February 18,
2004-3
Copyright © 2004 Earth Policy Institute
U.S. Leading World Away from Cigarettes
Lester R. Brown
The United Statesthe
country that gave the world tobaccois
now leading it away from cigarettes. After climbing for nearly a
century, the number of cigarettes smoked per person in this country
peaked at nearly 2,900 in 1976 and began to decline. By 2003 the
figure had dropped to 1,545 cigarettesa
fall of 46 percent. If this trend continues for another quarter-century,
smokers will be a rarity in the United States.
As the costs of cigarette smoking become clear, pressure to phase
out cigarettes is gaining momentum. At its annual meeting in 2003,
the American Society of Clinical Oncology called for the elimination
of tobacco from the world. Its president, Dr. Paul A. Bunn, Jr.,
noted: "We are cancer doctors. We get frustrated seeing the devastation
caused by tobacco products."
At a broader level, the World Medical Association (WMA), which includes
organizations representing 10 million doctors from 117 countries,
has called for strong measures to reduce cigarette smoking. The
4.9 million annual deaths from inhaling cigarette smoke exceed the
3 million deaths from all other air pollutants combined. Among the
WMA's principal recommendations are raising taxes on and banning
all advertising for cigarettes.
Meanwhile the World Health Organization (WHO) has launched a "Tobacco
Free Initiative." Its Framework Convention on Tobacco Control was
unanimously approved in May 2003 by the 192 countries attending
the World Health Assembly. Calling for bans on cigarette advertising,
higher taxes on cigarettes, and restrictions on smoking in the workplace,
this treaty will take effect once 40 members have ratified it.
World usage of this addictive product peaked in 1987 at 1,038 cigarettes
smoked per person. Though the decline lagged trends in the United
States by roughly a decade, the global figure fell to 887 cigarettes
per person in 2002, a drop of nearly 15 percent. Countries that
were once bastions of smoking, such as France, Japan, and China,
are following the U.S. lead.
In Francewhere
the government is now taking strong steps to discourage smokingthe
number of cigarettes smoked per person dropped from 1,750 in 1985
to 1,338 in 2002, a decline of more than 23 percent. In Japan, where
most men once smoked, the peak came in 1992. Since then annual consumption
has dropped some 18 percent, from 2,744 cigarettes per person to
2,247 cigarettes in 2003. And in China, the world's most populous
country, smoking peaked in 1990 at 1,440 cigarettes per person and
then fell 8 percent to 1,330 cigarettes in 2003.
Evidence of the damaging effects of cigarette smoking on human health
continues to accumulate. Today there are some 25 known tobacco-related
diseases, including heart disease, strokes, respiratory illnesses,
and several forms of cancer. Recent research findings show that
smoking increases breast cancer in women by 30 percent and contributes
to impotence in men. The constriction and blockage of small blood
vessels that can prevent an erection in men who smoke is a forerunner
of the blockage of the larger coronary arteries that leads to heart
disease.
The number of deaths per year worldwide from smoking-related illnessescurrently
at 4.9 millionis
expected to reach 10 million by 2020. WHO estimates that nearly
one third of all adult smokers will die of smoking-related illnesses.
In China, where smoking is largely limited to males, easily 100
million men could eventually die from smoking-related illnesses
if smoking rates are not further reduced.
In addition to the human suffering from lung cancer, heart disease,
and other smoking-caused illnesses, the economic cost of cigarette
use is high. A study by the U.S. Centers for Disease Control and
Prevention indicates that each pack of cigarettes smoked in the
United States costs society $7.18 in health care and lost employee
productivity. It is the economics of smoking that helped convince
the World Bank to ally itself with WHO in an effort to stamp out
tobacco production and use.
Among the steps being taken to discourage smoking are educational
campaigns on how smoking affects health, bans on advertising, restrictions
on indoor smoking, higher taxes, and legal actions by smoking victims
against tobacco companies. Information campaigns can be particularly
effective in rural areas of developing countries, where information
on smoking and health is almost nonexistent.
