The stigma of lung cancer — do smokers “deserve” lung cancer? (No!)

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A very interesting opinion piece that I can personally relate to, about the continuing stigma of lung cancer.

I have on a number of occasions no matter how incredibly hard I try to bend over backward to not attack smokers or act superior to smokers either online or in real life, been accused of being down on smokers. I think part of this is because many smokers deep down inside put up with constant stigma over their smoking and frankly, get understandably defensive about it, because hey, we all have some bad habits and none of us are perfect.

Anyway, that stigma also applies to lung cancer. Lung cancer is the most deadly form of cancer; more people die of lung cancer in the U.S. than the next four types of cancer — combined. Smoking is in fact the primary cause of lung cancer — about 85 percent of the people who get lung cancer are either smokers or former smokers.

But, that also means that 15 percent of those people with lung cancer are nonsmokers (20 percent of women who get lung cancer are nonsmokers). Lung cancer not only has an environmental component, it has a genetic component. There is a reason why only 10 percent of smokers die of lung cancer. It’s bad luck+a bad habit.

Dr. Lecia V. Sequist, (a medical oncologist at  Massachusetts General Hospital Cancer Center, an associate professor of medicine Harvard Medical School. and a member of the LUNGevity Foundation Scientific Advisory Board), writes on CNN.com, about the stigma of lung cancer and the mentality of that people who die of lung cancer “did it to themselves.” The stigma has resulted in a lot of grant monies and donations going toward finding cures for cancers other than lung cancer.

It’s something I can relate to because I have been very guilty of hearing about someone dying of lung cancer, and then immediately blurting out, “were they a smoker?” I really, really try not to do that anymore.

Dr. Sequist writes:

Tell a friend or colleague that your aunt just found out she has lung cancer. Almost always the response will be, “Did she smoke?” Then tell someone else that your aunt just found out she has breast cancer, or colon cancer, or any other type of cancer you can think of. This time the response will be pure sympathy, without any blame attached.

I don’t think people necessarily do this for a bad reason. I think it’s a normal reaction of “well it couldn’t happen to me … I don’t smoke.”

This is interesting, according to to Dr. Sequist, (and I have never seen these numbers before and am still digesting them) 60 percent of new lung cancer cases are among nonsmokers and former smokers — not current smokers. Wow, that a high number (remember that 15 percent number I quoted earlier). What that tells me is a lot of people are acknowledging that smoking is really bad for them, quitting, and then 10 years later being diagnosed with lung cancer. That is one of the cruelties of lung cancer. Even if you do the right thing and quit, your risk of lung cancer decreases … but it is still higher than a person who never smoked.

And as far as how smoking is affecting funding, this paragraph from Dr. Sequist:

Unfortunately, the stigma associated with lung cancer has translated to a massive inequality in research funding. When analyzing the combined 2012 cancer research dollars granted by federal organizations, for every woman who dies of breast cancer, more than $26,000 in federal research funding is devoted to breast cancer research. But for every woman who dies of lung cancer, just over $1,000 federal dollars are invested. The difference is staggering.

So, basically breast cancer is receiving 26 times more funding per cancer case than lung cancer among women. Wow.

As far as the attitude that people who smoke and die and lung cancer getting what they deserve, all I can say is how is your glass house? Are you overweight? Do you drink? Smoke pot? Take prescription drugs? Last perfect person died 2,000 years ago. (Even on this article, there is some snot-nosed troll spending hours pissing on smokers with lung cancer. One of the reasons I don’t comment on CNN stories.)

I watched my dad slowly drown in his own bodily fluids at the age of 49. I can’t imagine a worse way to go, honestly. No one deserves that. No one. Not Adolph Hitler, not anyone. So, no, no one “deserves” lung cancer.

Another reason to quit smoking? It really does make you look older

8C9523350-131028-smoking-twins-02-hmed-1030a.blocks_desktop_medium Twins study shows the aging effects of smoking.

This is really interesting. A remarkable study looking at smoking and non-smoking twin graphically displays how smoking makes people look older. 79 twins were studied as part of this project, one of whom had smoked at least 5 years longer than the other.

The photos (non-smoking twins on the left, smoking twins on the right) show how the smoking twins are more wrinkled. Some of these images are really startling.

8C9525329-131028-smoking-twins-04-hmed-1030a.blocks_desktop_medium

Why does this happen? Simply, smoking reduces the amount of oxygen going to the skin.

