Leonard Nimoy announces he has COPD

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Leonard Nimoy announced yesterday he has COPD and put out a statement urging people to please quit smoking. Here is a more lengthy CNN article.

Nimoy, sent out a tweet: “I quit smoking 30 yrs ago. Not soon enough. I have COPD. Grandpa says, quit now!! LLAP (Live Long and Prosper, obviously)”

Part of the deviousness of smoking … even if you quit, the damage it does can come back to haunt you decades later. It’s heartbreaking that someone does the right thing … and still develops lung diseases years later. The best way to avoid that damage is to never start smoking to begin with.

Leonard Nimoy says he is feeling OK, but just cannot walk long distances. He issued his announcement after he was seen at an airport being pushed in a wheelchair and with a breathing tube. I know from personal experience they can do a lot to repair the damage done by COPD; they can’t cure it or make it go away, but they can get the lungs functioning better with various medications; I wish Nimoy the best.

Response to CVS Pharmacies ban on tobacco: Tom Brokaw intelligent, Fox News …. blathering idiots

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Gretchen Carlson

Shaking my head at this one.

The Mensa crowd at Fox News blew a gasket when CVS Pharmacies announced it would not longer be selling tobacco products. First of all, Fox News tried to blame Barack Obama somehow for a private company’s decision not to sell a poisonous product because Obama had the audacity to (gasp!) express his support for the decision. On three separate occasions, Fox analysts used the CVS decision to attack Obama (Neil Cavuto claimed CVS was becoming “scaredy-cat” because of the ACA … that doesn’t make the slightest bit of sense).

What’s interesting is Fox promotes free market capitalism pretty unabashedly. Well, here you have a company, making a decision of its own free will, to no longer sell a product — what is that? FREE MARKET CAPITALISM.

Even more ludicrous was a comment by Gretchen Carlson asking out loud if it was legal for CVS Pharmacies to not sell tobacco products since they are legal. “Is it OK legally … to restrict tobacco availability in a private store like this?” she asked her guests.

Oh … my … freaking … God. Do they give IQ tests at Fox News? And then if you fail the test, you get the job?

There is no requirement anywhere that forces businesses to sell products they choose not sell? That would impinging on FREE MARKET CAPITALISM. My question to Gretchen. So, using your logic, are you saying that CVS Pharmacies should also be required to sell guns and vibrators? Since, these are both legal products? Just frightening how stupid these arguments become.

Tom Brokaw chimes in

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Retired NBC news anchor Tom Brokaw had a — not surprisingly — much more intelligent response. In his op-ed piece, “Bravo, CVS, for banning tobacco products,” Brokaw admits he is a “cigarette scold,” who is not shy about confronting smokers about their habit (Personally, I don’t take it this far, unless smokers start telling me about their Aunt Mabel who smoked and lived to be 92.).

Brokaw says he feels this strongly partly because he counts 11 friends and family members who have been killed by tobacco, and partly because he is aware of the damage smoking does to health care costs.

Brokaw writes:

So I was thrilled to see that CVS — the giant pharmacy chain — announce it was going out of the cigarette business even though it meant a two billion dollar loss in sales. Two billion, with a “b.”

CVS is more and more in the health care business — providing vaccinations, clinics and the like — and selling cigarettes was not just inappropriate, but not good for the growing health care piece of their business plan.

Smokers will say they have a right to make their own decisions. We heard those same arguments about drinking and driving and about resisting seat belts. Think of how many lives and dollars the two changes in driving have saved.

I grew up in the smoking Fifties and couldn’t wait to graduate from high school sports to Lucky Strikes or whatever brand tobacco companies would distribute free to incoming freshmen classes.

 What madness.

So thank you, CVS for putting health, a national security issue, over profit.

You didn’t lose my cigarette business because I haven’t smoked in 45 years. But you did gain my admiration — and I now know where I’ll buy my toothpaste, razors, shampoo, cold tablets, cough drops, sunscreen and vitamin pills.

 

CVS Pharmacies to ban cigarette sales, other tobacco products

CVS

In the words of Joe Biden … this is a big fucking deal.

, the second biggest drug store chain in the country, will no longer sell any tobacco products in its 7,600 stores across the country. This means CVS will lose $2 billion a year in sales revenues … 1.6 percent of its total revenues every year. That’s a serious decision to just walk away from $2 billion a year retail.

