Tuesday 25 October 2016

Everything adolescents should know about the dangers of tobacco

Nicotine changes the brain. And tobacco-using adolescents are especially susceptible.

As an adolescent brain develops, nicotine alters the delicate network of neurons and synapses, increasing teens’ chances of becoming addicted and making them key targets for tobacco companies.

This and many other facts can be found in a new Tobacco Prevention Toolkit, posted online last month. The toolkit, developed by faculty at Stanford, is a free set of educational material aiming to inform youths on the dangers of tobacco use and is available online for anyone to use.

Researchers have recently seen an increase in adolescent use of electronic cigarettes and hookahs, partly due to misconceptions that they are harmless. A study shows that marketers make unvalidated claims about e-cigarettes, especially that they help people quit smoking. This year, the FDA extended regulation to cover vape pens, hookah pens, and electronic cigarettes, but controls remain lax.

“Youths engage in dangerous activities in part because they don’t have the knowledge they need to make healthier decisions,” Bonnie Halpern-Felsher, PhD, a developmental psychologist and lead on this project, said. “If we could increase their knowledge, decrease misconceptions, and change their attitudes, then they are more likely to make healthier decisions.”

Halpern-Felsher and her team asked the community for help in deciding what to include in the toolkit. They held focus groups for parents, teachers, and middle- and high-school students throughout California to explore material that may pertain to adolescents.

They noted several gaps in current tobacco education methods, namely that they don’t include electronic cigarettes and rarely include biological explanations of nicotine effects on the brain.

The toolkit is a set of modules that contains slide decks, worksheets and activities describing fallacies about vape pens, methods that marketers use to sell their tobacco products, the consequences of nicotine addiction on the brain, tips on how to refuse such products, and other similar topics related to tobacco use. The material was fact-checked by addiction researchers, physicians, toxicologists and health educators.

“We needed to revamp education to match what’s really going on in adolescent decision-making,” Halpern-Felsher said. “We hope that this toolkit will help educators throughout California and across the country teach their students and other youths about the dangers of tobacco and ultimately reduce widespread use.”

They received funding from the Tobacco-Related Disease Research Program and the California Department of Education.

Previously:  Bringing an end to smoking, Teens confused about harms of marijuana and e-cigarettes, Stanford study finds and How e-cigarettes are sparking a new wave of tobacco marketing
Photo by Marius Mellebye
Resource: http://scopeblog.stanford.edu/2016/10/18/everything-adolescents-should-know-about-the-dangers-of-tobacco/

Brazilian Jiu-Jitsu Academy opens in metro-east

Milad Hamed of Fairview Heights has relocated M&L Mart from O’Fallon to Belleville. Jamie Forsythe jforsythe1@bnd.com



By Tobias Wall and Jamie Forsythe

News-Democrat

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Illinois Brazilian Jiu-Jitsu Academy LLC opened this month in Mascoutah. The academy specializes in Brazilian Jiu-Jitsu, Judo, and wrestling and offers classes for both children and adults.

Owen Brickell, owner of the academy, said he plans to hold an official grand opening on Nov. 1 at the school located at 10 N. Railway St.

Brickell said he and his wife have been training students out of their home over the past year.

“It’s grown to the point where we could open up an official academy,” he said.

The Illinois Brazilian Jiu-Jitsu Academy is open from 6-8:30 p.m. Monday through Friday. For more information, visit their Facebook page or call 618-365-5242.
Veteran hair stylist opens salon

A new salon in Belleville is run by a veteran stylist.

Owner Lynn Aldridge soft-opened Mi-Lan Salon earlier this month at 1148 Royal Heights Road in Belleville. A grand opening is planned for Oct. 27.

Interior work at the site is ongoing.

Aldridge, a stylist in the area for more than 20 years, ran her own salon for several years in Fairview Heights before closing it to join another one three years ago.

Right now, business hours are to be determined. Call Aldridge at 618-741-5166.
Mini mart relocates to Belleville

Milad Hamed of Fairview Heights has relocated M&L Mart from O’Fallon to Belleville.

“I think its a better area,” he said of the new location at 1300 W. Main St. in Belleville.

M&L Mart offers hookahs, hookah and shisha tobacco, cigars, cigarettes, snacks and drinks.

It’s open from 8 a.m. to 8 p.m. everyday. You can call the store at 618-416-7638.
O’Fallon gas station may be expanded

The O’Fallon City Council recently approved a first reading for the redevelopment of a BP gas station at 720 S. Lincoln Ave.

Mike Drummonds for STL Eco Energy & Electric filed an application requesting 0.66 acres of land be rezoned from B-1, Community Business District to B-1(P), Planned Community Business District for the proposed redevelopment of the existing BP gas station. The project would include demolishing the existing convenience store and reconstructing a new 4,173-square-foot convenience market and the future installation of two additional gas pumps.

The development will need a second reading before the city council before it can move forward.
New subdivision coming to O’Fallon?

O’Fallon aldermen also approved a first reading of the development known as “The Enclave at Augusta Greens.”

The Augusta Greens and The Enclave at Augusta Greens are part of the same subdivision proposed to be located on nearly 65 acres of property at the northeast corner of Old Collinsville Road and Milburn School Road. The preliminary plat for the August Greens includes 117 single family lots, and The Enclave at Augusta Greens preliminary plat includes 39 single family building pads.

The development will need a second reading before the City Council before it can move forward.

Tobias Wall: 618-239-2501, @Wall_BND

Jamie Forsythe: 618-239-2562, @BND_JForsythe

Resource: http://www.bnd.com/news/local/article110001467.html

Up in Smoke? NYC vs. Its Burgeoning Hookah Bars

Proposed city regulations seem to be driven by health concerns. But business and cultural concerns are in the mix
In Bay Ridge, it’s one of the most popular ways to relax. In the East Village, college students and sharply dressed young professionals do it while working on their laptops. Along Steinway Street in Astoria, it seems as if every other storefront is dedicated to it. In Washington Heights, people sit in lawn chairs on the sidewalk and do it while soaking up sunlight.

People smoking hookah has become a common scene in New York City, and the number of hookah bars has exploded in recent years. According to the city Department of Health and Mental Hygiene, “the number of hookah bars in the City more than doubled between April 2012 and August 2015.” But many of those businesses could be in jeopardy as the City Council considers legislation aimed at reigning in hookah’s rapid expansion.

The campaign against hookah bars is not altogether new. The rise of hookah is occurring as the city continues its two decades-long “NYC Smoke-Free” campaign. For a number of years, concerned community members have been calling on the city to address the health concerns surrounding hookah, particularly among minors. As hookah has risen in popularity, meanwhile, New York hookah bars have successfully exploited loopholes in the city’s otherwise strict smoking laws— loopholes that City Council officials are trying to close with the proposed legislation.

Regulating an already booming industry has proven tricky for city lawmakers, however. National discourse about Arab Americans, especially during this year’s presidential election, has made some conversations related to hookah particularly sensitive. Councilmembers say they want what’s best for everyone in the city, but some small business owners and Arab cultural advocates say that the bills as written go too far.



The Legislation

There are only two noteworthy restrictions on the sale and service of hookah in New York City: It can only be sold to adults 18 and older, and the shisha—the flavored, traditionally tobacco-based substance that is burned and smoked in a hookah—must be of an herbal variety that doesn’t contain any actual tobacco.

Four bills under consideration by City Council would significantly add to that list of regulations.

The main leaders of the effort are Councilman Vincent Gentile of Bay Ridge and Dyker Heights in Brooklyn, who sponsors the cornerstone piece of legislation, and Councilman Ydanis Rodriguez of Washington Heights and Inwood, Manhattan, who sponsor three supporting bills.

Councilman Gentile’s bill calls for a moratorium on new hookah bars, and more. Existing businesses that earn at least half of their revenue from hookah would be allowed to continue to serve it, as long as they register with the Health Department. That means restaurants and bars that currently serve hookah on the side and make most of their money from food or beverage sales would be barred from serving it anymore.

Gentile’s bill also establishes strict regulations on hookah bar registration. Under the bill, hookah bars would have to re-register with the Health Department every year, each time proving that more than half of their revenue the previous year came from hookah. Registration would be withheld from any establishment that switched locations or expanded, as well as for any hookah bar with outstanding smoke-related violations. The bill would also establish a special tribunal, which would have the power to revoke the registration of any hookah bar caught using shisha containing tobacco.