So if lung cancer, COPD and heart disease (and impotence) aren’t enough reasons to quit smoking … think about this … you will be more wrinkled.

8C9525330-131028-smoking-twins-03-hmed-1030a.blocks_desktop_small

Jesus, dude, lighten up — man brandishes gun after being told he can’t smoke

pissed off smoker

Jesus, dude, is that cigarette really worth sitting in a jail cell? Chill out!

Some guy standing in front of the Atascadero State Hospital was told he couldn’t smoke and he responded by brandishing a gun in his belt. He’s now cooling his ass in a jail cell on a $50,000 bond. Smart move.

Then again, Atascadero IS a state hospital, so it might have its share of nuts hanging out in front.

This is why most smokers don’t get hassled. You never know if there’s a real asshole standing behind that cigarette.

(I’ve twice seen people throw hissy fits for being asked not to smoke. Many years ago. One, in a bar clearly marked as nonsmoking, she was told, “sorry, no smoking,” and she screamed “FUCK YOU” at the bartender and stomped out. That was about 10 years ago. Ahhh, the good ol’ days before people got used to smoking bans …)

 

Study: Yeah, right, tobacco industry, candy-flavoured cigars aren’t geared toward kids

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The Centers for Disease Control just released a report, the first of its kind, on these little candy-flavoured cigars (candy flavoured cigarettes are now illegal, but candy-flavoured cigars are perfectly legal — that makes sense.)

“They’re really cheap, and they’re really sweet, and they have an obvious appeal to kids,” says Danny McGoldrick, vice president of research for the Campaign for Tobacco-Free Kids. “They’re not your grandfather’s cigar.”

Many of these cigars have flavours like cherry, strawberry, chocolate, apple and even bubble gum. Yeah, some 50-year-old 30-year smoker is really going to buy bubble gum flavoured cigars. These are all about appealing to kids, make no mistake about it.

 

According to this 2011 study, just released this week, by the CDC, one in 10 teens say they have smoked these “flavoured cigars.”

Tom Frieden, director of the U.S. Centers for Disease Control and Prevention, called the new data “disturbing.”

“Flavored little cigars are basically a deception,” Frieden says. “They’re marketed like cigarettes, they look like cigarettes, but they’re not taxed or regulated like cigarettes. And they’re increasing the number of kids who smoke.”

“We know if they were cigarettes, what they’re doing now would be banned,” Frieden says. “If they were cigarettes, there would be a much greater awareness of their harm. But because they’re seen as somehow different, they’re getting another generation of kids hooked on tobacco.”

What’s interesting is that there is virtually no difference between a cigarette and a “little cigar.”

“What makes a cigar a cigar is that it has some tobacco in the paper. Little cigars — there’s just enough tobacco in that paper to make them cigars,” says Erika Sward, assistant vice president for national advocacy at the American Lung Association. “They really are cigarettes in cigar clothing.”

So just a bit of tobacco leaf in the paper makes a cigarette a cigar, that’s all it takes. So candy-flavoured cigarettes: illegal. Candy-flavoured cigarettes with a tiny bit of tobacco leaf in the paper: legal. Go figure.

dick nixon
Not actually cigars. Just thought it was funny

He’s the truly bothersome part. Little cigar sales have more than tripled since 1997. Again, the tobacco industry is extremely skilled at finding ways around federal regulations and little cigars are their latest little trick to get around the ban on candy-flavoured cigarettes.

Now, the FDA banned candy-flavoured cigarettes a few years ago. They need the next step to ban these little sugary kid magnets. This one is a no-brainer.

 

Haruko’s baseball extravaganza 2!

Fear the Beards

AP Red Sox Beards

Hah, OK, now that I’ve written this, I’m sure to have put the jinx on the Scruffy Sox. I always do. I’m bad luck.

It won’t be the Red Sox’s scruffy beards that will get them deep into the postseason, though they are cute, sort of. Well, most of the beard are kind of ugly. I think Mike Napoli looks a little bit like Leonidis in “300.” The only one who really has an attractive beard is Shane Victorino, I think.

The Red Sox weren’t supposed to be any good this year; they were supposed to be in a rebuilding year. In fact, this team was built on a bunch of one-year free agent contracts, so next year’s Red Sox won’t look anything like this team, especially considering that Jacoby Ellsbury will likely leave as a free agent. Victorino is the only guy signed for more than 2 years (and he was signed for just three years).