Larry J. Merlo, the president and chief executive officer of CVS Caremark, said “As the delivery of healthcare evolves with an emphasis on better health outcomes, reducing chronic disease and controlling costs, CVS Caremark is playing an expanded role in providing care,” He added. “Put simply, the sale of tobacco products is inconsistent with our purpose.”

From the L.A. Times:

Making cigarettes available in pharmacies in essence ‘renormalizes’ the product by sending the subtle message that it cannot be all that unhealthy if it is available for purchase where medicines are sold,” the company’s chief medical officer, Dr. Troyen Brennan, wrote in a new article in the Journal of the American Medical Assn. The article is co-authored by Dr. Steven Schroeder, director of the Smoking Cessation Leadership Center at UC San Francisco.

Walgreens is the largest drug store chain in the country. In response to the CVS decision, Walgreens issued a statement saying it is “reviewing” tobacco sales at its stores.

It is pretty bizarre that a drug store would be selling cigarettes, when that drug store is selling probably all kinds of drugs and treatments for COPD and various cancers caused by cigarette smoking.

A great move that I applaud.

Can China really stop 350 million people from smoking?

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Deng Xiaoping, “Paramount Leader” of China 1982-1987

Interesting read from NBC about China getting serious about cracking down on smoking.

China is the biggest smoking country on the planet with 350 million smokers (compared to about 45 million in the U.S.). According to the World Health Organization, more than 1 million people in China die every year from smoking-related illnesses. WHO also estimates 3 million Chinese will die every year from smoking-related diseases by 2050.

A high level Chinese committee announced last week that it plans to ban smoking in public places by the end of 2014. (China also recently banned public officials from smoking in public).

I have no idea how strictly such a ban would be enforced. The state tobacco company in China, called China National Tobacco Corporation, grossed an incredible $19 billion last year in tobacco sales (making it the largest tobacco company in the world, not Philip Morris or RJ Reynolds or BAT.) Is China really looking to put a dent in its own $19 billion business? (By the same token, why would state governments want to really cut smoking rates when they get so many revenues from cigarette taxes? It’s a conundrum.)

Anyway, I’ll keep my eye on this developing story. See if China is really serious about a smoking ban.

 

Yet another Marlboro Man dies from smoking

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Incredible, yet another “Marlboro Man” dies from smoking. By my count, that makes four.

Eric Lawson, who portrayed the iconic Marlboro Man cowboy in Marlboro ads from 1978 to 1981, died this week of COPD at the relatively young age of 72. He appeared in anti-smoking ads after he worked for Philip Morris.

Lawson joins Marlboro Men models Wayne McLaren, Dick Hammer and David McLean, all of whom died of lung cancer. McLaren testified in favour of anti-smoking laws many years ago and Philip Morris tried to claim he was never a Marlboro Man model, but McLaren still had pay stubs calling him the Marlboro Man (what, a tobacco company LYING…?)

 

More 50-year anniversary stories: Smoking has killed 20 million people since 1964

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Another story on the 50-year anniversary of the Surgeon General’s, this one from Think Progress.

The RawStory article touched on this, but this article deals with it more directly: Since the 1964 landmark Surgeon General’s report, more than 20 million people in the U.S. have died as a result of smoking — 2.5 million of those deaths are blamed on secondhand smoke (boy that’ll drive the Smokers’ “secondhand smoke is harmless” Club crazy.).

Think about that — what a holocaust, and that’s just in the U.S. That’s more than twice the number of people killed in Hitler’s Holocaust — only it happens in slow motion, a person there, a person here. I know I watched my mom’s entire circle of friends wiped out by smoking — almost all of her friends smoked and most of them died of cigarette-caused diseases relatively young. She smoked for 60 years and managed to outlive almost all of them.

 

More 50-year anniversary stories: Cigarettes do more than cause lung cancer

A-woman-smokes-a-cigarette-in-the-pedestrian-plaza-located-in-Times-Square-AFPLots of news outlets are doing 50-year anniversary stories on the Surgeon General’s landmark report. I’m posting links to a couple of them.

This one is from RawStory (Reprinted from a French news service — thanks to Haruko for the link and there she is posting away and a bunch of people shilling ecigs– starting to see these folks all over the Internet, and am starting to wonder how many of them are paid to promote ecigs), about a 50-year anniversary report put out. Two conclusions from this report stood out for me:

1) Cigarettes are more potent than they’ve ever been.