Two of Councilman Rodriguez’s bills would simply raise the legal age for the purchase and consumption of non-tobacco shisha to 21, which is New York City’s legal age for consuming tobacco, and prohibit the sale of non-tobacco shisha to anywhere other than a licensed hookah bar, tobacco bar, or smoke shop.

Rodriguez’s third bill would require hookah bars to establish explicit hookah-smoking sections which, among other things, would not be allowed to take more than five percent of the establishment’s total seating.

That bill in particular has caused some anxiety for hookah bar owners in the city. As several of them pointed out at a February hearing, Gentile’s requirement that hookah constitute more than half of a hookah bar’s revenue and Rodriguez’s requirement that only five percent of establishment seating be dedicated to hookah creates a conflict in which it’s almost impossible for hookah bars to both stay in business and abide by the law.

Gentile told The Brooklyn Ink that, by his understanding, changes were going to be made to Rodriguez’s five percent seating limit. “We’re not looking to put small businesses out of existence,” he said.

Russell Murphy, Councilman Rodriguez’s chief of staff, confirmed that thinking, predicting that there would be changes to the bill before it saw the full council. “We’re still working through what those changes are exactly, but as it’s raised right now is not what will be passed. I can definitely say that,” he said.

When asked about the future of these bills, Gentile predicted that it’d hit the floor of the council within the next month.



Business Concerns

Although Gentile claims that this legislation is not intended to put anybody out of business, Ariel Ferreira, a small business consultant and advocate based in northern Manhattan, expressed concern at the February hearing that the bills would hurt businesses that serve hookah.

“This additional revenue has helped many restaurants, bars, and nightclubs stay in business when combating rising and uncontrollable commercial rent,” Ferreria said. Since businesses that rely on hookah for less than half of their revenue would be barred from serving it under the bill, she said these establishments would be threatened.

Ferreria mentioned a business that she represents, whose rent recently went up by $10,000 a month. “Revenues from their hookah sales helped prevent them from laying people off and/or shutting down,” she said.

Abed Ayoub, national legal and policy director at the Arab-American Anti-Discrimination Committee in Washington, D.C., echoed Ferreria’s concerns. He’s dealt with the adverse economic effects of strict hookah regulations in other places in the U.S., and he said he’s seen firsthand the devastating effects they can have on small businesses.

“What we’ve seen across the country is when you do something like this, and you limit the sale or you limit the hours, these places are closing down,” he said. He mentioned a case in Maryland in which a hookah bar owner put $100,000 into his business, but had to shut it down because of unreasonable regulations. “Now he’s going into foreclosure, and he’s losing his house.”

“You have workers, you have employees, you have staff that you have to worry about, and their benefits and healthcare,” Ayoub said. “This isn’t just limiting someone smoking a water pipe.”

Bay Ridge alone, a neighborhood with an approximate population of 75,000, has between 15 and 20 businesses that serve hookah. It’s unclear how many of those would meet the half-revenue requirement.

It’s also unclear exactly how City Council would amend Rodriguez’s bill limiting the seating capacity of hookah serving. Gentile agrees with the complaints of hookah bar owners, and doesn’t think that seating requirements should conflict with revenue requirements, but it’s not possible to know just how the bill will be reworded until the council considers it.

Alex Aramo, owner of Mist Café and Hookah Lounge in Bay Ridge, said that he respects the need for regulations, “but in the end, it must not affect business. You have to take care of the businesses.”



Hookah versus NYC

Although hookah regulations today are minimal, hookah bar owners have been feeling the heat from the city for a number of years.

In Dec. 2014, the New York City Health Department, in conjunction with New York University, conducted an undercover sting operation. They secretly tested the shisha from 13 hookah bars in Manhattan and Queens to see if they were in compliance with the 2002 law banning the use of tobacco in hookah. According to the Health Department, tobacco was found in the shisha from all 13 establishments.

In Bay Ridge, community members have voiced concern about underage hookah smoking ever since a neighborhood teenager got sick and had to go to the hospital after drinking and smoking at a local hookah bar in 2010.

According to the few hookah workers who agreed to speak to The Brooklyn Ink, scandals like these have created an environment in which the pressure on hookah bars prevents them from vocally defending their businesses. “They don’t want a target on their back,” said one Brooklyn hookah bar worker, who spoke on condition of anonymity.



Cultural Concerns

Hookah smoking, of course, is a social tradition throughout much of the Middle East, as well as in Middle Eastern and, particularly, Arab communities here in the U.S. Although hookah has expanded its customer base in New York City—most notably to the Latino-run hookah bars in northern Manhattan and the high-end hookah bars of lower Manhattan—the hookah bars in two of the city’s most hookah-dense areas are still mostly owned and run by Arabic speakers in Astoria, Queens and Bay Ridge, Brooklyn.

Thus the question arises: How far can hookah regulations go without encroaching on cultural boundaries?

For Councilman Gentile, whose Bay Ridge houses the densest Arabic-speaking population in Brooklyn, the answer is clear: “This is not a cultural issue.”

According to Gentile, the fight for hookah regulation stems from community concerns about health and the safety of minors. “Community members and parents from my community came to me—the Arab-American community—came to me and said, ‘Our children, young children, are being allowed to go into hookah bars to smoke.’ And they were outraged by it and they said that this has to come to an end. We have to be able to regulate this so that these hookah bars are not taking advantage of our kids.”

To back his claim that this is not a cultural issue, Gentile points to cultural groups, including the New York Chapter of the Muslim American Society, which wrote a letter of formal support for Gentile’s hookah regulations. “We don’t see any act of discrimination against the Arab or Middle Eastern Culture,” the letter said. Additionally, Ahmad Jaber, founder of the Arab American Association of New York, which is located in Bay Ridge, spoke in support of regulation efforts at the February hearing, emphasizing that “hookah smoking is not a cultural issue.”

But Ayoub disagrees. To him, hookah is undoubtedly “an Arab cultural item. It’s something that’s been part of the community for hundreds of years.”

Although he said that he couldn’t speak directly to the situation in New York City, Ayoub notes that “a lot of what we’ve seen in certain areas is a bit of discriminatory intent behind the bills.” He pointed to Maryland, where he says a city council limited the legal hours for serving hookah because neighbors wanted to drive out the African American and Arab American patrons that frequented the hookah bars. “These rules were intended to impact these communities of color,” he said. “They’re very problematic.”

Hookah in New York has indeed become popular beyond the Arab community. Still, there’s evidence of hookah’s Arab cultural importance in the city.

To find it, one need look no further than a store called Hookahnuts on Fifth Avenue in Bay Ridge, owned by Ziad and Doha Khaled. The store carries more than 75 hookah pipe designs, as well as a variety of hoses and other parts. The “nuts” in Hookahnuts refers to the dozens of types of nuts—roasted in-house—and dried fruit that the Khaleds sell for customers to munch on while smoking. They also sell traditionally decorated trays, silver, and glassware for tea and Turkish coffee, all for accompaniment with hookah.

Ziad complained that, since tobacco in shisha was outlawed by the city, he’s had to change his business practices. “I used to sell six brands [of shisha], and had forty flavors for each brand. Now I only sell one brand,” he said. To compensate, he shifted the focus of the store toward gift items and added a small specialty Arabic grocery section to his store. He said the city needs to come up with ways to protect minors from hookah that don’t negatively affect local businesses.

    In Bay Ridge, there are two obvious subgenres of hookah bars. On one hand are places like Mist Café, which looks like a high-end lounge with its low booths, stained wood bar, and dim lighting. Although Arabic music plays over the speakers, the clientele on any given night is markedly multicultural, and noticeably young.

On the other hand are places like Coconut Hookah. Enter the Bay Ridge Avenue hookah bar on a weeknight, and you’ll find Arabic speakers—mostly older men—playing cards, gossiping, and smoking their hookah in a plain-looking restaurant with standard brown tables and metal chairs.

Cultural sensitivities aside, compromise is possible, Ayoub noted. In northern Virginia, he said a local government came up with rules regarding proper ventilation in hookah bars in order to ensure clean, safe air for patrons. “Those businesses complied,” he said. “And they’re booming. They’re doing very well. They didn’t limit the hours, they didn’t limit the numbers of seats they could serve—that’s ridiculous. They came up with a way for the business owners to achieve their objective of having a safe and sanitary environment.”

