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World Health Organization calls for adult ratings worldwide for allowing smoking in movies

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Lois Lane smoking in Superman II. Philip Morris paid six figures to have Lois smoke in this PG-rated movie.

A follow-up toa  series of stories I’ve done in the past few weeks. The World Health Organization has now jumped on board, calling for adult movie ratings for films that depict tobacco use.

What prompted my latest series of stories on this was watching “The Man from U.N.C.L.E.” on a rented DVD and noticing there was virtually no smoking in the movie at all, even though it took place in 1963, which is literally during the height of the smoking era. Shortly afterward was a story about how data shows that depictions of smoking in movies, in particular PG and PG-13 movies, has dropped fairly dramatically since the MPAA in 2009 adopted guidelines discouraging (discouraging, not banning) smoking in movies marketed to teens and kids.

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Yup, a real still from a Tom and Jerry cartoon, with real free advertising for Marlboros.

The new MPAA policy hasn’t been perfect or ideal, but for the most part it has been working. Studios have been voluntarily removing smoking from PG and PG-13 movies because they just aren’t interested in butting heads with the MPAA over it. In fact, Disney, which now owns the Marvel brand, has said no more smoking in any of its movies, including Marvel movies. That means Wolverine and Nick Fury and J.J. Jameson no longer get to chomp on cigars. Call it revisionist history, but hey, back in the day, James Bond used to actually spank women. Times change.

Anyway, this story about the data on smoking in movies claimed there were 10-29 depictions of smoking in “The Man From U.N.C.L.E.” I thought, “seriously? Really? I can’t remember a single one.” I had already sent the DVD back to Netflix, but my friend Nancy watched the movie for me and confirmed that there was no smoking in the movie. Not sure what “depictions of tobacco” means, according to Smokefree Movies.

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I digress … a LOT. WHO has issued its own opinion that movies that depict tobacco use should be given an “adult” rating (R-rating in the U.S., but there’s myriad other terms for it in other countries.)

From a WHO press release:

“With ever tighter restrictions on tobacco advertising, film remains one of the last channels exposing millions of adolescents to smoking imagery without restrictions,” says Dr Douglas Bettcher, WHO’s Director for the Department of Prevention of Noncommunicable Diseases.

“Smoking in films can be a strong form of promotion for tobacco products,” adds Dr Bettcher. “The 180 Parties to the WHO Framework Convention on Tobacco Control (WHO FCTC) are obliged by international law to ban tobacco advertising, promotion and sponsorship.”
….

Dr Armando Peruga, programme manager of WHO’s Tobacco-Free Initiative, says countries around the world have taken steps to limit tobacco imagery in films. “China has ordered that ‘excessive’ smoking scenes should not be shown in films. India has implemented new rules on tobacco imagery and brand display in domestic and imported films and TV programmes. But more can and must be done,” Dr Peruga adds.

I honestly believe this is an important issue because most tobacco advertising has been curtailed. No tobacco ads allowed on TV or radio and tobacco advertising in magazines has for 18 hours not been allowed to use cartoon characters such as Joe Camel. So, where is one of the biggest sources of kids continuing to get the idea that smoking is cool or hip — if not the biggest source? Hollywood, plain and simple. Hollywood has for nearly 100 years had a bizarre symbiotic relations with tobacco. In the 1930s and 1940s “cool” characters created by Humphrey Bogart and Lauren Becall smoked; the tobacco industry actually started paying Hollywood to advertise its products beginning with Superman II in 1980, and yet even after this was exposed and banned by the 1998 Master Settlement Agreement, smoking depictions in PG and PG-13 movies actually went UP in the 2000s. Only by advocates making a huge stink about it, did the MPAA crack down on smoking in teen-marketed movies … a crackdown that wasn’t as severe as some people wanted, but has served its purpose and hasn’t infringed (In my opinion) on freedom of expression.