2) And this is a big one, there’s a LOT more health risk involved in smoking than just lung cancer. The updated report specifically mentions:

…. active smoking can cause a common form of blindness called age-related macular degeneration, as well as diabetes, colorectal cancer and liver cancer.

Smoking can also cause tuberculosis, erectile dysfunction, facial clefts in infants, ectopic pregnancy, rheumatoid arthritis, inflammation, impaired immune function, and worsens the outlook for cancer patients and survivors.

Those who do not smoke but are exposed to second-hand smoke face an increased risk of stroke, said the report.

So, it’s right there in an official Surgeon General’s report: Smoking increases the risk for macular degeneration, diabetes, erectile dysfunction and arthritis (in particular, I’ve been looking into the ties between arthritis and smoking. Want to do a major post about that soon). This is important to me, because people tend to get hung up on idea that smoking causes lung cancer and that’s it. A lot of information has been coming out in the past 5 years about the connection between smoking and diabetes and arthritis.

 

League of Denial: The NFL, Concussions and the Battle for Truth

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Mike Webster

Read this book and I guarantee you’ll never watch football the same way as you did before.

Mark Fainaru-Wada, who wrote about Barry Bonds’ steroids use, and Steve Fainaru, investigated the NFL longstanding cover-up and obfuscation over concussions in their sport. The result is a shocking expose of callousness and hypocrisy not only from NFL officials but from “jock sniffers” the NFL used to defend their product. The story is very similar to how the tobacco industry operated in the 1950s. The tobacco industry enlisted the help of a few scientists, several of whom were literally bought off, to create “junk science” to raise doubts that cigarette smoking was causing lung cancer. The industry did this well into the 1970s.

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Junior Seau

The NFL did almost the same thing. The league started up a committee, led by someone with zero experience or background in neurology, and reached a number of ridiculous conclusions that there was no risk of brain damage from playing NFL football — all while the league was quietly paying out thousands of dollars every year in disability payments to former players who had become brain damage from playing football.

Instead of taking the problem seriously and working to try to prevent brain damage, the NFL instead took the tack of trying to sweep the evidence under the carpet — and smearing and attacking the researchers and scientists digging up evidence that football was destroying men’s brains.

The book reads like a detective novel, as researchers try to get to the bottom of what’s causing a number of former players to behave erratically years after they retired. The book details the huge, and at times petty, fights between different researchers determined to get their hands on former players’ brains after they die so they could take credit for furthering the research into brain damage.

league of denialThe book focuses at length on the heartbreaking story of Mike Webster, a Hall of Fame centre who played on the Pittsburgh Steelers’ Super Bowl teams of the 1970s. After he retired, Webster — always a friendly, engaging guy — started acting strangely. He became a drifter, sleeping in bus stations, bunking at his son’s apartment. He became moody and had terrible tantrums. He would vanish periodically, he abandoned his family, etc. At times, he was lucid, and knew full well that something was wrong with him, other times he was lost, sometimes in a rage in which he would write long rambling letters attacking people with the Pittsburgh Steelers organisation. It was a very, long slow and painful journey into madness and despair and “League of Denial” pulls no punches detailing his harrowing descent. Finally, Webster died at the age of 50 in 2002.

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Dave Duerson

The book shows how big ideas often start small. Knowing that Webster had suffered from erratic behaviour and mental illness, an assistant coroner in Pittsburgh — an immigrant from Nigeria named Bennet Omalu — did some tests on Webster’s brain and found damage similar to what was seen in boxers or people with Alzheimer’s. Omalu concluded that football caused this brain damage, the name given to it was Chronic traumatic encephalopathy (CTE).

Omalu became a central and controversial figure over the next decade as he blazed the trail into research of football and brain damage. He originally found the damage in Webster’s brain and his work led to a lot of the knowledge we have today about the brain damage caused by football, but his contributions were quickly overrun by forces out of his control — namely the NFL, which had a multi-billion dollar industry to protect.