Similarly, in his hometown of Dearborn, Mich., the most Arab-dense city in the U.S., Ayoub pointed to a joint effort between the Dearborn City Council and local hookah bar owners to come up with legislation to limit the smoking of hookah in public parks. “If they can take that approach in Dearborn where it’s majority Arab American and you have hookah bars on every corner, then they can do that in other cities,” he said.

“So there are ways to work with the business community,” he added, “to come up with solutions for everybody.”
Resource: http://thebrooklynink.com/2016/10/18/55367-up-in-smoke-nyc-vs-its-burgeoning-hookah-bars/

1 in 5 U.S. Young Adults Uses Hookah

THURSDAY, Oct. 13, 2016 (HealthDay News) -- Hookah use has taken off among Americans in recent years, with almost one in five young adults using the water pipes, a new study says.

New York University investigators analyzed U.S. government data on tobacco use and found 12 percent of Americans had used a hookah during their lifetime.

They also found that the rate of current hookah use among adults ages 18 to 24 is nearly 20 percent -- similar to their rate of current cigarette use.

"Hookah is addictive, causes similar health effects as cigarettes, and results in substantially higher inhalation of smoke than cigarette smoking, yet misperceptions persist that its use is safer than cigarette smoking," say researchers led by Dr. Michael Weitzman. He is a professor in the departments of pediatrics and environmental medicine at NYU.

Increases in hookah smoking are highest among single, adult males, and those with higher education and income. In contrast, cigarette smoking is more common among those who are poorer and have low levels of education, the researchers noted.

The study -- published in the journal Nicotine & Tobacco Research -- also found significant variations in hookah use rates by state and region.

The findings "will be useful for guiding the development of strategies and regulatory policies to prevent hookah use in the future as the characteristics of hookah users are different from cigarette smokers," Weitzman said in a university news release.

More information

The U.S. Centers for Disease Control and Prevention has more on hookahs.

SOURCE: New York University, news release, Oct. 6, 2016

-- Robert Preidt

Last Updated: Oct 13, 2016

Copyright © 2016 HealthDay. All rights reserved.

Resource: https://consumer.healthday.com/cancer-information-5/misc-tobacco-health-news-666/1-in-5-u-s-young-adults-uses-hookah-715696.html

Report: One-Fourth of US Cancer Deaths Linked to Smoking

new study has found the one-fourth of all deaths from cancer in the United States are linked to cigarette smoking, according to the American Cancer Society.

The results, published Monday in the JAMA Internal Medicine, showed that the highest rate was among men in southern states where tobacco control policies are less stringent. The highest rate was in Arkansas, with 40 percent of cancer deaths linked to cigarette smoking. The highest rate among women was found in Kentucky: 29 percent, according to the American Cancer Society.

“The human costs of cigarette smoking are high in all states, regardless of ranking,” the authors wrote in their findings, which included in analysis of 2014 health surveys and government data on smoking rates and deaths from approximately 12 smoking-linked cancers, including leukemia, lung, throat, stomach, liver, colon, pancreatic and kidney cancer.

The lowest rate of deaths from cancer was found in Utah, where 11 percent of women and 22 percent of men died of cancer linked to cigarette smoking.

In Israel, the issue of smoking is complicated by the Middle Eastern practice of “hookah” or “nargila” — the use of a water pipe, which many erroneously believe mitigates the dangerous effects of tobacco.

A study published this year in the International Journal of Public Health by researchers at Weill-Cornell Medical-Qatar medical school analyzed 28 studies dealing with the health consequences of smoking a hookah, or nargila, as it is also known in Israel.

The findings, based on studies carried out in Egypt, Iran, Tunisia, Lebanon, and other similar nations where use of water pipes is common, showed that “hookah” use greatly increased the risk of esophageal and lung cancer. The reviewed 8,714 cancer patients and control groups, totaling 35,746 people. According to the research, hookah use tripled the risk for cancer of the lungs and esophagus.

A separate study carried out under the auspices of the Israeli Health Ministry by researchers Gary M. Ginsberg and Haim Geva reported similar findings. The research, published online in August 2014 in the Israel Journal of Health Policy Research, found: “Tobacco use is the single most preventable cause of death, associated with more than five million deaths annually worldwide. By 2030, tobacco-related mortality is likely to rise to more than 8 million people. Up to half of the world’s more than one billion smokers will die prematurely of a tobacco-related disease.”

According to the study, in 2007 there were an estimated 8,932 Israeli deaths from smoking-related causes. Seven years later, the figure dropped due to intensive anti-smoking campaigns by the government and the Israel Cancer Association — but there were still 7,025 deaths due to active smoking attributable mortality (SAM).

In Israel, the Israel Cancer Association works to limit tobacco use with information campaigns aimed at the general population, but also tries to underline the point that “smoking a hookah can kill, just like a cigarette.”
Hana Levi Julian

About the Author: Hana Levi Julian is a Middle East news analyst with a degree in Mass Communication and Journalism from Southern Connecticut State University. A past columnist with The Jewish Press and senior editor at Arutz 7, Ms. Julian has written for Babble.com, Chabad.org and other media outlets, in addition to her years working in broadcast journalism.

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Resource: http://www.jewishpress.com/news/breaking-news/report-one-fourth-of-us-cancer-deaths-linked-to-smoking/2016/10/24/

Mumbai: Cops crack down on shops selling tobacco to minors

The Mumbai police is raiding restaurants, shops and hookah parlours selling tobacco to children. In just a week, the crack down has seen 104 cases filed across the city.

The drive, ordered by Mumbai police commissioner Datta Padsalgikar, has led to restaurant staffers from 17 hookah parlours being arrested this year for serving to minors. They face up to seven years in jail under the Juvenile Justice (Care and Protection of Children) Act.

The drive has also identified and fined pan-beedi shops within 100 yards of educational institutions.

READ: Mumbai schools are checking students’ bags for hookah and drugs

“Our main focus is to keep minors away from tobacco products. We also need public participation to make the drive stronger. Citizens can tip us off about such establishments, and we will keep their identities confidential,” said Pravinkumar Patil, deputy commissioner of police, enforcement, heading the crack down since last week.

This year alone, the police have also filed 84 cases against people smoking in public place.

An official from the Special Juvenile Aid Protection Unit (SJAPU), conducting the raids, told HT that the civic body does not recognise ‘hookah parlours’ while giving out licences. “The licences given are for smoking zones, which many restaurant turned into hookah parlours by violating several guidelines. The issue is very serious. W have rescued minors as young as 14 found consuming hookah.”

Narayan Lad who works with Salaam Mumbai, an organisation helping the Mumbai police in its drive said a survey of 200 schools in Mumbai showed about 60% shops within 100 yards of these schools were selling tobacco products. “We want the BMC to take action against the establishments by suspending their licence. Under COPTA (Cigarette and Other Tobacco Products Act), the police can only fine offenders Rs200. We need a greater deterrent, and more stringent action may by the BMC may help serve the purpose. ”

How you can help: Call if you see tobacco being served to minors

DCP enforcement office - 022 2269 2515

Senior Inspector of Social Service Branch - 022 2262 2775

Assistant Commissioner of Police (SJAPU) - 022 2262 0569
Resource:http://www.hindustantimes.com/mumbai-news/mumbai-cops-crack-down-on-shops-selling-tobacco-to-minors/story-FbER7T1a4u1et9apcicPXN.html

Hookah Dangers Smolder Beneath New Regulations

Hookah use actually began centuries ago in ancient Persia and India and has recently enjoyed global growth in popularity, with successful smoking lounges popping up in the United States, Britain, France, Russia, the Middle East, and elsewhere.1

Hookahs (also known as narghile, argileh, shisha, hubble-bubble, and goza) are water pipes that are used to smoke flavored tobacco. Smoking hookah is a highly social activity, and generally, the same mouthpiece is passed around among users of a single hookah. An unfortunate consequence of this is, of course, that it can easily spread infections such as hepatitis and herpes.

Perhaps because of the variety of flavors and the pleasing aesthetics of hookah pipes, it’s often overlooked that hookah smoking has many of the same health risks as cigarette smoking. The smoke produced from hookahs is at least as toxic as cigarettes.1 Typically, a 1-hour hookah session involves inhaling 100 to 200 times the volume of smoke from a single cigarette.2 Also, the charcoal used to heat the tobacco can cause health risks by producing high levels of carbon monoxide, metals, and carcinogenic chemicals. Additionally, babies born to hookah smokers are at an increased risk of low birth weight and respiratory illnesses.