For the record, like F bombs, sex, and brain-splattering gore, I’m all for allowing as much smoking as a director wants in an R-rated movie. I’m all for freedom of expression. I just want it out of kid- and teen-marketed movies.

 

Demented ad for cigarettes in “Bioshock: Burial At Sea”

 

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A couple of weeks ago, I posted something about smoking in video games. One of the games mentioned in an article about smoking in video games was “Bioshock: Burial at Sea.”

Well, I’ve been playing it, and noticed an ad in the game for cigarettes … an ad featuring a pregnant woman.

Now, if any of you have ever played any of the Bioshock games, you know there’s a lot of twisted advertisements in these games … really, openly racist ads, etc. If you understand the Bioshock world, you realize there is a lot of irony and dark views of the worst instincts to be found in current U.S. politics (Libertarianism, Objectivism, white supremacy and anti-immigration bigotry … if anything, the anti-Libertarian and anti-racism messages in Bioshock are more compelling today than they’ve ever been).

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Poster from Bioshock Infinite. You get to kill white supremacists in this game.

So, the ad with the pregnant woman falls right into the twisted, ironic world of Bioshock. “Bioshock: Burial at Sea” takes place in 1958. Is this ad that much different from real ads from the 1950s? It’s only slightly more extreme than this:

There is a lot of smoking in Bioshock Burial at Sea. In fact, in all of the Bioshock games, you can smoke a pack of cigarettes to gain more powers (called “Eve” or “Vigors” depending on the game), but it takes away a bit of your health. I don’t know if there’s enough cigarettes in Bioshock to actually kill yourself, but it would be an interesting experiment to try.

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REAL Camel ad from the 1950s featuring an apparently pregnant woman.

So, while I singled out Bioshock in my previous post about smoking in video games, the game does take a very twisted look back at real cigarette advertising and just how insane it actually was.

 

Tobacco-growing, tobacco-smoking Kentucky leads the nation in cancer rate

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Kentucky tobacco farm

Not the least bit surprising, but something to think about when it comes to tobacco control.

This is why people in tobacco control care about the issue; ultimately it comes down to people dying from tobacco.

When most people think of Kentucky, they think of horse country, the Kentucky Derby, and idyllic bluegrass hills. But, there’s a terrible dark side to that bucolic landscape. According to this USA Today story, Kentucky has the dubious distinction of being No. 1 in the nation for having the worst cancer rate. The biggest reason why? Lung cancer. Lung cancer is the third-most common form of cancer in the U.S. (behind breast cancer for women and prostate cancer for men). However, while lung cancer represents about 13 percent of all cancers, it also represents 27 percent of all cancer deaths. That’s the most … by a LOT. Lung cancer kills more people than colon, breast, pancreatic and prostate cancer combined. It continues to be one of the most, if not the most, difficult form of cancer to treat.

According to USA Today, the rate for lung cancer deaths in Kentucky is 50 percent higher than the national average. From the article:

Lung cancer incidence per 100,000 people: 92.4, compared with 60.4 nationally. Mortality per 100,000: 68.8 — around 120 in the hardest-hit Appalachian counties — compared with 45 nationally.

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Kentucky smoking rates, by county

Kentucky has a notoriously high smoking rate. It was the highest in the nation until recently, but now it is second highest in the U.S. at 26.5 percent, (only West Virginia is higher) considerably higher than the national average. Kentucky’s smoking rate was over 30 percent as recently as 10 years ago. The national average, according to this article, has dropped all the down to 15.2 percent (I haven’t seen that figure widely reported; I saw 16.8 percent a few weeks ago.). Kentucky also has a higher than normal death rate from breast, colon and cervical cancers. That might be partly attributable to smoking. Kentucky also has a ridiculously low cigarette tax at 60 cents a pack, one of the lowest in the nation.  The national average is over $1.50 a pack. There is also no statewide indoor smoking ban, though several large cities in Kentucky do ban smoking indoors. These factors help to encourage smoking. They really do. Every state that imposes a smoking ban and/or raises its cigarette tax sees its smoking rate go down. Of course, Kentucky just elected a conservative Republican as its governor, so don’t expect a cigarette tax increase any time soon.