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The NFL around this time formed its concussion committee, and Fainaru-Wada and Fainaru explain in detail how, primarily by packing the committee full of “jock sniffers,” the NFL simply used this committee as a public relations tool to try and downplay the dangers of playing football. It was nearly 50 years after the tobacco industry established its “Council for Tobacco Research” to obfuscate and confuse the science around cigarettes, and the NFL stole heavily from the tobacco industry’s playbook. Fainaru-Wade and Fainaru make several references throughout “League of Denial” to the remarkable correlations between the NFL committee and the long-defunct and discredited tobacco industry front group. The NFL simply did not learn from the example of the tobacco industry that attempting to create fake science to cover up the real science will not work, especially in the long term. The football helmet industry also got involved, falsely promoting new helmet designs as “concussion proof.” The science behind what few studies had been done on these helmets turned out to be every bit as bad and half-baked as what the NFL concussion’s committee was putting forth.

cte stage 2Meanwhile, NFL players continued getting concussions and continued being put back in gamea while still suffering from the effects of their concussions — putting them at risk for even further brain injury. The billion-dollar NFL money-making machine just kept churning … as it became pretty obvious that the league’s concussion committee was all part of protecting that machine.

Several brain specialists, however, weren’t buying the outrageous and unscientific conclusions being reached by the NFL committee. This group became known as the “Dissenters.”

After Mike Webster’s death, there were a number of other high profile deaths by formers players — notably Dave Duerson and Junior Seau, both of whom committed suicide — and notably committed suicide by shooting themselves in the chest, because they both knew something was wrong with their brains and they wanted their brains studied after they died.

What the Dissenters found was that in case after case, a number of deceased NFL players had varying levels of CTE. (CTE explained). Some researchers wondered if perhaps every single player in the NFL had this condition from the repeated pounding of the game.

Even amongst the Dissenters, there were a number of battles and wars as researchers in this area literally scrambled in a disturbing race to gain possession of former NFL players’ brains after they died. Suddenly, players’ brains became a hot commodity. To a degree, and “League of Denial” is fairly sympathetic to Omalu, but none of the scientists involved, Omalu included, were really completely innocent in this unseemly battle over players’ brains.

In the end, these battles proved to be a sideshow, as the real story began when former players, many of whom had been struggling for years with depression, memory loss and Alzheimer’s, began banding together to sue the NFL.

In the end, the NFL disbanded its discredited committee, very much like the tobacco industry disbanded the Council for Tobacco Studies. The NFL imposed a number of new controversial rules trying to ban late hits and helmet to helmet contact.

Several thousand former players sued the league, winning a $765 million settlement against the league. Many people exclaimed that the NFL got off ridiculously easy with this settlement. A judge recently threw that settlement out as inadequate. The NFL will likely have to pay former players considerably more than $1 billion to settle the litigation.

League of Denial is definitely an engaging and fascinating read, and after you’ve read it, you’ll never watch football in quite the same way.

I don’t have the answers myself. Some people have speculated that the concussion litigation could bring the NFL down. The NFL is an awfully huge entertainment industry, and won’t go away easily. It’s too exciting and too popular.

I don’t buy the argument that the players knew what they were in for. They chose to play football. No, they didn’t chose to suffer from dementia and early onset Alzheimer’s and clinical depression in their 40s … and remember most football players don’t play for long — 5 years or less, and most football players really didn’t make that much money in the 70s and 80s. They didn’t choose to be lied to about how much damage was being done to their brains.

They’ll never totally get rid of the concussions; the game is too violent and the players too big and fast (I suspect the rise of concussions has something to do with the rise of PEDs in sports).

What the NFL needs to do is start taking the concussions seriously. Stop putting guys in games when they are obviously hurt, start taking the science seriously, ban hits to the head. Maybe a billion dollar settlement will be enough to wake up the NFL. Who knows?

 

 

Senators: E-cigarettes glamorized during the Golden Globes

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OK, this is just getting silly.

Dick Durbin, D-IL, Richard Blumenthal, D-CT, Sherrod Brown, D-OH, and Edward J. Markey, D-MA, all slammed the Golden Globes for “glamorizing” e-cigarettes during last weekend’s show. because Julia Louis-Dreyfus was shown smoking an e-cig.

According to this article:

Louis-Dreyfus — nominated at the ceremony for her roles in the film “Enough Said” and the television series “Veep” — was seen drawing from an “e-cigarette” and blowing smoke out of her mouth as part of a gag skewering haughty Hollywood behavior.

“She has really changed,” co-host Amy Poehler deadpanned from the stage, as Louis-Dreyfus, wearing cat-eye sunglasses, caricatured a snooty star.

The letter from the Senators to the Golden Globes reads:

“In light of studies showing that exposure to on-screen smoking is a major contributor to smoking initiation among youth, we are troubled that these images glamorize smoking and serve as celebrity endorsements that could encourage young fans to begin smoking traditional cigarettes or e-cigarettes.”