Hookah smokers may be at an increased risk of developing some of the same diseases as cigarette smokers including the following:1

    Oral cancer
    Lung cancer
    Stomach cancer
    Esophageal cancer
    Gastric cancer
    Reduced lung function
    Decreased fertility

According to a CDC study, hookah use increased among middle and high school students from 2011 to 2015. In 2015, 2% of middle school students reported that they had used hookah in the past 30 days, an increase from 1% in 2011. Also, 7.2% of high school students reported in 2015 that they had used hookah in the past 30 days, an increase from 4.1% in 2011.3

As of August 2016, the FDA began regulating all tobacco products, including hookah.2 Hookah “components” and “parts” that are regulated include but aren’t limited to the following:2

    Hookah (waterpipe)
    Flavor enhancers
    Hose cooling attachments
    Water filtration base additives
    Charcoal made from wood, coconut shell, or other material
    Bowls, valves, hoses, and heads

Beginning in 2018, all hookah tobacco products must include the following warning statement: “WARNING: This product contains nicotine. Nicotine is an addictive chemical.”

The following FDA rules apply to all hookah and pipe tobacco sales:2

    The photo ID of everyone under age 27 attempting to purchase hookah products must be checked.
    Hookah tobacco can only be sold to customers 18 years of age and older.
    Free hookah samples are prohibited.
    Hookah products cannot be sold in a vending machine unless it’s an adult-only facility.

Pharmacists can play an important role in communitywide education programs regarding the dangers of using hookahs and update other health care professionals on the new regulations. Educating middle and high school students is a great way for pharmacists to help reduce hookah use. Pharmacists should also report any adverse effects associated with hookah use to the FDA.

References

    CDC. Hookahs. CDC website. cdc.gov/tobacco/data_statistics/fact_sheets/tobacco_industry/hookahs/.
    FDA. Hookah tobacco (shisha or waterpipe tobacco). FDA website. www.fda.gov/TobaccoProducts/Labeling/ProductsIngredientsComponents/ucm482575.htm.
    CDC. Youth and tobacco use. cdc.gov/tobacco/data_statistics/fact_sheets/youth_data/tobacco_use/.
Resource: http://www.pharmacytimes.com/contributor/jennifer-gershman-pharmd-cph/2016/10/hookah-dangers-smolder-beneath-new-regulations

Tuesday 18 October 2016

UK Study Finds a New Way That Tobacco Smoke Can Cause Cancer

LEXINGTON, Ky. (10/17/16) — A recent study led by University of Kentucky researchers illuminates a new way that tobacco smoke may promote the development of lung cancer: inhibiting a DNA repair process called nucleotide excision repair.

The results of the study were published in the journal PLoS ONE.

Many components of tobacco smoke are carcinogens that can damage DNA. This damage must be removed by DNA repair processes to prevent the development of genetic mutations. In this way, DNA repair processes such as NER are crucial for blocking the accumulation of the DNA mutations that ultimately drive lung cancer development.

“It is well established that the carcinogens in tobacco smoke can produce mutations,” said Isabel Mellon, an associate professor in the Department of Toxicology and Cancer Biology at UK and the principal investigator of the study. “But relatively few researchers have investigated the effects of tobacco smoke on DNA repair pathways.”

Mellon and her research team examined the effects of cigarette smoke condensate – a commonly-used surrogate for tobacco smoke – on the function of the NER process in cultured human lung cells. They found that exposure of these cells to CSC significantly reduces NER efficiency. Additionally, the researchers showed that CSC exposure stimulates the destruction of a key NER protein known as XPC. The reduced abundance of XPC that follows might explain how CSC suppresses NER.

The study’s results point to a twofold effect of tobacco smoke on DNA integrity: it not only damages DNA, but it also suppresses a key process that repairs DNA damage.

“Inhibition of NER would likely increase the production of mutations and cancer incidence, particularly in cases of chronic DNA damage induction, as occurs in the lung issue of smokers,” Mellon explained.

If this is the case, then the capacity of cells within the lung of a given person to repair damaged DNA could be used to predict that person’s risk of developing lung cancer as a result of tobacco smoke exposure.

“In the future, we hope to determine how the efficiency of the NER pathway differs among different people,” said Mellon. “We are also continuing to evaluate how the efficiency of DNA repair in people is negatively impacted by exposure to environmental agents. Whether due to genetic or environmental factors, reduced DNA repair could increase a person’s risk for developing cancer.”

SurfKY News
Information provided by Kim Carmony – UK News

Resource: http://surfky.com/index.php/daviess/daviess-county-news/179-news/kentucky/113372-uk-study-finds-a-new-way-that-tobacco-smoke-can-cause-cancer

Virginia Department of Health launches countdown to help tobacco users quit

The Virginia Department of Health is helping tobacco users get ready to quit by sharing tips and resources during “Countdown to Quit Day.” The countdown kicks off October 18 and offers a different tip on VDH’s Facebook and Twitter platforms each day through November 17. Virginia Quit Day coincides with “The Great American Smoke Out” and celebrates the benefits of living tobacco free.

“Helping Virginians quit tobacco is one of the most important steps we can take in our quest to make Virginia the healthiest state in the nation,” said State Health Commissioner Marissa J. Levine, MD, MPH, FAAFP. “The tips provided during the ‘Countdown to Quit Day’ will provide people with the resources they can use to improve their health by quitting tobacco.”

Tips will cover topics such as dealing with cravings, building a support network of family and friends and creating a tobacco free environment. Countdown to Quit Day is not just for tobacco users but also for people who love tobacco users. The tips provided will help them support their loved ones when they make the decision to quit, making it more likely that they will remain tobacco free.

One of the resources available to tobacco users year-round is the Virginia Quitline. This evidence-based model offers support for quitting, including free quit coaching, a free quit plan and free educational materials. Call 800-QUIT-NOW (800-784-8669) or visit www.QuitNow.net/Virginia. Deaf and hearing-impaired TTY is 800-332-8615.

“We are looking forward to helping more Virginians quit using tobacco on the third annual Virginia Quit Day,” said Tobacco Use Control Program Manager Jayne Flowers, MA, CPM.  “The Quitline is a wonderful service to help people avoid the dangerous consequences of tobacco use.”
Resource: http://augustafreepress.com/virginia-department-health-launches-countdown-help-tobacco-users-quit/

Letter: Tobacco tax hike not enough; raise it another dollar (Gazette)

Tobacco tax hike not enough; raise it another dollar

Editor:

As the Gazette opinion page made clear in its recent editorial, the 65-cent-per-pack tax increase on tobacco products passed in West Virginia’s last legislative special session was only an initial step in addressing the state’s serious public health issues. While the increase passed helped address our budget crisis, it wasn’t nearly high enough to significantly impact the fact we have the highest smoking rate in the country. That means our health care costs will continue to rise and we will experience higher rates of preventable diseases like cancer and heart disease.

Despite the latest increase, our state’s tobacco tax is still well below the national average, and that just doesn’t make public health sense. Tobacco may rule the lives of those who are addicted to the product, but it shouldn’t rule the decisions made in Charleston.

If we want to discourage our youth from becoming addicted to this deadly product, we have to make the product much less affordable. Let’s take the next step during the coming legislative session and increase the price of tobacco products by at least another dollar per pack.


Annette Fetty-Santilli

State Lead Ambassador, American Cancer Society Cancer Action Network

Philippi
Resource: http://www.wvgazettemail.com/gazette-letters-to-the-editor/20161018/letter-tobacco-tax-hike-not-enough-raise-it-another-dollar-gazette

Philly effort to restrict tobacco sellers moves forward

Philadelphia's new health regulations aimed at cutting the number of tobacco sellers in low-income neighborhoods and within 500 feet of schools moved a bit closer to the finishing line with Monday night's Board of Health public hearing.

Some businessmen spoke against parts of new rules that were passed last month but have not yet gone into effect. Several residents and health advocates voiced their support for the new rules.

But the fireworks that likely would have met such an effort in the past were absent Monday.

Alan Karpo, owner of Second Street Wholesalers, 102 N. Second St., asked the board to consider changing the rule that will not allow him to transfer his tobacco permit if he decides to sell his business. Without that, said Karpo, his business loses much of its value.