Looking at this year’s team and why they were so much better than last year’s team. Obviously, their pitching was a lot better. The Red Sox really took off when they got Jake Peavy, who went 4-1 down the stretch. Clay Buchholz also had a remarkable year at 12-1 (.923 winning percentage) and Jon Lester bounced back after an awful season to go 15-8. Even Ryan Dempster and John Lackey, who had losing records both had good ERAs.

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And the Red Sox weren’t lucky, either. David Ortiz, Ellsbury and Victorino all got hurt at various times of the year. And they lost their No.1  closer, then lost their No. 2 closer and were looking at a total disaster in their bullpen, but they found a diamond in the rough by making Koji Uehera into a closer. He went 4-1 and had an ERA of 1.09 with 21 saves.

But, I think it was a lot of scary balance up and down the lineup. The Red Sox force pitchers to throw a lot of pitches, draw a lot of walks and usually get into other team’s bullpens by the fifth or sixth inning — even if the opposing pitcher is having a good game. And most team’s bullpens are just not that good, and that’s where the Red Sox have been doing a lot of their damage this year.

 

Here is an interesting and scary statistic about the Scruffy Sox. The Red Sox are not a particularly powerful team — they hit 178 home runs, but they had 8 guys who hit 10 or more home runs and 11 guys who hit 9 or more home runs. 11. There’s only 9 players on the field at a time!

And on top of 11 guys with 9 or more home runs, they had 11 guys with 40 or more RBIs and 7 guys who hit between .294 and .309. Talk about balance. Even back in the steroid days, teams didn’t have 11 guys with 9 or more home runs. And a couple of these guys — Mike Carp and Daniel Nava — were career minor leaguers who never got a chance before to play in the Majors. That’s team baseball.

Look at these remarkable stats. Other than Ortiz, none of these stats are great, but incredibly consistent:

David Ortiz          .309 30 103

Daniel Nava         .303 12 66

Dustin Pedroia      .301 9 84

Jacoby Ellsbury    .298 9 53

Michael Carp        .296 9 43

Shane Victorino    .294 15 61

Jarrod Saltalamacchia .273 14 65

Mike Napoli           .259 23 92

Stephen Drew        .253 13 67

Johnny Gomes       .247 13 52

Will Middlebrooks  .227 17 49

300-game winner update

Well, unfortunately, no 300-game candidate came out of the blue to make me look good this year. It looks like Tony Kornheiser and Michael Wilbon might be right. (Remember, I took offence to Kenheiser and Wilbon saying there would NEVER be a 300-game winner again). All the 300-game candidates had bad seasons this year and are making Wilbon and Kornheiser look good and make me look bad.

Here are the candidates:

.                                            2013                  ERA        Total wins           Age

CC Sabathia                       14-13                    4.78       205                       33

Tim Hudson                        8-7                        3.97       205                       38

Roy Halladay                     4-5                        6.82       203                       36

Mark Beurhle                     12-10                    4.15       186                       35

Justin Verlander                13-12                    3.46       137                       31

Felix Hernandez                12-10                    3.04       110                       28

So, out of that group, Sabathia still has a very valid chance of getting to 300. He is still only 33, and if he stays healthy, could pitch another 8 seasons. He would only have to average 12 wins a year over 8 years to get to 300. But, look at Sabathia’s ERA — 4.78. He might be losing his stuff.

Hudson was having a good year and probably would have won 13-14 games, but he broke his ankle, and I think that ends his chances to get to 300. Halladay had his second straight injury-plagued year and might be near the end of his career. Beurhle is too mediocre of a pitcher to get to 300. He hasn’t won more than 13 games since 2008.

Verlander had an off-year for him, but at 31, he is still young enough to do it. He’d have to pitch another 11 injury-free years and average exactly 15 wins a year. The same with Hernandez, he’s still young. But, look at his numbers last year. He went 12-10 and 9 no-decisions and had a very solid ERA of 3.04. Why? Because he was pitching for a terrible team that went 71-91 (and let’s face it, the only reason Seattle won 71 games is because they got to play 19 games against 51-111 Houston). For a lot of teams, he would have won 15-20 games. I said at the beginning of the year, Hernandez will never get anywhere near 300 wins pitching for a bad team like Seattle his whole career.

