Smoke This…

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Every so often, we come across a topic so critically urgent, it takes over the entire TrackerNews aggregator. Typically, it is a natural disaster: an earthquake, hurricane, fire or flood. Smoking, however, turns out to be an even more deadly and costly disaster. By the end of the century, as many as 1 billion people will die from tobacco-related illnesses. We felt this topic so important, we have reprinted TrackerNews tumblr overview of the link suite below. Scientists and social entrepreneurs, please note the section on a call to action. —Ed.

“Smoke This” – New suite of links on TrackerNews.net

Talk about “low hanging fruit.” Smoking ranks right up there with HIV/AIDs, malaria, TB and flu pandemics as a global public health scourge. In fact, more people die from smoking-related illnesses than HIV, illegal drugs, alcohol, car accidents, suicides and murders…combined. By some estimates, as many as a billion people—two-thirds in the developing world—will die tobacco-laced deaths by the end of this century. There are better, not to mention more merciful, ways to manage population numbers.

Yet for all the public awareness campaigns and urban smoking bans (good luck, Alexandria!), more people are smoking more cigarettes than ever. In 2002, the tally stood at 5.5. trillion, but it has gone up by at least by hundreds of billions since then.

Smoking rates have leveled off in many parts of developed world, but are exploding in Africa, Asia and Eastern Europe. According to a recent World Health Organization survey of adult smokers, Russia leads the cigarette pack, with 40% of the adult population puffing their lives away. Indeed, of former Soviet republics, only Kazakhstan and Turkmenistan have shorter average life expectancies.

Recently, the Philippines made smoking headlines when a video of an addicted toddler went viral. With the help of loads of “play therapy,” the kid is now down to 15 cigarettes per day from 2 packs. But his exposure to second hand smoke will no doubt still be considerable in a country than ranks as the #2 market in Southeast Asia after Indonesia.

Meanwhile, China boasts more smokers than the entire population of the United States. So keen are the Chinese on tobacco, they have become major players in its production in Africa. Fields that might otherwise be used to grow food are devoted to tobacco, both for export and use in Africa.

With 60% of the continent’s population in its teens, Africa is a particularly attractive market for tobacco companies. Start smoking young and it becomes that much harder to kick the addiction. If current trends hold, Africa’s tobacco consumption will double in 12 years.

The addiction goes beyond the smoke. Countries—especially poor ones—have also become addicted to the tax revenues cigarette sales generates. It is a stick that British American Tobacco (BAT) is currently waving in Kenya in an attempt to reverse smoking bans in public places, arguing that they “restrict trade.”

Counterfeit cigarettes are also big business, estimated at 12% of the global trade. Not only is quality control iffy (more nicotine, tar and god knows what else that combine to become the “4,000 chemicals in every puff”), but $40 billion worth of tax revenues are syphoned off as well.

Chemist Jeffrey Wigand, who famously blew the whistle on Big Tobacco’s culpability on “60 Minutes” (and went on to be played by Russell Crow in the movie, “The Insider”) called cigarettes elegant “nicotine delivery systems.” He may have given his former Big Tobacco bosses an idea…

Electronic cigarettes cut to the chase, atomizing nicotine into a vapor even more easily absorbed by the lungs. Battery-powered and comparatively pricey, e-cigarettes have become trendy, complete with Hollywood starlets purring about how safe they are, just as their grandmothers (and grandfathers) did for old-fashioned cigarettes 50 years ago.

Don’t want to lug around an addiction machine? No problem. Now you can get melt-in-your-mouth nicotine-soaked strips that even come in flavors, including chocolate and bubblegum. In a recent brief to the FDA, pharmaceutical giant GlaxoSmithKline, which makes a gum to help smokers kick the habit, characterized the strips as health hazards. “Dissolvable smokeless tobacco-makers” fired back that the strips could help smokers quit cigarettes, so Glaxo’s concerns were more about market share than health.

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One of the proposed graphic warning labels submitted for public review by the FDA

A CALL TO SCIENTISTS & SOCIAL ENTREPRENEURS: FEELING INNOVATIVE?

 

At TrackerNews, we are constantly impressed by innovations for delivering better health care, cheaply. From diagnostic “chips” made of paper and a syringe design that breaks the cold chain for vaccine delivery, to better vaccines, bioengineering malaria-proof mosquitoes and, of course, everything imaginable with a cell phone, the commitment to improving the quality of life, especially for the poorest “bottom billion,” is inspiring. It is humanity at its best. The parade of inventions at the TED, Poptech, the m-Health Summit and other conferences is impressive. But there is rarely anything on how to combat the global smoking pandemic.