Ilycia Boatwright-Buffalo, 18, said she supported the new rules.

"I will 100 percent support what these bills stand for," said the Cheyney University student.

As a younger teen, she worked for the city enforcement effort, posing as an underage cigarette buyer. The advertising did not specifically target teenagers, "but we all know who they are going for," she said.

Community activist Jesse W. Brown spoke in favor of the rules and asked the board to add a provision that would bar sales of menthol cigarettes within 500 of establishments that cater to youth, as well as schools.

The new rules, most of which will go into effect early in January, will limit new tobacco-product sales permits to one seller per 1,000 residents in any community planning district, compared with the high concentrations now in some areas, particularly low-income neighborhoods.

In addition, new permits will only be issued to sellers more than 500 feet from a school. The permit fees will raise from $50 to $300 to help fund enforcement efforts.

Businesses that get caught selling to underage buyers three times in two years will lose their permits for a year. They will not be able to get them back if their businesses exceed the density limits or are too close to a school.

Health Commissioner Thomas Farley said the board will be able to consider the comments at its next board meeting on Nov. 10.

rgiordano@phillynews.com

215-854-2391 @ritagiordano
Resource: http://www.philly.com/philly/news/20161018_Philly_effort_to_restrict_tobacco_sellers_moves_forward.html

Big Tobacco’s dirty tricks in opposing plain packaging

Tobacco companies want to sell you cigarettes – today, tomorrow and for the foreseeable future. Whether you’re at the tobacco counter or out with friends, glitzy cigarette packaging is a really important part of their sales pitch. Tobacco companies are aware of this. It’s why they are so opposed to their cigarettes being put in plain packaging.

But it isn’t just tobacco companies that are against plain packaging. In the UK, where plain packaging was introduced in 2016, business associations, think tanks and civil society groups publicly campaigned against the policy and academics, research consultants and public relations and law firms variously wrote lengthy reports and lobbied the government.

But why would these organisations lobby against plain packaging? On looking into these opposition groups, our recent research gives a clear answer. Opponents of plain packaging tend to have links to the tobacco industry. So much so that three-quarters of organisations identified in our study had financial links to tobacco companies.

Perhaps we shouldn’t be surprised. Decades of research into political activity by the tobacco industry has shown that “third parties” are used to campaign against tobacco-control policies. Health advocates are aware of this. In 2005, the World Health Organisation’s Framework Convention on Tobacco Control committed the countries that signed the convention to protect tobacco policy from interference by the tobacco industry and, crucially, groups linked to them. In response, in 2011, the UK government committed to publishing details of any policy meetings with tobacco companies and the Department of Health routinely requests disclosure of tobacco industry links. So far so good. In doing so, the UK sets a strong example.
Third party interference

But our research shows how “third party” opposition to tobacco control policies extends tobacco industry interference beyond this realm of government. In a three-year period which included the 2012 government consultation on plain packaging, 88% of research and 78% of public communications opposing plain packaging were carried out by organisations with financial links to tobacco companies (see figure 1). And public and retailer campaigns funded by tobacco companies to mobilise opposition to plain packaging generated 98% of the more than 420,000 negative postcard and petition submissions to the consultation.

    In this way, ideas and arguments that come from tobacco companies and their research spill into public spaces. Once there, they can influence the public and political mood on life-saving tobacco control policies and create a misleading impression of diverse and widespread opposition. This is known in the world of political science as “conflict expansion”. And the potential effects are significant. When widespread, these “third party” activities can work to delay and even prevent policies: it took four years to get from consultation to implementation in the UK.

This wouldn’t be so serious if organisations and tobacco companies were open about their relationships. But, in many cases, links were not easy for the research team to detect. Of 150 examples of public communications, less than 20% explicitly acknowledged tobacco industry connections. And, while academics and research consultants tended to clearly report funding sources, “third parties” promoting their research in press releases, news stories and letters to government, frequently did not.

If they were open about their financial relationships with tobacco firms, business and civil society organisations would give the public, politicians and officials the opportunity to scrutinise their arguments and evidence in context. In the case of plain packaging, a lack of openness masked these links and lent credibility to claims that the policy lacked evidence and would increase the trade in illicit cigarettes – claims which have been shown to be unfounded by both peer-reviewed research and by the High Court in Britain. Now, as more countries move to introduce plain packaging, “third party” transparency remains an issue.

In order to help countries guard against tobacco industry interference, awareness can be raised of the effects of their activities on public and political debates. And steps could be taken to make their relationships with tobacco companies clearer. A compulsory register of tobacco companies’ memberships, political activities and associated spending would be a strong first move.

There is strong global commitment to addressing the problem of tobacco industry interference. Parties to the framework convention meet in India in November amid concerns about this issue, and the message to the tobacco industry from the WHO is clear: “The world understands who you are and what you do, and is determined to stamp out the global plague which you do so much to spread.”

Resource: http://theconversation.com/big-tobaccos-dirty-tricks-in-opposing-plain-packaging-66854

Think cigarette sales keep local corner shops open? Retailers say tiny tobacco profits are a burden

A Newcastle shopkeeper says tobacco offers miniscule profits, as a parliamentary report reveals it's a myth that tobacco sales prop up small shops
 File  photo dated 18/06/07 of a pack of cigarettes as nearly one in five shops illegally sold cigarettes to children in an investigation. PRESS ASSOCIATION Photo. Issue date: Friday August 7, 2015. Teenagers supervised by trading standards officers attempted to buy cigarettes in 352 test purchases in England. Sixty-three illegal sales were made - 17.9% of the total. See PA story POLITICS Cigarettes. Photo credit should read: Martin Rickett/PA Wire

Tobacco sales are not vital to keeping small corner shops afloat, and might actually be harming their profit margins, researchers claim.

A report being presented to parliament today says small shop owners make only small profits from tobacco sales, and many feel they have too much cash tied up in the expensive products.

Newcastle shopkeeper John McClurey joined anti-smoking campaigners in Parliament at today’s launch.

John said he hoped to demolish the myth that cigarette sales are vital to keeping small local businesses afloat.

He said: “I have little choice other than to sell tobacco as many of my customers still smoke.

“But tobacco makes me very little money while tying up plenty of cash in stock. Tobacco is a burden to me, to say nothing of the ill health it imposes on my customers.”

John says he, and many others who run newsagents, would rather put their money into products which turn a high profit.

He said: “I make about 36p on a packet of 20 cigarettes compared to 20p on a pack of chewing gum or 57p on a Sunday newspaper.

“Times are changing and we are seeing fewer and fewer people smoking. Cigarettes have disappeared behind gantry doors, and we are shifting to ‘plain’, standardised packaging.

“The tobacco manufacturers now need us more than we need them. They work hard to keep large tobacco stocks in shops, but it seems outdated now that we still give up so much prominent space at the till to these products.

“The alternative is to reduce stock, shift the cigarette gantry well out of the way and free up space for products that actually turn a decent profit.

“As retailers, we can keep our customers who smoke, improve our profitability and make tobacco truly invisible to the many young people who come into our shops.”

Newcastle shopkeeper John McClurey, who says tobacco sales aren't worth as much to his business as you might think

John might have to keep on selling tabs for now, but says he can’t wait to stop.

“I won’t be able to walk away from selling tobacco any time soon but I look forward to the day when I can,” he said.

“I would rather sell birthday cards to my customers well into old age than sympathy cards.”

The report being presented, commissioned by Action on Smoking and Health (ASH), shows nearly 80% of sales in small shops don’t include a tobacco purchase, and smokers don’t spend significantly more in corner shops, outside of their tobacco purchases, than anyone else.

And the average profit margin on tobacco is just 6.6%, compared to an average of 24.1% for non-tobacco products.

Nearly three quarters of shopkeepers questioned said they thought too much money was tied up in smoking stock, while a quarter said they regularly had problems with the cost of stocking up.

ASH chief executive Deborah Arnott said: “Nearly half of smokers buy cigarettes from corner shops, so for the tobacco industry it is essential that it puts a lot of effort into persuading retailers to maintain the profile of tobacco sales in those stores.