Todd Helton a Hall of Famer?

Todd Helton, Andy Pettitte and Mariano Rivera all retired this year. What are their chances for the Hall of Fame?

MLB: Chicago Cubs at Colorado RockiesWell, Mariano will get in on his first ballot and might get in unanimously. He was simply the best closer in the history of baseball, and his record of 652 saves might never be broken — you’d have to average 42 saves a year for 16 years to get there (even though we think saves are a vastly overrated stat).

Pettitte is a little tougher. He won 20 games twice, won more than 10 games 16 times, won 256 games and has the all-time record of 19 wins in the postseason. I would say he probably gets in the Hall of Fame except for one thing — his admission of doing HGH. That’s usually a dealbreaker with HOF voters. I think that will hurt him a lot in the balloting.

Now, Helton is someone I’ve heard very little buzz about for the Hall of Fame, but he put together some remarkable numbers over the course of his career. Helton batted .316 for his career, had an outstanding on-base percentage of .414 and OPS of .953. He hit 367 home runs and drove in 1,406 runs, and had 2,519 hits. Six times he hit more than 30 home runs and 8 times he had more than 90 RBIs, and he batted over. 300 12 times. He also won one batting title (.372) and three gold gloves. Add to that 11 times with 37 or more doubles and 592 doubles all time.

Helton is 26th all-time in on-base percentage, 20th all time in OPS and 16th all-time in doubles.

Wow, that is all a pretty darn good argument for the Hall of Fame. But one thing that will hurt him is he played during the steroid era, and that will cost him votes. Just playing during the steroid era will cost players votes (ask Craig Biggio). Plus, he played in Colorado, which has a tendency to inflate statistics. (He did have an embarrassing DUI arrest this year. But, DUIs don’t keep guys out of the HofF.)

Helton won’t get in on the first ballot, but I think short of direct evidence of steroid use, he deserves to go into the Hall of Fame, as does Biggio. You can’t keep guys out purely because of the era in which they played.

Bill Hicks on smoking and Yul Brynner

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Two great skits I found from Bill Hicks about smoking. I just kind of stumbled into these (mostly by looking at Yul Brynner’s famous commercial from the grave about smoking).

The first video is a short bit about Yul Brynner doing a commercial “from the grave” about the evils of smoking (Brynner died of lung cancer in his early 60s), and comparing that to health guru and jogger Jim Fixx, who died very young from a heart attack. Funny stuff.

http://youtu.be/TXFUaqMl3fc

And Yul Brynner’s original commercial in case you don’t remember it. (Lousy quality, I know).

Now, here is Bill Hicks’ bit on cigarette smoking and all the shit he caught as a smoker from non-smokers, especially assholes who coughed around him anytime he lit up.

http://youtu.be/w9ySCcnoo3c

“I think it’s kind of cruel to come up to me coughing at me … Jesus, do you go up to crippled people dancing, too, you fucks?”

And then assholes who give him crap about second-hand smoke.

“You know what, if I don’t smoke, there’s going to be secondary bullets coming your way, because I’m that tense…”

Interestingly, the person who posted this video had to disable comments because Bill Hicks died of cancer and people were leaving pissy comments about that.

These skits are obviously from the early 90s. Bill died in 1994. Wonder what he would think of smoking bans today?

OK, personally, I have always gone to great lengths to not give smokers a hard time. I hear about the [cough, cough] stuff and the glares, none of which I’ve ever done (OK, I have probably glared at smokers smoking around children, but that’s a little different.).

Anyway, at the risk of coming off like one of the do-gooder assholes Bill Hicks is making fun of, I couldn’t help but watch these videos with a sense of irony. Hicks, a chain smoker, died a very young man — only 32 — from pancreatic cancer, which is known to be one of the cancers caused by smoking.

In his skit, Bill says:

“I’ll smoke, I’ll cough, I’ll get the tumours. I’ll die. Deal?”

That line just jarred me. He did smoke, he did get tumours and he did die. At least he did it on his terms.

So, not passing judgement, not trying to be a self-righteous dick, just pointing out the irony. Which I’m sure at a certain level someone like Bill Hicks could appreciate. I still find his stuff really funny. Honestly, I never heard of Bill Hicks until well after he died — maybe 10 years ago I first started hearing about. He was a funny, funny guy. What a tragedy he lived such a short life. But, he lived it on his terms.