From the article

For many years, Kentucky has had a quarter of adults smoking,” said oncologist Dr. Goetz Kloecker, a lung cancer specialist with University of Louisville Physicians. “I have patients who started puffing at 8, 9 and 10 years old…It’s part of the culture.”

Because of that culture, “cigarettes are still cheaper than in other places,” Kloecker added. “If you go to Chicago or New York, there are fewer teenagers starting to smoke. The higher the costs, the lower the smoking rate.”

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One of the reasons smoking is so ingrained in the culture is Kentucky is one of the leading tobacco-growing states. Kentucky has a lot fewer tobacco farmers than it once did (wow, there were 56,000 tobacco farms in Kentucky in 1992), but it is still second in the U.S. behind North Carolina in the level of tobacco produced. And in fact, North Carolina and Kentucky absolutely dominate the market with over 70 percent of the tobacco grown in the U.S. coming from those two states. (Interestingly, North Carolina actually has a statewide smoking ban and a relatively low smoking rate for a Southern state at 20.2 percent in 2013 — likely lower than that today.)

Other environmental factors are playing a role. Kentucky has a high level of radon in homes and especially in the Appalachian region, residents have high levels of chromium and arsenic in their systems. (Probably from mining operations and groundwater contamination.).

Other factors are mentioned by USA Today, such as poor health screenings in the state and obesity, but the high smoking rate is the biggest factor, no doubt.

Report: 42 percent of major video games have depictions of smoking

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Elizabeth in Bioshock: Burial at Sea

Wow, here is something I’ve honestly never even given the slightest thought to — the prevalence of smoking in video games.

Here’s a good story, one that actually made me think because honestly this is something I’ve never even considered before, about smoking in video games. According to the study from UC San Francisco (No surprise there, that is the home of Stanton Glantz and the Center for Tobacco Control), smoking shows up in 42 percent of video games participants reported playing.

No surprise there is smoking in Grand Theft Auto games. These are about the most adult games you can find out there (I’m not a fan, too much sexism).  I remember smoking first showed up in Duke Nukem 3D about 20 years ago. In particular, I remember one cut scene in which Duke cuts off a monster’s head, then takes a poop down his neck while lighting a cigar (I am NOT making this up … it’s Duke Nukem, man).

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Duke Nukem

Smoking also shows up in Bioshock: Burial at Sea (Elizabeth smokes cigarettes in a very sultry way in this 1930s-themed game) and in Halo games with Sargent Johnson always chomping on a cigar.

I have mixed emotions about this initially. I wouldn’t go so far as to call myself a gamer, but I will admit I play video games and find them fun, especially really violent first-person shooters. I know full well these games depict almost non-stop mayhem and gunplay (and in the case of Duke Nukem … extreme sexism) and I find myself saying, “am I supposed to be concerned about characters smoking? Jesus, Duke takes a crap down an alien’s neck.”), but to be fair, as someone who worked long and hard to try and get smoking out of PG-13 movies, I know darn well these “M” rated games are being played by 12- and 13-year-old kids. Heck, I let my 10-year-old grandnephew play Bioshock Infinite at Thanksgiving and that’s an M -rated game.

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Sgt. Johnson from Halo

Here’s some sobering statistics from this Truth Initiative story.

Grand Theft Auto, Halo and Bioshock are all wildly popular games. Counting all the games that have been sold or downloaded, that’s more than 100 million copies of games out there depicting smoking by its characters, with characters either appearing gritty (Sgt. Johnson and Duke Nukem) or suave (Elizabeth from Bioshock) due to their smoking.

So, the message here is, yeah, I get it, these games are M-rated, supposedly intended for adults, but we all know pre-teens are playing these games, and that maybe game developers might try to give this some thought to not encourage 12- and 13-year-old kids into thinking that smoking makes characters cool …. just like movies did for over half a century.