Nothing comes up when you search “smoking” on the Rockefeller Foundation website. Not a single grant. Nor is it on Google.org’s radar. The Gates Foundation has a better track record, contributing hundreds of millions of dollars, mostly for public awareness campaigns and policy initiatives. Yet even that substantial contribution is dwarfed by the billions of dollars spent collectively and cumulatively by the multinational tobacco companies.

Surely, there must be some new ideas out there. Maybe some kind of nicotine vaccine that makes the chemical less addictive? Or a cell phone support network for those trying to quit. Or a campaign that targets teens not with a “this could happen to you” message, but about how they are being cynically manipulated by the over-30 set. Real rebels don’t smoke.

How about an m-banking savings plan where people are encouraged to deposit the money they would have spent on cigarettes into a special perk-filled account?  In the U.S., someone spending $5 a day for a pack could save $1,725 in a year. Now add interest.

In developing countries, such as Bangladesh—which was included in a WHO survey of 14 countries that account for more than half the world’s adult smokers—the percentage of personal income is going to be even higher. Hello Grameen! Is there a way to tie together a non-smoking incentive with microfinance?

Smoking is a manufactured scourge. The rare good news is that we can do something about it in comparatively short order. Someone who quits immediately begins to feel the benefits, as do those nearby, especially children, who no longer have to suck  in lungs-ful of second-hand smoke.

Come on all you science smarties and social entrepreneurs! Let’s nail this. Any thoughts?

Links include:

  • “Tobacco Underground” – The Center for Public Integrity’s ongoing investigative series on smuggling and counterfeiting
  • and more…

All links become part of the TrackersNews’ searchable archive.

Global Gridlock: Traffic, Opportunity, Public Health, Weeds and A Road Not (Yet) Taken…

If cars and trucks could reproduce, they would surely rank as the planet’s dominant species. From the tiniest Tata Nano to the most massive of monster mega-trucks, guesstimates for the the global fleet now approach, if not exceed, one billion. By mass and weight, humans were left in the CO2-laced dust a long time ago. Nothing in the history of history, short of an asteroid, has ever had such a speedy and profound global impact. It is a car & truck world. And we have to live with it.

Or at least try to make the best of it.

Jakarta, from "The world’s 20 cities with the worst traffic jams"

Jakarta, from "The world’s 20 cities with the worst traffic jams"

  • In Jakarta, where “total traffic” (all rush hour, all the time) is expected by 2011, some have found a bit of gold in the gridlock. Passengers-for-higher called “jockeys” hustle for pick ups from drivers needing to fill seats to qualify for slightly speedier high occupancy lanes. (more…)

Follow the Pigs! – Swine Flu, Factory Farms, Mapping and Public Health

400042909swineflugoesglobal1“Disease is an outcome.”  Wildlife biologist Milt Friend said that to me years ago when I was working on a story about the emergence of a frightening new virus just beginning to sweep across the country: West Nile. Friend had helped found the National Wildlife Health Center (a sort of CDC for critters), which was handling crow necropsies. After rattling off a disturbingly long list of wildlife die-offs from the last 30 years, he stopped, looked me in the eye and with a determined passion born of heartbreak said those four words. He had seen more than his share of ducks dropping dead — by the millions — from duck plague,  and frogs with way too many legs, and “Mad Deer,” wobbling around with a version of the same ailment that causes Mad Cow. These were not random natural phenomena, but disasters aided and abetted by human action. Disease is an outcome.

Those words were ringing in my ears when the first reports of the Mexican swine flu outbreak began trickling in few days ago. Dozens of young, otherwise healthy men were dying. Was this an encore of the infamous 1918 pandemic? Another SARS? Patients killed by their own overzealous immune systems (“cytokine storms”)? Or poor patients who came to the hospital too late to be saved?  Then came lab reports of an unusually cosmopolitan swine/avian/human virus, with genetic links to two continents. This sort of thing doesn’t just happen. An awful lot of things have to happen first to make it possible.

The only certainty: a pig link.  This wasn’t a wildlife disease that jumped species when man, beast & germ met up in crowded marketplace (civets & SARS). There was no bushmeat involved (Ebola, HIV/AIDS). This was a swine flu, with some deadly dashes of avian and human strains. (more…)

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