28th January 2019
To the Director General and Executive Board of the World Health Organization:

We write to you, as members of the global public health community, to express our grave concern at the attempt by the Philip Morris International-funded entity, Foundation fo a Smoke Free World (FSFW), to pave the road for partnership with the World Health Organization (WHO).

Giving any consideration to an organization that is entirely funded by the tobacco industry would fundamentally undermine the significant health and policy gains made to date on the attainment of the Sustainable Development Goals (SDGs) and prevention of noncommunicable diseases (NCDs) through the implementation of the WHO Framework Convention on Tobacco Control (FCTC). It would specifically undermine WHO FCTC Article 5.3 which seeks to protect public health policies from the vested interests of the tobacco industry and on which much of the success of the treaty rests.

We therefore call on you to reject this approach, in the strongest terms, and reinforce WHO’s 2017 notice to governments and the public health community to reject any affiliation with FSFW because of the “of clear conflicts of interest involved with a tobacco company funding a purported health foundation, particularly if it promotes sale of tobacco and other products found in that company’s brand portfolio.”

A letter to the editor published in the National Post on June 30, written by Stan Shatenstein of Montreal:

Big Tobacco can act

Re: "Imperial Tobacco 'shocked' by Health Canada's proposal for plain packaging of cigarettes", June 26

Imperial Tobacco says it's “shocked and confused” by the government's proposed regulations mandating plain packaging for cigarettes and other tobacco products. What's truly shocking is that a company responsible for fully half this country's annual 45,000 entirely preventable, premature smoking-related deaths has the gall to continue complaining and to even threaten to take the government to court.

Imperial should just quietly keep counting its blood-soaked money and also count itself fortunate that its products are so addictive that they can't be banned outright. Prohibition is not realistic, even if tobacco's toxicity would make it entirely warranted, but any regulations the government wishes to impose, and are based on the best available evidence, are worth adoption without Big Tobacco's input.

It's also worth noting that, while Imperial laments "a number of provisions that are basically impossible to comply with,” the industry said the exact same thing when Canada was on the verge of setting a world precedent by introducing graphic warning labels in 2001. Health groups quickly found printers who could do the job, putting the lie to the firms' complaints. Canada is not the first when it comes to plain packs, but the draft regulations are rigorous and set a number of global precedents. They should be saluted, not challenged by the industry whose unconscionable actions have made them necessary.

Stan Shatenstein
Editor & Publisher, STAN Bulletin

A country and western song by Mike Trapp and College Humor.

As of November 1st the minimum legal age for purchasing cigarettes in the state of New Jersey has been raised to 21. Hawaii and California already have "Tobacco 21" laws in effect, while Oregon and Maine have recently passed laws that will come in to force next year. The Tobacco 21 movement has been sweeping across the USA (see tobacco21.org)- several other states have proposals under way in their legislatures, while many progressive cities including New York, Boston, Chicago and (until it became state-wide) San Francisco have passed it municipally. While mostly Democratic- led, Republicans are beginning to also see it as wise public policy, with even Governor Chris Christie, after vetoing it twice, recently changing his mind stating he was swayed by studies that showed people won’t develop a smoking addiction if they don’t use it in their teens or early 20s.

Very nice- but will it work? Yes, this has been proven in a controlled study of municipalities in Massachusetts, and the strategy has been called "An idea whose time has come" by the New England Journal of Medicine. Paradoxically maybe the most trustworthy piece of evidence comes from an internal Philip Morris report warning "raising the legal minimum age for cigarette purchase to 21 could gut our key young adult market". The USA's Institute of Medicine produced a major scientific report backing a nation-wide Tobacco 21 law, which it calculated would reduce smoking initiation by 25%, reduce overall tobacco consumption by 12%, and save 4.2 million years of life in kids alive today. 

A ticket for $575 issued by the RCMP in Langford, west of Victoria.

Article by Jon Aspiri at Global News:  BC Ferries to ban passengers from staying on closed vehicle decks during sailings starting in October (includes video)

A few comments...from a 30-year employee of B.C.Ferries who retired, as a Second Officer, almost 9 years ago.

First, I was really quite amazed:  Of the two/simultaneous announcements (yes, the 'official' start dates are different but...), it seems to me that the 'ban on people in their vehicles on enclosed car decks' got far more coverage -- and seemed to be more "controversial" -- than what appears to be a very sweeping and comprehensive smoking ban.  

For the sake of 'balance', I guess they had to interview one whining woman (I wonder how long it took them to find a smoker) who seemed to think that the existing smoking areas are small enough and, of course, "they don't bother anybody" (especially those smoking areas that are directly outside the kids play areas, much to Big Tobacco's delight, on both of the Spirit class ships... with supposedly smoke-free areas aft of those smoking areas).