Here is Truth’s video about this important topic:

Washington Post: U.S. smoking rate drops below 17 percent … and other smoking trends

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A very nice article in the Washington Post this week about “who stills smokes today.”

First of all, the good news. According to the Post article, which got its numbers from the Centers for Disease Control, the smoking rate in the U.S. has dropped to 16.8 percent. That’s the lowest I’ve ever seen. It was only about  four years ago when the smoking rate finally dropped dropped below 20 percent (officially 2010). When I began blogging about tobacco about 10 years ago, the smoking rate was about 22 percent. The smoking rate dropped below 25 percent for good in 1995 and dropped below 30 percent in 1987 . .. see how slowly the smoking rate was dropping compared to the past few years?

This is fantastic news. I’m guessing one major factor for the escalating drop in the smoking rate is the rising popularity of e-cigs. E-cigs are fine for people trying to quit cigarettes, in my opinion, but it also sucks that so many teenagers are taking up e-cigs rather than cigarettes. Nicotine addiction is nicotine addiction … and it’s never a a good thing.

I made my own smoking chart (I rule … I can use Microsoft Works!) to further parse these numbers year-by-year. Click on it to blow it up. Notice the dramatic drop-off in the smoking rate since 2009. That’s e-cigs and higher cigarette taxes, more smoking bans and a lot less smoking in Hollywood movies all working together to drive down the smoking rate. Notice how the smoking rate flat-lined between 2004 and 2009 (In fact, the smoking rate dropped just 0.3 of a percent in those five years — from 20.9 percent to 20.6 percent.) It was a very, very frustrating time. The tobacco industry was successfully fighting anti-tobacco efforts by spending billions on advertising and marketing. After many, many battles in many state Legislatures, cigarette taxes went up and more states passed smoking bans and smoking was removed from movies marketed to kids — hence, smoking rates started declining.

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I made my own graph. I rule with Microsoft Works.

Also notice a fairly steep drop in the smoking rate between 1999 and 2004 (from 23.5 percent to 20.9 percent.). I believe that’s a direct result of the notorious 1998 Master Settlement Agreement. While this agreement was roundly and justifiably criticized, in the long run, it did a lot of good, such as banning tobacco marketing icons like Joe Camel and banning product placement in Hollywood movies (shockingly, smoking still kept showing up in kids’ movies even after the practise of tobacco product placement was banned.)

Here’s a bunch of other interesting tidbits in the WashPo article. This is another issue I’ve touched but a lot of people don’t think about when it comes to smoking trends. Not only are fewer people smoking today, but those who do smoke smoke less. This is mostly because of smoking bans in most workplaces and more rental residential units not allowing smoking. And generally because smokers have become a lot more savvy about not lighting up around kids and other nonsmokers.

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In 2005, 12.7 percent of smokers smoke over 30 cigarettes a day (a pack and a half). Today, that number is down to 6.9 percent of smokers. Those numbers are mind-blowing to me considering that my dad smoked at least 80 cigarettes (four packs) a day and my mom many years ago probably smoked at least 40 cigarettes a day. Between the two of them — roughly six packs a day. Barely anyone smokes even three packs a day anymore. There’s simply not many places left where you can light up cigarettes that constantly.

Another tend touched on by the WashPo article that I was already aware of (but I’m glad the Post is writing about it) … the absolute direct correlation between smoking and education. The smoking rate for people with GEDs is 43 percent. For people with a high school degree — 21.7 percent. College degree, it’s 7.9 percent and for people with post-grad degrees, 5.4 percent.

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The ethnic group with the lowest smoking rate is Asians, while American Indians have the highest smoking rate at 29.2 percent. (Interestingly, Hispanics and blacks both have a lower smoking rate than whites.) Yikes, I didn’t realize that Native smoking rate was so high. That is a real problem.