R.J. Reynolds quietly loses $37.5 million judgement

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This story didn’t get as much attention as I would’ve have expected, I think because it’s actually becoming routine.

A jury last week awarded a family who lost their wife and mother to lung cancer in 1995 after years of smoking a $37.5 award from R.J. Reynolds.

This judgement is part of the old Engle Florida Supreme Court case. In that case, a huge class action settlement — $145 billion — was awarded to a number of smokers for the tobacco industry’s long and sordid history of lying about the addictiveness of nicotine and for marketing to kids.

The tobacco industry filed an appeal to the Florida Supreme Court and the court threw the award out. At the time — 2006 — it appeared to be a big victory for Big Tobacco, but it was a mixed ruling. The Supreme Court threw out the award, but did allow each of the plaintiffs to file individual lawsuits against the tobacco industry.

That has turned out to be a big deal. There were a total of 8,000 individual lawsuits filed in Florida as a result of the ruling, so Big Tobacco is constantly in court in Florida, and repeatedly losing jury awards. $37.5 million won’t break RJR, but multiply $37.5 million by 8,000 — now you’re hurting the industry … big time. So far, $360 million damages have been awarded as a result of the Engle ruling — nowhere near the original $145 billion number, but hurting the industry nonetheless (You know the biggest reason cigarettes are more expensive now than 10 years ago? It’s not cigarette taxes, it’s legal costs.)

R..J Reynolds tried to use the old hoary defence of “it was her choice to smoke,” but that defence has failed time and again in these jury awards, for two reasons A) Big Tobacco was knowingly selling a toxic, poisonous and physically addictive product .. and lied for decades about the addictive nature of nicotine, and B) Because of the industry’s long and sordid history of marketing to teens (R.J. Reynolds are the guys who invented Joe Camel, remember.). It’s interesting reading a lot of the comments on this story about what BS the ruling is because it was her choice to smoke. No, they don’t get it. That defence doesn’t carry much weight with juries or judges, the fact is because they lied and covered up the dangers of their product, the tobacco industry is still liable for damages … “it was their choice to smoke” isn’t going to work. I tried making that point on that thread at HP; I got a few likes but no responses.

The woman who died in this case — Laura Grossman — was only 38 when she died of lung cancer in 1995.

R.J. Reynolds (which makes Philip Morris look like choir boys by comparison sometimes) also made the absolutely despicable defence that Grossman’s death was her husband’s fault because he didn’t do more to make her quit.

R.J. Reynolds Tobacco Company has appealed the verdict, claiming that Grossman’s husband, Jan Grossman, should be held responsible for Laura’s death for “failing to change another person’s course of conduct.” As part of the court ruling, Grossman’s husband and two children were also awarded $15 million in compensatory damages.

That just shows how utterly venal these guys are, especially R.J. Reynolds.

R.J. Reynolds will definitely appeal, the company always does. And they might get the award reduced; Big Tobacco has had some success there, but not as often as in the past.

Casper smoking ban battle — petition drive fails after hundreds of signatures thrown out

Casper, Wyoming a few months ago implemented a smoking ban for all restaurants and bars.

Well, after only a few weeks, bar owners went to the city council and whined about the effect of the ban on their business and the city council, which had a couple of new members from when the ordinance was first approved, overturned the ban for bars .. again after a FEW WEEKS.

Well, a local group was not pleased with the city council caving and turned in a bunch of signatures to put the whole thing to referendum. Their petition fell 61 signatures short of being enough to put it on the ballot … BUT the city clerk rejected 685 signatures … out of about 3,200, making them fall short.

The group — Smokefree Natrona County — is now demanding a recount of those signatures. Sigh, this never seems to be easy (how do you throw out more than 20 percent of the signatures on the petition, anyway?)

Anyway, the city clerk is not required to do a recount, so the bar smoking ban in Casper might be dead for now (not sure what would stop them from doing another petition drive?).

 

Lawsuit filed over “smoke shacks” built by Great Falls bars, injunctions filed, groups formed, it’s a mess

This is a hell of a convoluted story. It’s too complicated to tell the whole story here, so I’ll sum up … It’s a city/county health department fighting the courts, owner of some Great Falls, Montana bars and a citizens’ group has gotten in the middle of it. It’s all over things called “smoke shacks.”

I only know of one bar locally that has one of these “smoke shacks” (Another one has some shelter in an alley behind the bar, but that’s different).