“Tobacco is a high-cost, low-profit product and money spent on tobacco is money not available for other more profitable purchases. Our report invites retailers to see the long-term decline in smoking as an opportunity, not a threat.”
Resource: http://www.chroniclelive.co.uk/news/north-east-news/think-cigarette-sales-keep-local-12039684

Parliamentarians, Doctors Seek 40% Sin Tax On Tobacco Products

New Delhi:  Parliamentarians, medical experts and health advocates today appealed to the GST Council to levy 40 per cent sin tax on all tobacco products to curb the addiction.

According to a statement, practically all major countries in the world subject tobacco products, including cigarettes, to high rates of consumption taxes with a view to garner additional revenue on one hand and discourage its use on the other.

"The government should make tobacco prohibitively expensive in the GST era. There is no justification for giving any subsidy to a product that kills every second user prematurely," Dinesh Trivedi, a Trinamool Congress parliamentarian, said.

Ashwini Kumar Chaube, BJP MP from Buxar, said: "As a former Health Minister of Bihar, I had banned gutka and raised taxes on tobacco products including bidi. I am sure the GST Council will put tobacco in the highest tax category. It will save millions of lives."

The total direct and indirect cost of diseases attributed to tobacco use was a staggering Rs. 1.04 lakh crore in 2011 or 1.16 per cent of the GDP.

Tobacco-attributable direct medical costs are around 21 per cent of national health expenditure.

"It is shocking that there is no tax on 'bidis' in many states. All tobacco products should be taxed very high in the GST era. I see no logic in giving tax subsidy to 'bidi' (or any tobacco product) in the GST," said Dr Pankaj Chaturvedi, Oncologist at Mumbai based Tata Memorial Hospital.

"With current tax pattern on bidi, consumers and the nation are losers whereas handful of business families are making vulgar profits."

"Most of the bidi industry families wield great political clout. They violate every law related to minimum wages, child labour and healthy workplace. Excise and Tax violation remains rampant in this unorganised industry," said Dr Chaturvedi.

Even as the tobacco industry is opposing the recommendations of imposing sin tax rate of 40 per cent, it is important to note that tobacco taxation in the country is way below global standards.

According to Rijo John, Assistant Professor at IIT Jodhpur, "A recent report from WHO shows that current cigarette taxes as a percentage of retail prices in India are lower than even neighbouring countries such as Sri Lanka and Bangladesh and rank 80th in the world."

"A 40 per cent GST rate plus central excise duty at the current level would just about maintain the current tax burden on tobacco products. It is also important to allow states to maintain their right to impose top-up taxes on tobacco products, in order to actually make tobacco products less affordable over time," he said.

A comprehensive economic reform like GST offers the government an opportunity to tax tobacco at the highest rate and save millions of people from dying prematurely.

"All differentiations should be done away with regards to tobacco products and taxed at the highest slab under the GST, since lower tax rates would contribute to their affordability and end up promoting increased consumption amongst most vulnerable sections of population pushing them below the poverty line," Bhavna Mukhopadhyay, CEO of Voluntary Health Association of India (VHAI), said.
Resource: http://www.ndtv.com/india-news/parliamentarians-doctors-seek-40-sin-tax-on-tobacco-products-1475484

Eight tobacco sales to underage teenagers

Eight Bay retailers sold tobacco to an underage person during a recent operation conducted by Toi Te Ora - Public Health Service

Another 46 shopkeepers complied with the law by asking the underage teenager for their proof of age and refusing to sell tobacco to them.

The worst result was in Opotiki where three out of seven shops visited sold tobacco to the underage teenager, Dr Phil Shoemack, medical officer of health for Toi Te Ora - Public Health Service said.

"I am very disappointed that across the Eastern Bay there was a total of eight sales of tobacco to an underage teenager. There is clearly much room for improvement. It's against the law. No one should be selling tobacco to anyone under the age of 18."

A Controlled Purchase Operation involved an underage person asking to buy tobacco from retailers under controlled conditions.

The purpose of the operation was to reduce the impact of tobacco related harm, especially in young people, by checking retailers' understanding and adherence to tobacco legislation.

This included not selling to anyone who was under 18 years of age.

Prior to the operation, visits were made to tobacco retailers reminding them of their responsibilities under the Smokefree Environments Act 1990. This legislation prohibited the sale of tobacco to a person under the age of 18 years and also banned smoking in enclosed areas of workplaces, hospitality venues and public buildings.

"It is pleasing to see that the majority of the tobacco retailers visited are meeting their legal responsibilities and refusing to sell to children," Dr Shoemack said.

"The retailers that sold tobacco to someone underage have each been fined $500. This should serve as a caution that Toi Te Ora - Public Health Service takes the matter seriously and we run regular checks across the Bay of Plenty and Lakes districts."

To find out more about tobacco legislation or to make an enquiry, visit www.ttophs.govt.nz/tobacco for more information.
Resource: http://www.nzherald.co.nz/bay-of-plenty-times/news/article.cfm?c_id=1503343&objectid=11731279

Health researchers say roll-your-own cigarettes should be just as expensive as normal cigarettes and the papers be mustard-coloured to make them less cool.



Health academics want to make roll-your-own tobacco as expensive as tailor-made cigarettes and have suggested the papers be an "unattractive mustard colour" to make them less cool.

Loose tobacco was less expensive than manufactured cigarettes, which means smokers may switch to it rather than quit, the University of Otago researchers say in a paper published in the international journal Tobacco Control.

"The government needs to remove this anomaly, introduce differential excise tax increases on rolling tobacco, and ensure there is no cost advantage in buying roll-your-own tobacco," said marketing researcher Professor Janet Hoek.

Roll-your-own had evoked stereotypes of older, heavily addicted smokers but from studying 20 young smokers the researchers found they got around that by mistakenly thinking of them as being more natural or "organic", and less harmful, Prof Hoek said.

"They also developed cigarette rolling rituals and saw the sticks they created as personal creations that provided them with social cachet."

The researchers also found an unattractive mustard colour could reduce their appeal.



"We need unattractively coloured rolling paper, and packaging used to contain rolling paper and filters should have to adopt standardised packaging, which features an unappealing colour and large pictorial warnings."

The researchers also say lawmakers should address the widely held misperceptions that loose tobacco was more natural and less harmful than manufactured cigarettes.

However, if people continued to believe it was less damaging there would be grounds for banning sales altogether.
Resource: https://www.tvnz.co.nz/one-news/new-zealand/health-experts-push-price-hike-roll-your-own-tobacco

Thursday 13 October 2016

Cigar Lounge Coming to Village at Towne Centre in Spotsylvania

 Hogshead Cigar Lounge, set for early December opening, also will offer wine, beer and hot-lather shaves.
By Skip Wood (Patch Staff) - October 12, 2016 12:08 pm ET

SPOTSYLVANIA, VA — Smoke 'em if you got 'em, and do so soon at the Village at Towne Centre, an offshoot of Spotsylvania Towne Centre at 137 Spotsylvania Mall Drive.

Say hello to Hogshead Cigar Lounge, tentatively scheduled for a Dec. 2 opening.

Not only will customers be able to savor a stogie, they also will be able to savor win, craft beer and even get a hot-lather shave at the establishment between Fink's Jewelers and J. Jill.

The owner, Hector Rodriguez, is a recently retired U.S. Marine who supports a program called Cigars for Warriors, which collects and dispenses quality cigars to American troops serving in combat zones.

Hogshead customers who donate cigars will get a 10 percent discount.
Resource: http://patch.com/virginia/fredericksburg/cigar-lounge-coming-village-towne-centre-spotsylvania

Content Analysis: Key Factors for Determining Cigar Value

Picture this: as an insurance adjuster a new claim lands on your desk. When you travel to the affluent home of the insured, you quickly realize that there are going to be some highly valuable items that need to be evaluated. Sure enough, the insured is an avid cigar collector whose entire water-damaged basement had been converted to hold an extensive cigar collection of over 300 cigars and various accessories. Are you well-versed enough in cigar evaluation to complete this claim?

What’s inside and outside

A cigar is made up of dried, fermented tobacco leaves called filler and held together by an additional tobacco leaf called a wrapper. Usually, the filler on a cigar matches the wrapper, but there are many cases where different types of tobacco leaves are used in one cigar. Wrappers are distinguished by both their tobacco type and their color, whereas filler is identifiable by tobacco type and, subsequently, flavor. Hand-made cigars are formed when wrapper leaves are shaped by crescent-shaped knives called chavetas that are also used to pack the wrappers full of filler. This is a slow, careful process throughout which the tobacco leaves are kept moist and continually inspected for quality. This process varies when a cigar is machine-made. Filler tobacco is more roughly chopped and wrappers are usually paper made out of tobacco pulp instead of a pure tobacco leaf. Part of what makes hand-rolled cigars so desirable is their careful creation in comparison to machine-made cigars.

