one would expect, the health organizations were highly critical
of that study, partly funded by the tobacco industry, saying
it was flawed in many ways; namely, that the 35,561 participants
(whose histories were reviewed from 1960 to 1998), who'd never
smoked but whose spouses did was too small of a group; and that
those people had been exposed to secondhand smoke in many other
places in the early years covered by the study other than in
the home, such as movie theaters, restaurants and the workplace.
And
although the lead author of the study, epidemiologist James
Enstrom of the University of California, School of Public Health,
contends that his findings were "solid and that the tobacco
industry had no influence," trying to change the mind-set
of most Americans on that subject would make securing a lasting
peace in the Middle East look like "a stroll in the park."
Another
long-held view about smoking that's been challenged is that
cutting back on lighting up significantly reduces the health
hazards. Based, however, on a comparison of annual state surveys
conducted from 1996 to 2001, the Center for Disease Control
(CDC) reports that "reducing tobacco use by half or more
without quitting did not decrease mortality rates from tobacco-related
diseases compared with heavy smokers of 15 or more cigarettes
a day." In that regard, the CDC urged states to have comprehensive
tobacco control programs to encourage smokers to stop.
To
its credit, Maryland plans on spending $14 million in an anti-smoking
campaign. But that's a pittance, considering the $800 million
that the state received as its share of the $206 billion settlement
reached between the tobacco industry and 46 states in 1998,
which was slated to be used for tobacco prevention and cancer
control programs. Apparently, though, Gov. Ehrlich has had no
qualms about tapping the state's Cigarette Restitution Fund
to make up for budget shortfalls elsewhere, with much the same
impunity that President Bush has raided the Social Security
Fund.
Now,
I never disputed the fact that smoking is the leading preventable
cause of death and disability in the U.S. How could I, when
1,200 Americans (over 44,000 a year) die each day from tobacco-related
diseases, and 4 million worldwide each year. But horrifying
as those human stats are, there are other mortality figures
that make my skin crawl, like the 310,000 deaths a year caused
by wars and conflicts, the near 20 million deaths so far from
the AIDS epidemic (mostly in Africa), and that every 3.6 seconds
someone in the world dies of starvation (four-fifths of whom
are children under five). But the human race is not in danger
of disappearing, what with the world's population of about 6
billion and increasing by 200,000 every day.
Now,
I've been seriously considering becoming a convert, if not so
much for my health, as for the money I'm burning up each time
I smoke a cigarette. But the fact that I'm now able to order
my ciggies on the internet at a sharply reduced price is quite
a disincentive to quit. And as of Jan. 2000, there were 88 retailers
on line, which grew to 195 by Jan. 2002 (of which 104 were in
New York state and on Indian reservations). With a pack of cigarettes
costing $7 in New York City, it's no wonder they're doing a
thriving business..
Pecking
out this column did, however, have one beneficial effect for
me, in that I only smoked 4 (or maybe 5 or 6) cigarettes. That's
a good start in my conversion, don't you agree?