I hate to come off like I’m promoting e-cigs (I’m really, really NOT — seriously) , but this whole skit struck me as being fairly benign. Don’t you think U.S. Senators have some bigger issues to deal with?

NBC, CNN go all out on smoking this weekend

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For the 50th anniversary of the Surgeon General’s watershed report on smoking and lung cancer, both NBC News and CNN had for a time last weekend smoking as their top stories. Imagine my excitement seeing cigarette smoking dominating the top of both websites with so many other stories going on — Ariel Sharon’s death, Bridgegate, West Virginia, etc.

(Hey, doesn’t that Bing window look like a cigarette?)

Anyway, NBC’s take on the issue was to look at, yes the smoking rate in the U.S. has been reduced greatly since 1964, from 43 percent to 19 percent, but can it ever be reduced to 0?

Several experts weighed in. One idea was to raise the minimum age for buying cigarettes from 18 to 21. Another one, by Michael Fiore of the University of Wisconsin, is a two-pronged approach of “hard-hitting public policy. At the same time, we need the ready availability of treatments for smokers.”

Yes, I agree. Treatment should be available and covered by insurance, be it patches, Nicotine gum, or even Chantix or e-cigs (and I’m not wild about the last two, in fact, I’m not positive any health care officials consider e-cigs a “treatment.”)

NBC also cited a Harvard study stating that smoking has killed 17.7 million people in the U.S. between 1964 and 2012 (So, when I call it a “holocaust,” I am not screwing around — 17.7 million people is a holocaust.

Also mentioned in the NBC article. How to stop smoking? Stop it before people start, before nicotine’s incredible addictiveness takes hold. 88 percent of smokers begin smoking before they turned 18. Education, education, education, is the way to stop smoking.

Ah, the NBC article also talks about how the $180 billion from the 1998 Master Settlement Agreement is not being used properly to combat smoking. Instead that money is being used by states simply to help balance their general funds. States are receiving $8 billion a year from the settlement, but are only spending $640 million a year on tobacco control.

A good article from NBC News, that touches broadly on most of the major issues surrounding tobacco control.

 CNN story on smoking — Why do people still smoke?

I like CNN’s angle, too. CNN asks the question of when people know how bad smoking is for you, why do they still smoke? The answer, according to CNN, a “portrait of defiance.

CNN dug up a portrait site on smokers (Oh, man, I have to do a separate post on this site with the photog’s permission, hopefully). The photographer, Laura Noel, said that:

While shooting these portraits, she noticed the age difference among smokers. Young smokers, she said, enjoy it with a kind of practiced defiance. “You see a little more of the addiction when people get older.”

The CNN story makes a great point. The whole argument that smoking is a “personal choice” becomes complete bullshit when the smoker is no longer making the choice to smoke — the nicotine is in control. It stops being “choice” when addiction takes hold. (The tobacco industry long ago abandoned the battle trying to fight the evidence that smoking is deadly and has instead adopted a Libertarian coda that it’s personal choice. I’ve had two or three Libertarian trolls stink up this blog with their “personal choice” bullshit, too. And, oh by the way, of course, none of them were actual smokers. :roll:)

“Smokers typically start smoking as adolescents or young adults, with initial smoking occurring in social situations,” said Sherry McKee, the director of the Yale Behavioral Pharmacology Lab. “Most young smokers believe that they can easily quit at any time and nearly all believe that they won’t be long-term smokers.”

“Ultimately, they will lose their capacity to make a free choice to smoke,” said Jed Rose, the director of the Duke Center for Smoking Cessation in North Carolina. “Then 30 years later, that’s when we typically see them in our program desperately trying to quit, because now they can’t go a single day without (a cigarette).”

And one final point in the CNN story, something I actually learned. I never really thought of this, but it makes sense. The addiction to smoking is more than just the chemical components of nicotine, it has to do with the smoking behaviour.

“The chemicals in cigarettes work on the structures deep within a smoker’s brain, literally rewiring it so the habit becomes deeply ingrained,” said Rose.

With drugs like cocaine, there can be extreme discomfort from withdrawal in those first few days, but it goes away. “The behavior addiction of smoking may be far more compelling than just the short-term withdrawal symptoms of a hard drug,” he said.

That means smokers may be more addicted to the smoking behaviors than the nicotine.

“Every move a smoker makes: the lighting of the cigarette, the inhaling, all the feelings and sensations of it, the whole package becomes highly addictive,” Rose said.