More important distinctions to note between cigars are their shape and size. Parejo cigars, also known as coronas, are traditional: circular, straight, and open on one end. The other end of a parejo is a rounded tobacco-leaf cap snipped off so that it can be smoked. There are many different types of parejo cigars, but they all have the same general look. Figurados are any cigars that are irregularly shaped. Figurados are often considered to be more valuable than parejo cigars, and come in countless shapes and sizes. Little cigars are generally cigarette-sized and have filters. Little cigars are smoked like regular cigars, but can be packaged to sell compactly.

All of these cigar traits play a role in determining the value of a cigar, but there is a much more straightforward way to evaluate. Simply look at the cigar band – a decorative paper or foil ring around almost every cigar – to see the manufacturer name and, if available, specific cigar name and country of manufacture. Cigar bands are very helpful in determining the value of a cigar, but cigar boxes are even better. If cigars on a claim are in their proper cigar box, one merely has to reference the manufacturer name, cigar name and country of manufacture in order to properly evaluate.
Cigar Accessories

When delving into the cigar world, there are a few other accessory items that may need evaluation in addition to the cigars themselves.

Cigar cutters are handheld and sharp, used to snip cigar ends. The straight cut cigar cutter has two small handles and a circular hole with one or two blades that can simultaneously cut a cigar end. There are also cigar scissors that will snip the end like a regular pair of scissors. Punch-style cutters come in bullet punch, where a small bullet-shaped device unscrews to show a circular blade that bores a hole in the cigar cap, as well as Havana punch, where the circular blade is push-button operated. Multi-punch cutters offer different blade sizes and V-cut cutters look like straight cutters but only gash the end of the cigar.

Cigar tubes are another valuable accessory. They are used to carry normally anywhere from one to five ‘fingers’ worth of cigars; a ‘finger’ being the term used to describe one cigar worth of space in a cigar tube or case. These tubes are usually stainless steel and can keep valuable cigars at the proper temperature and humidity of an ideal storage environment for a period of up to a few hours.

An alternative to a cigar tube is the cigar case – a carrying case, often leather, used to store cigars efficiently, but not at any exact temperature or humidity. Like cigar tubes, cases can also commonly be found in one to five-finger sizes.

Cigar holders are also called cigar stands and look like small vertical rods with a long, semi-circular tray horizontally attached to the top. A cigar can be rested on the tray, while the stand is perched over an ashtray so that the cigar doesn’t actually have to touch it.

Cigar boxes were traditionally, and often still are, decorated to be small works of art and can hold various amounts of cigars depending on size and style. As previously mentioned, these boxes contain important information in determining the value of a cigar – such as the manufacturer name and location, as well as the specific cigar name.

Finally, humidors store valuable cigars, ensuring freshness before the cigars are smoked. Humidors can range in size from a small cigar box to an entire room in a home. Humidors, along with their built-in humidifiers, keep cigars at the ideal humidity of 68 to 74 percent and at a temperature of 64 degrees Fahrenheit. Humidors usually contain a plastic or metal humidifier case holding a sponge that works to regulate humidity in the box, although newer models may have polymer acryl humidifiers instead. Humidors may also have hygrometers that measure humidity.

As you can see, although evaluating a cigar may simply require you to record the information on the cigar band, there are several aspects to take into account when reviewing their accessories. It’s always helpful to have a cigar band or box handy for specific information. However, the more additional information about cigars and their garnishes, the easier it is to evaluate them under any circumstance.
Evaluating Cigars

Key value factors determine the value of any cigar or cigar box:

    Information on the cigar band or box, if available, including the name and manufacturer.
    The place of purchase, if known.

All cigar accessories can be assessed by the following key value factors:

    The type of accessory.
    Material, such as wood or metal type.
    Brand name and model number, if applicable.
    Design of the accessory, including measurements.
    Any special features, such as type of humidifier, cigar capacity, etc.

Different-Sized Cigars

Parejo or Corona

Parejos are the most common shape of cigars. They have cylindrical bodies with straight sides. One end is left open and the other is closed off with what is called a cap. They come in various lengths and widths, with associated types such as robusto, small panatela, petit corona, carlota, carona gorda, panatela and others. These range in length from about four to six inches. From six inches and above, you have toro, corona grande, lonsdale, churchill, double corona, presidente, gran corona and others.

Figurado

Figurados are irregularly shaped cigars and are usually a little more expensive due to the difficult nature of rolling a figurado. Most times, figurados are also made along with parejos within the same line of cigars, although sometimes companies produce special figurados that are limited in availability. Also, some companies create cigars that don’t fit into any of the descriptions below. Cigars that are shaped like footballs, baseball bats, chili peppers and other random shapes would be considered figurados. Some of the most popular include:

    Torpedo – Similar to a parejo but has a pointed cap.
    Pyramid – Also has a pointed cap, along with a broad foot.
    Perfecto – A bulge in the middle and narrowing at both ends.
    Presidente/Diadema – Extremely large, but often commonly shaped, cigar.
    Culebras – Three long cigars that are tied or braided together.

    Tuscanian – The typical Italian cigar, is also known as a cheroot. It is one of the most popular cigar shape in the United States.

Another class of smoke are called “Little” cigars and they are just what the name suggests. Little cigars are often called cigarillos and are about the size of a cigarette.

Because of the 1960 Cuban embargo placed by then President John F. Kennedy, it has been illegal for Americans to purchase Cuban cigars even though these are traditionally the most sought after. In 2014, President Obama and Cuban President Raúl Castro began the process of normalizing relations, and nearly a year later, the two countries agreed to allow over 100 flights per day. As of this writing, Cuban cigars are no longer illegal in the U.S. if they are bought in Cuba and brought home for personal use. There’s a $100 tobacco (and alcohol) purchase restriction which on averages accounts for 4-6 cigars.
Resource: http://www.claimsjournal.com/news/national/2016/01/19/268276.htm


E-cigarette explosions: A doctor's view

It was an injury unlike any Dr. Elisha Brownson had seen - a young man whose teeth were blown out when his electronic cigarette exploded in his mouth. His injuries were so severe he was admitted to the trauma intensive care unit.

"I had never heard of an injury mechanism like this before," said Brownson, a surgeon who specializes in treating people with burns. The injuries "left a gruesome impression on me."

Unfortunately, this wasn't an isolated case. More victims of exploding vaping devices followed, until Brownson and her colleagues at the University of Washington Medicine Regional Burn Center in Seattle saw about two such patients each month.

Fifteen of those cases are described in the New England Journal of Medicine. All of the patients were injured using electronic cigarettes or personal vaporizers, which rely on a lithium-ion battery to heat a liquid that is inhaled in an aerosol form.

Though lithium-ion batteries are generally safe, some can overheat. When that happens, they can explode. (The technical term is "thermal runaway.") That's what happened to the 15 patients who were seen in the UW burn center between October 2015 and June 2016.

Among these patients, 80 percent suffered flame burns and 33 percent received chemical burns from the alkali elements in the exploding batteries. In addition to burns, 27 percent of the victims suffered blast injuries.

The most common site of injury was the groin or thigh (53 percent of cases), followed by the hands (33 percent of cases) and the face (20 percent of cases), according to the report.

Some of the injuries have been disfiguring, and some have affected victims' physical function. In addition to losing teeth, patients have lost portions of their soft tissue (a category that includes skin, ligaments, fat and tendons). Some have been left with "traumatic tattoos."

Many of the patients treated at the UW burn center are eager to warn others of the risk that vaping devices could explode. To that end, they have allowed Brownson and her colleagues to share photos of their injuries.

"People who use e-cigarettes must be aware of the danger of explosion," said Brownson, who now works at the Alaska Native Medical Center in Anchorage.

The U.S. Food and Drug Administration has recognized e-cigarettes and other vaping devices as tobacco products that fall under its jurisdiction. However, it's not clear whether the agency intends to regulate the batteries in the devices, the study authors noted.

"E-cigarettes are a public safety concern that demands increased regulation as well as design changes to improve safety," they wrote.

