Smoking Rates Fall 18% in Indiana

What's their secret?

Addiction is a tough disease, and smoking grabs hold of the addiction-prone with a speed and ferocity that remains impressive even in a world of crack cocaine and ice amphetamine. Zyban may help, and there is the ever-controversial Chantix, as well as a plethora of nicotine replacement products. They are valuable and frequently effective additions to the arsenal of medical approaches to nicotine addiction.

Yet there remains one universally effective--if equally controversial--method of lowering smoking rates in a given population. You can increase the price.

Last year, Indiana boosted state taxes on cigarettes by a whopping 44 cents per pack. The result? Cigarette sales fell in Indiana by almost 18 per cent in the nine months since the new tax was put into effect, according to a June 3 Associated Press report. That percentage represents a decrease in sales of roughly 80 million packs of cigarettes, according to state health experts.

"This is exactly what we predicted, " Dr. Judith Monroe, the state health commissioner, told AP. "We've got to remember that smoking is an addiction... not just a bad habit."

In an editorial, the Indianapolis Star put the matter straightforwardly: "In Indiana and nationally, the research in unequivocal: Taxes reduce smoking, especially among the young. So does serious spending on smoking prevention and cessation. The state used to do the latter, and has paid the price for slacking off."

Indiana currently ranks 6th highest in the nation for smoking prevalence. In 1999, under terms of the state-by-state settlement with the tobacco industry, Indiana used its money entirely for smoking reduction programs. After seeing significant declines in smoking, the state legislature nonetheless diverted the remaining settlement money to other programs in 2003. At which point, according to the Indianapolis Star, "smoking rose again, up to second-highest in the nation," making Indiana "one of the unhealthiest states."

"More than one million Hoosiers use tobacco," Karla Sneegas of Indiana Tobacco Prevention and Cessation told the Associated Press. "But we know from our data that approximately 90 percent of those people want to quit and 30 percent are ready to quit right now."


Photo Credit: SavingAdvice.Com

100 Million Killed By Tobacco

WHO estimates 1 billion more deaths in 21st century.

The World Health Organization (WHO) estimates that 100 million smokers died of tobacco-related causes in the 20th century, making cigarettes the leading preventable cause of death worldwide.

The agency estimates that as many as a billion people will die from tobacco in the 21st century, if present trends continue.

According to the WHO report, “Global Tobacco Epidemic 2008,” almost two-thirds of all smokers live in only ten countries, with China accounting for as much as 30 per cent of the total. Nearly 60 per cent of Chinese men smoke cigarettes, the report claims. The other leading countries, in order of consumption, are India, Indonesia, Russia, the U.S., Japan, Brazil, Bangladesh, Germany, and Turkey.

“The shift of the tobacco epidemic to the developing world will lead to unprecedented levels of disease and early death in countries where population growth and the potential for increased tobacco use are highest and where health care services are least available,” the report concluded. Or, as the Economist puts it, “the tobacco industry is getting the world’s poor hooked before governments can respond.”

The Economist reports that the most powerful prescription for fighting the trend is higher taxes: “Studies show that raising tobacco taxes by a tenth may cause a 4 per cent drop in consumption in rich countries, and an 8 per cent drop in poor ones, with tax revenue rising despite lower sales. The agency wants a 70 per cent increase in the retail price of tobacco, which is says could prevent up to a quarter of all tobacco-related deaths worldwide.”

The eradication of tobacco use will be as difficult as fighting insect-born diseases, WHO officials say. The WHO analysis strongly asserts that “partial bans on tobacco advertising, promotion and sponsorship do not work.”

In a soon-to-be-published paper by researchers at MIT and the University of California, cited by the Economist, the authors claim that “the monetary value of the health damage from a pack of cigarettes is over $35 for the average smoker, implying both that optimal taxes should be very large and that cigarette taxes are likely progressive.”

In a forward to the report, noting that 5.4 million people a year die from lung cancer and tobacco-related heart diseases, WHO Director-General Margaret Chan wrote that the world has reached “a unique point in public health history as the forces of political will, policies and funding are aligned to create the momentum needed to dramatically reduce tobacco use and save millions of lives by the middle of the century.”

What are cigarette makers doing to combat these grim revelations? According to the Economist, “The tobacco industry is regrouping in order to focus on ‘promising’ markets and escape the pesky lawsuits it is likely to face in rich, litigious countries.”

photo credit: UCR/California Museum of Photography