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** 22 October 2019
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** International
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** Ireland: New licencing system for sales of tobacco proposed (#1)
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** Australia: NSW government launches controversial new anti-shisha PSA (#2)
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** USA: Massachusetts vaping ban can stand for now, but state must fix flaws in a week, judge says (#3)
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** Study: Lung cancer risk 40% greater in unfiltered cigarette smokers (#4)
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** International
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Shops in the Republic of Ireland will be forced to pay for licences to sell tobacco and e-cigarette products, and will be named and face potential fines if they fail to do so, under new government plans.
Health Minister Simon Harris will bring the potential new rules to Cabinet this morning (22 October 2019), alongside linked plans to ban the sale of e-cigarettes to under-18s and to block their sale at vending machines at any event attended by children. Under existing rules, a shop is required to pay a one-off fee of the same value of four or five packets of cigarettes if it wants to sell any tobacco product.
At the weekly cabinet meeting this morning, Mr Harris will ask ministerial colleagues to back a new bill to curtail tobacco sales further. It is understood the aim of the proposed legislation is to reflect the serious nature of the health risks posed by tobacco products, and concerns that medical warnings are not being fully taken on board by the wider population.
Source: Irish Examiner, 22 October 2019
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The New South Wales Government’s new anti-shisha advertisement has been met with criticism. The advert for the new 'Shisha No Thanks' campaign is designed to warn people of the risks involved in partaking in a shisha smoking session.
The video says that a 45 minute shisha session is the equivalent to smoking 100 cigarettes. Commentators have accused the government of slamming shisha in the campaign in response to its growing popularity as a cheaper alternative to cigarettes.
Cancer Institute NSW chief executive Professor David Currow told The Pulse that smoking shisha is not a safe alternative for smoking tobacco and that people should be aware of the inherent risks of smoking in any form.
“A person who smokes shisha is at risk of the same health problems that a person who smokes cigarettes faces, including cancer and respiratory illness,” Professor Currow said.
“While these products, also called ''herbal shisha'', may not contain the nicotine in tobacco, the smoke contains highly toxic substances. The addition of fruit flavouring and sweeteners does not reduce the harmful effects of the smoke.”
Source: Mail Online, 21 October 2019
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A controversial temporary ban on the sale of all vaping products in Massachusetts can stand for now, a judge ruled on Monday 21 October, saying that the ban as written is likely unlawful but halting it immediately would "contravene the public interest."
The decision, denying a request for an injunction from the vaping industry, is a partial win for Republican Governor Charlie Baker, who enacted the strongest measure taken by any state in response to an outbreak of vaping-related lung injuries.
But Suffolk County Superior Court Judge Douglas Wilkins, in a written order, questioned the legality of components of Baker's executive order and said the four-month ban issued on 24th September can only remain if the commonwealth addresses the problems.
The judge gave the state until 28th October to rewrite the ban. He also said the state must hold a public hearing, as required by state law, so affected vape shops and others can weigh in, and provide a fiscal impact to businesses.
Source: USA Today, 21 October 2019
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Smoking any type of cigarette is associated with an increased risk for lung cancer incidence and death, but unfiltered cigarettes pose the greatest risk, according to a new study published in JAMA Internal Medicine. Additionally, researchers found that “light” or “ultralight” cigarettes were associated with the same risk for lung cancer mortality as regular cigarettes.
Lead researcher Nichole T. Tanner from the Medical University of South Carolina wrote that despite the creation of low-tar alternatives and filtered cigarettes, “smoking remains responsible for 80% to 90% of lung cancer diagnoses, and 5-year survival is 18%, highlighting the importance of prevention.”
Researchers conducted a secondary analysis of the National Lung Screening Trial. Specifically, they examined the association between baseline cigarette tar level, menthol flavour and filter status and lung cancer incidence and mortality. Among the 14,123 patients included in the study, 88% smoked filtered cigarettes, 33% smoked light cigarettes and 11.1% smoked ultralight cigarettes. Participants had a history of smoking, on average, 60 packs of cigarettes each year.
Those who smoked unfiltered cigarettes were 40% more likely than those who smoked filtered cigarettes to develop lung cancer and almost twice as likely to die of lung cancer. All-cause mortality was nearly 30% higher among those who smoked unfiltered cigarettes compared with those who smoked filtered cigarettes.
Researchers noted that although the risk was greater in those who smoked unfiltered cigarettes, those who smoked filtered cigarettes are also at great risk. The study demonstrated lung cancer deaths occur in 1,600 per 100,000 persons who smoked filtered cigarettes compared with just 34 per 100,000 persons who never smoked.
“This study confirms that smoking any type of cigarette conveys serious health risks,” Tanner and colleagues wrote. “Within the context of this study, unfiltered cigarettes are the most dangerous, and individuals who smoke them should be targeted for aggressive tobacco treatment interventions.”
Source: Healio, 21 October 2019
JAMA Intern Med. Association of Cigarette Type with Lung Cancer Incidence and Mortality: Secondary Analysis of the National Lung Screening Trial. ([link removed]) October 2019
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ASH Daily News is a digest of published news on smoking-related topics. ASH is not responsible for the content of external websites. ASH does not necessarily endorse the material contained in this bulletin.
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