Under Montana law, bar owners could install a “smoke shack” in their bars. It’s usually a really small room, with a few video gambling machines, completely cut off from the rest of the bar. So, if you really want to smoke inside and play video poker or whatever, you kind of get shut off alone in these little rooms.

The owners of a bunch of casinos built these smoke shacks, but then received notices from the city and county that they were violating the state’s clean air act. The bar owners finally filed suit over it. The city and county health department requested an injunction against the smoking shelters and lost.

According this article, the judge ruled that the health department “took a ‘kaleidoscope of ever-shifting interpretations,’ concerning smoking structures in Cascade County, and that the board failed to adopt a coherent and logical interpretation of the Clean Indoor Air for bars and casinos in Cascade County.”

So… it gets more convoluted, because now a citizens’ group has gotten involved on the side of the city and the county, mad that these bars in Great Falls have found loopholes in the Clean Air act.

One of the strangest parts of this article is an interview with a former smoker/gambler:

Doug Richardson watched the tavern industry change from a gaming machine in the Palace Casino.

He was there before the law, when the law was implemented and today after the smoking shelters were built.

He smoked like any other gambler, until he was diagnosed with emphysema.

Now whenever he’s around smoke, whether it’s someone smoking a cigarette outside or if he’s near a backyard fire pit, his lungs act up and he has to use a rescue inhaler.

“These rooms have at least cured that as far as coming into places where people are smoking outside,” Richardson said. “They should build rooms like this. It takes the smoker away from people and into their own zone.”

Richardson was playing a game at the Palace Casino, adjacent to one of the Palagis’ smoke lounges, and he said on any given day the smoking room is full and there’s not a hint of smoke inside the main facility.

Whoa, the guy is dying of emphysema and he needs an inhaler if he’s around cigarette smoke, but I give him credit for being so tolerant toward smokers.

Anyway, it’s a big honkin legal mess … and headed to court, if not the State Legislature.

Personally, I’m not worked up about it too much, but it’s annoying to me when bars try to find these loopholes and just don’t deal with the fact that smoking bans are the future.

Philip Morris profits down 8 percent in second quarter 2013

philip morris

Oh, happy day. Philip Morris (Altria), the No. 1 private cigarette manufacturer in the world, saw its profits drop a dramatic 8 percent in the second quarter of 2013, mostly due to lagging sales. Philip Morris shares dropped 2.5 percent as a result.

Here’s what is interesting. We all know the sales of cigarettes is down, so at first blush, this doesn’t seem to be a big surprise.

What IS a big surprise? The biggest reason for the drop in profits is the drop in sales of Philip Morris brands (mostly Marlboro) overseas.

One thing a lot of people may not realize is that while cigarette sales have been obviously dropping the U.S., the tobacco industry has weathered the storm just fine, mostly by expanding its overseas markets in burgeoning smoking regions such as India,  the Philippines and Africa. Philip Morris is blaming a sluggish economy overseas:

According to USAToday:

The cigarette maker reported earnings of $2.12 billion, or $1.30 per share, in the quarter ended June 30, down from $2.32 billion, or $1.36 per share, a year ago.

Excluding excise taxes, revenue fell 2.5% to $7.9 billion despite higher prices. Costs to make and sell cigarettes rose more than 1% to $2.7 billion.

Cigarette shipments fell about 4% to 228.9 billion cigarettes as it saw volume declines in all of its regions. Total Marlboro volumes fell nearly 6% to 72.4 billion cigarettes.

Philip Morris International said economic woes in the European Union and increased excise taxes drove shipments down nearly 6% during the quarter. Shipments fell 3.6% in the company’s region that encompasses Eastern Europe, the Middle East and Africa. Shipments also fell 2.4% in Latin America and Canada.

In Asia, one of its largest growth areas, the company said that cigarette volume fell 3.5%, hurt by a recent tax increase in the Philippines, which saw a 16.5% decline in shipments.

Smokers face tax increases, bans, health concerns and social stigma worldwide, but the effect of those on cigarette demand generally is less stark outside the United States. Philip Morris International has compensated for volume declines by raising prices and cutting costs.

Anytime the tobacco industry is hurting that is great news. Perhaps its a bad economy, but maybe smoking bans, higher taxes and lower smoker rates in other countries is having an effect, as well. Of course, Philip Morris would never admit THAT.