Second, the smoking ban has been in the works for at least a couple of years, I believe... and went through a few stages (for example, the version that existed about a year ago did not include the terminals).

For me, personally, the smoking ban is bittersweet.

From my day one at BCFS -- almost 4 decades ago, in July of '78 -- I fought the battle for the total ban (incrementally, of course) virtually every day of my career... telling both passengers (including a Hell's Angel) and crew (including a couple of ferry Captains) -- and anybody/everybody in between -- to butt out (unless, of course, they were in a designated smoking area).

To Health Canada:

Please forgive me if I don't seem very appreciative of Health Canada's so-called tobacco control efforts.

Personally, I believe that Big Tobacco -- not just in Canada, but globally -- should be completely run out of business... and there are not just one, but two completely legal ideas to achieve just that.  Obviously, the toppling of Big Tobacco won't happen overnight, but it would be 'phased out', over a period of 20 or 30 years.  All that's required, ultimately, is a little (or perhaps a great deal of) political will. 

Again, forgive me... but after reading just the one-page "Consultation on amendments to the Tobacco Reporting Regulations", I had neither the time nor the inclination to proceed any further.  That said, I had a quick look at the TRR... and, with the utmost of respect, it seems to me that one would have to be a lawyer to 'interpret' much of that document.  And, as I'm sure you well know, when it comes to lawyers, few are better paid and more successful than those who are part of Big Tobacco's small army of lawyers.  However, I digress... 

Smoking remains the leading preventable cause of death in Canada and worldwide, killing 1 in 2 smokers, and more than alcohol, drugs, car accidents, murder, suicide, and AIDS combined. The tobacco industry has repeatedly lied about what they knew and when, intentionally manufactured controversy, enhanced cigarette addictiveness, and targeted women, children and minorities.

The tobacco industry must continue to find ways to market to children if they hope to survive, as ~ 90% of smokers start by age 18. Movies are one of the main legal avenues remaining for such. A review  suggested that 37% of youth smoking initiation is due to smoking in movies.  The Surgeon General has concluded that ratings changes could reduce teen smokers by 18%, preventing 1 million deaths among US children.

Carrie Fisher was a lifelong smoker who died at 60 from a sudden heart attack. Tragic, but unfortunately common. She had also fought mental health and addiction battles. The prevalence of smoking is disproportionately elevated in both of these groups, and despite being traditionally viewed as their “lesser problem” during life, it most often ends up being the cause of their deaths.

 Carrie Fisher’s death, while very sad, can be turned into meaningful action. Restrict smoking in movies, set age limit for purchase at 21, increase cigarette taxes, institute plain packaging, divest governmental pension fund tobacco holdings, ban smoking in multi-unit dwellings and outdoor gathering areas, and dramatically increase anti-tobacco governmental expenditures. Most importantly take control of smoking’s image- not cool, but instead a never-ending beauty- and health-destroying, and poverty-inducing battle against nicotine withdrawal. Maybe Princess Leia can help us defeat true organized evil after all.

Stuart H. Kreisman, MD

Dear Editor:

Re:  Canada should adopt plain packaging rules despite what Big Tobacco says (by Andre Picard, September 22,2016)

In my humble opinion, one's position on anything and everything tobacco-related ultimately boils down to one's knowledge -- and opinion -- of Big Tobacco.

If you believe that BT is just another "Good Corporate Citizen" out there, simply trying to get by in the dog-eat-dog business world, I would, with the utmost of respect, suggest that you know absolutely nothing about BT...and your opinion isn't worth the paper it's written on.

If, on the other hand, you're Andre Picard -- or a lifelong anti-tobacco activist, as I am -- you KNOW (or at least you have some small sense of) just how sleazy, wicked, mean and nasty BT is... and just how deep its pockets are.  The success or failure of BT's efforts, globally, depends almost exclusively on how many politicians it can 'buy'.

Think Big Oil is bad?  Big Sugar?  Big Food?  Big Pharma?  Or any other Big Bad corporate behemoth?

Big Tobacco is the great grand-daddy of all of them...and, frankly, Big Tobacco's "opinion" -- on any and all tobacco issues -- doesn't count!

If I may paraphrase Andre Picard, everything Big Tobacco thinks, says and does -- and produces -- is "utter rubbish"...tragically, extremely toxic and deadly rubbish!

The headline should've said, "Canada should adopt plain packaging rules because of what Big Tobacco says!" because, ultimately, what is good for society is bad for BT... and vice versa.

Errol E. Povah
President, Airspace

A video by documentary producer Gary Charbonneau (see Vancouver Aquarium Uncovered) and animal rights activist Jen Dobell.

Jen Non Smoking from Evotion Inc. on Vimeo.