To minimize the risk, e-cigarette users "should not alter the device and should keep batteries safely stored when not in use," Brownson said. "However, even with these precautions, we have seen explosions occur."

Odds are, other doctors will too.

"We suspect that with the growing use of (personal vaporizers), many hospitals around the country will see an increase in injuries related to e-cigarette explosions," the study authors wrote.
Resource: http://medicalxpress.com/news/2016-10-e-cigarette-explosions-doctor-view.html

Arlington woman sues vapor shop after e-cigarette battery explodes

Johnnie Flores of Arlington says she suffered severe burns after an e-cigarette battery exploded. Jim Ross Law Group Courtesy

Arlington

An Arlington woman is suing a vapor store for $1 million in damages, saying she suffered severe burns and disfigurement after an e-cigarette battery exploded in her pocket.

According to a petition filed in district court Monday by Johnnie Flores, the lithium-ion battery she purchased at Luxor Vapors exploded June 29, causing a scathing hot mixture of shrapnel and battery liquid to burn through the flesh of her hand and leg. The explosion caused third-degree burns, skin deformities and loss of sensation.

Flores is suing Arlington-based Luxe Vapors, Inc. for financial loss, medical expenses, physical impairment, permanent disfigurement, pain and mental anguish. The purchase was made at the vapor store’s Little Road location in Arlington. Management at that store declined to comment Tuesday morning.


According to the petition, Luxor Vapors knew of the defect in the batteries.

Flores’ attorney Jim Ross said that vaping associations have been well aware of the dangers of the batteries for years and that the warnings are passed along to the vapor companies as they order online.

“But they never pass the warnings on to the consumer,” Ross said. “The bottom line is do not put a dangerous product on the market, but if you do, warn the consumer.”

The petition mentions a study by the Federal Emergency Management Agency criticizing the dangers of electronic cigarettes and lithium-ion batteries.

According to a 2014 FEMA study, the shape and construction of electronic cigarettes can make them more likely than other products with lithium-ion batteries to behave like “flaming rockets” when a battery fails. Between 2009 and August 2014, 25 incidents of explosion and fire involving e-cigarettes were reported in the U.S.

This is the fifth case Ross has filed for severe damages from the batteries — two in Tarrant County and one each in Dallas, Denton and Wise counties.

“These burns are horrific,” the attorney said. “Some spend more than a month in a burn unit getting their leg scrubbed because of severe burns associated with these batteries.”

Resource: http://www.star-telegram.com/news/local/community/arlington/article101570947.html

Council bans vaping in bars, restaurants throughout Whatcom County

Vaping, like smoking, no longer will be allowed in bars, restaurants and other public places throughout Whatcom County starting in November.

In its capacity as the Health Board, the County Council unanimously approved the ban on Tuesday, Oct. 11. The ban, which begins in 30 days, will apply to all jurisdictions in Whatcom County, including its cities.

The restriction expands the Smoking in Public Places Law to include vaping. It puts the use of electronic cigarettes in the same category as traditional cigarettes, which can’t be smoked in public places including workplaces, bars, restaurants, non-tribal casinos and bowling alleys.


That means vaping within 25 feet of the doors and windows of public places or businesses also will be prohibited.

County Council member Rud Browne, a former smoker, enthusiastically supported the new regulations.

“I think at this stage in our civilization it’s absurd that we don’t do more to discourage the uses of tobacco and cigarettes, particularly amongst minors,” Browne said Tuesday. “All I can say is if the council allowed me two votes on this one tonight, I’d use both of them in support of this ordinance.”

E-cigarettes are battery-operated metal or plastic tubes that have a cartridge filled with liquid containing nicotine, flavoring, solvents and other chemicals that are heated until the liquid turns into a vapor, which is then inhaled.

Public health officials have said the ban was needed for reasons that included increased use by youths, and concern over health risks related to nicotine addiction and exposure to secondhand chemicals for those not vaping.


Those who spoke during the public hearing on Tuesday prior to the council vote urged approval. They include students from the Health Alliance at Squalicum High School who said they didn’t want to be exposed to secondhand vapor from e-cigarettes and noted the increase in youth use that correlated with an increase in product advertising.

The countywide measure is the latest rule for the e-cigarette industry, which had been largely unregulated until recently.

In November 2015, Bellingham banned smoking and vaping in any city park, trail or open space over concerns about the impact of secondhand smoke.

A new state law signed in April by Gov. Jay Inslee banned the use of vapor products in schools, day care centers, elevators and school buses. It also increased state enforcement to prevent sales to minors as well as require child-proof packaging and disclosure of how much nicotine is in liquid nicotine bottles.

It gives local health boards the power to further restrict vaping indoors.

State law still allows e-cigarette retailers to let customers sample products in licensed stores. The county’s ban won’t affect this provision.

In May, the federal Food and Drug Administration announced it will, for the first time, require review of e-cigarettes and their ingredients.

The new rules are being put into place because public health officials are concerned about the sharp increase in youth use of e-cigarettes nationally, statewide and locally. They’re also worried that e-cigarettes, also called vape pens, are being used to smoke other drugs, including marijuana. (While recreational marijuana is legal in Washington state, it isn’t for minors, nor can pot be used in public.)

At the county level, vaping among Whatcom teens is double that of smoking, even though e-cigarettes also can’t be sold to those younger than 18 in Washington state.

Countywide, more than 9 percent of eighth-graders, nearly 19 percent of 10th-graders and 26 percent of 12th-graders who were surveyed said they have used e-cigs, according to the Washington State Healthy Youth Survey.
Resource: http://www.bellinghamherald.com/news/local/article107690537.html

Hookah smoking: Rapidly emerging threat to the health of the nation's young adults

Dr. Michael Weitzman and his co-authors from New York University's College of Global Public Health and The Departments of Pediatrics and Population Health of the New York University School of Medicine have published important new research on the growing epidemic of hookah use among America's youth and young adults. As reported in the journal Nicotine & Tobacco Research, the study found that current waterpipe use has doubled among US adults in a very short time span.

Based on the recently released National Adult Tobacco Survey (NATS) 2012-2013, Dr. Weitzman and his team mapped and calculated hookah use according to state-specific prevalence over participants' lifetime as well as current use. The results were both surprising and alarming -- twelve percent of Americans have smoked hookah during their lifetime.

"We believe that our research adds to the understanding of the geographic and socio-demographic factors underlying hookah use," said Weitzman, building on past research, demonstrating significant changes in rates of hookah smokers over a very short time period of only a few years. The prevalence of young adults (ages 18-24 years) currently using hookah is almost 20%, virtually identical to the current use of cigarettes.

Hookah is addictive, causes similar health effects as cigarettes, and results in substantially higher inhalation of smoke than cigarette smoking, yet misperceptions persist that its use is safer than cigarette smoking, erroneously increasing its social desirability. In addition, there are marked variations in use by region and state in the US.

Other studies cited in this article indicate that most individuals perceive hookah use as "less harmful, addictive, and detrimental, and as having higher social approval." Also, studies have found a significant association with positive attitudes towards hookah use and increased rates of initiation of its use. Attitudes towards hookah contrast greatly with the stigmatized view of cigarette smoking among individuals of the same age.

"The study, "Analysis of state-specific prevalence, regional differences, and correlates of hookah use in U.S. adults, 2012-2013," will be useful for guiding the development of strategies and regulatory policies to prevent hookah use in the future as the characteristics of hookah users are different from cigarette smokers," said Weitzman. Increases in hookah smoking are more prevalent among single, adult males, and those with higher education and income status. This is in stark contrast to cigarette smoking, which is more common among poorer and more poorly educated individuals.

"Given the existing state level autonomy in developing hookah sensitive regulations, continuous monitoring of state level hookah related policies and prevalence of use could help explicate 'what works' within the US context at the state level, " said Weitzman. "Such monitoring can help guide the development, implementation and evaluation of evidence-based targeted interventions for the prevention of hookah use that are responsive to the state level policy and regulatory context."

The study notes a paucity of information available concerning state and local regulations regarding hookah bars and use of hookah-related advertising. Thus, this study did not allow the investigators to examine how geographic usage rates vary with existing public policies. Future studies are suggested to determine associations between usage rates and policies. Also, the study recommends additional research into the health impact of non-smokers being exposed to secondhand hookah smoke.
Resource: https://www.sciencedaily.com/releases/2016/10/161006120044.htm