In the United States, Californiaa
leader in the anti-smoking campaignhas
exploited concerns about impotence in a television commercial in
which a man's flirtation with a woman fails when the cigarette in
his mouth begins to droop. While teenagers may not be particularly
concerned about their mortality, they do worry about their sexuality.
In Thailand, cigarette packs carry a warning in large type: "Cigarette
smoking causes sexual impotence."
Raising taxes on cigarettes has become commonplace at the state
level in the United States. This both discourages smoking and helps
close spiraling fiscal deficits. In 2002, some 19 of the 50 states
raised cigarette taxes by an average of 42� per pack. In 2003, another
13 states raised taxes. On top of the federal tax of 39� per pack,
New Jersey has an added tax of $2.05. New York, Connecticut, and
Massachusetts each have taxes of $1.50 a pack.
Some countries have discouraged smoking with stiff taxes on cigarettes.
Among the leaders in this effort are Norway with a tax of $5.99
per pack, the United Kingdom at $5.03, Ireland at $3.52, and Denmark
at $3.08.
Legal action holding cigarette manufacturers responsible for the
products they market is beginning to gain traction in many countries.
This approach is perhaps most advanced in the United States. In
late November 1998, the U.S. cigarette industry agreed to pay the
50 state governments a staggering total of $251 billion to cover
past Medicare costs of treating smoking-related illnessesnearly
$1,000 for every American.
Early attempts to protect nonsmokers from the adverse effects of
cigarette smoke included segregating smokers on planes and in restaurants.
More recently this has been replaced by outright bans. Local bans
on indoor smoking in workplaces and public buildings, planes, trains,
buses, restaurants, and bars are now commonplace. Several statesincluding
New York, Delaware, Connecticut, Maine, and Californiahave
banned smoking in restaurants and bars. The Norwegian Parliament,
in April 2003, became the first country to approve a national ban
on smoking in restaurants and bars. Ireland and the Netherlands
are following suit.
Bhutan, a small mountainous kingdom between India and China, may
be the first country to completely ban cigarettes. Already 19 of
its 20 district health officials are working to make the sale of
tobacco products illegal and to fine anyone caught smoking in public.
Measures that discourage smoking will quickly reduce smoking-related
illnesses and raise life expectancy. Only a few years ago the idea
that citizen action groups, national governments, medical associations,
WHO, and the World Bank would be working together to create a tobacco-free
world would have seemed farfetched. Today, it is becoming a reality.
Copyright
© 2004 Earth Policy Institute
View Data
Email this Update to a friend
Printer friendly format
|
|
Email this Update to a friend
Printer friendly format
View Data
FOR ADDITIONAL INFORMATION
From Earth Policy Institute
Lester R. Brown, Plan
B: Rescuing a Planet Under Stress and a Civilization in Trouble
(New York: W.W. Norton & Company, 2003).
Lester R. Brown, Eco-Economy:
Building an Economy for the Earth (New York: W.W. Norton
& Company, 2001).
Lester R Brown, "World Kicking the Cigarette Habit,"
Eco-Economy Update, 10 May
2000.
Bernie Fischlowitz-Roberts, "Air Pollution Fatalities
Now Exceed Traffic Fatalities by 3 to 1," Eco-Economy
Update, 17 September 2002.
From Other Sources
World Health Organization, The
Tobacco Atlas (Brighton, UK: 2002).
U.S. Department of Agriculture, Foreign Agricultural
Service, Tobacco: World Markets and Trade (Washington, DC:
issued quarterly).
LINKS
Action on Smoking and Health
http:/www.ash.org
American Society of Clinical Oncology
http:/www.asco.org
Canadian Tobacco Control Research Initiative
http:/www.ctcri.ca
U.S. Centers for Disease Control, tobacco information
http:/www.cdc.gov/tobacco
Federation of Tax Administrators
http:/www.taxadmin.org/fta/rate
World Health Organization, Tobacco Free Initiative
http:/www.who.int/toh
World Medical Association
http:/www.wma.net
|