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Here is something that has changed dramatically from 10 years ago — and this is mostly due to e-cigs, I believe. Teens and young adults have for many years now had the highest smoking rate of any age group. No longer. The smoking rate for people aged 18-24 is now 16.7 percent. The smoking rate for people aged 25-44 is 20 percent; age 45-64 is 18 percent and age 65-over is 8.5 percent (because by that age, many smokers are facing tobacco-related illnesses and are forced to quit.). I like the fact that the smoking rate for teens and young adults is so low, but I wish it was for a better reason than more young people simply taking up e-cigs instead (and I give the WashPo credit for talking about the effect of e-cigs on the young adult smoking rate.)

 

Boston bans chewing tobacco in Fenway Park — MLB Players’ Association, your move

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Boston has joined San Francisco in banning chewing tobacco in all ballparks, including Major League Ballparks like Fenway.

The move is, I believe, part of a push to force the Major League Baseball Players’ Association to accept a league-wide ban on chewing tobacco. Chewing tobacco is already banned by the NCAA and in Minor League Baseball. MLB can’t ban chewing tobacco on the field or in the dugouts without the cooperation of the MLB Players’ Association. The issue of chew is set to be negotiated between the Players’ Association and MLB during the next contract discussions this off-season.

This legislation, which will take effect in April 2016, won’t really affect fans, because tobacco use is already banned within the stadium, according to the Boston Globe. It is a somewhat symbolic measure directed at the players and coaches on the field and in the dugouts.

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In addition to San Francisco and Boston, the city of L.A. is considering a similar ban, which would affect players and coaches chewing at Dodger Stadium. There is also a bill in the California State Assembly to ban it all ballparks in the entire state.

From the Boston Globe article:

“These great baseball cities have set a powerful example that should be quickly followed by all of Major League Baseball,” said a statement from Matthew L. Myers, president of the Campaign for Tobacco-Free Kids.

Chewing tobacco is deeply entrenched in the culture of baseball. One recent survey showed that about 30 percent of baseball players chew tobacco, while only about 7 percent of men overall chew.

Red Sox owner John Henry supports the ban. It will be interesting to see if David Ortiz will drop the chew once the ban takes effect next year. Ortiz is beloved in Boston for not putting up with authority and he is a known chewer.

 

MAJOR slam on e-cigs — study shows kids who use e-cigs are actually more likely to take up smoking

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Man, this totally symbolizes what I hate about e-cigs and disgusting e-cigarette marketing.

A recent University of Southern California study shows that kids who take up e-cigs are more likely to start smoking than kids who never use e-cigs.

The study surveyed 2,500 kids and found that a higher percentage of kids who take up smoking vaped first than those who never vaped. Thirty-one percent of the kids who vaped moved on to tobacco products while only 8 percent of non-vapers did.

I would absolutely love it if the only use of e-cigs was by people trying to quit. But, the rate of vaping among teenagers is skyrocketing (it’s tripled since 2011). This study strongly suggest that it is not helping to steer kids away from actual smoking, e-cigs are actually helping to create more eventual smokers.

From an NBC News article:

This could simply show that some kids are more rebellious than others, or keen to try new things, the researchers said. Or it could be some are more easily seduced by nicotine — the active ingredient in both e-cigarettes and traditional combustible tobacco products.

“Adolescents who enjoy the experience of inhaling nicotine via e-cigarettes could be more apt to experiment with other nicotine products, including smokeable tobacco,” Leventhal said.

Researchers blame the marketing. E-cigs aren’t under the same rules as cigarettes, they can use cool cartoon characters to market to kids. And rock and roll music and  international superstar Steven Dorff (????) decked out in a hip racing uniform vaping his e-cig … and e-cig advertising on girls’ panties. No rules against any of that. Thank you, Food and Drug Adminstration for dragging your feet for two @#$%ing years on this.

From the NBC article:

“There is ample evidence that e-cigarettes are marketed in ways that appeal to children and adolescents. Prompt, effective action is needed to protect youth and reduce the demand for e-cigarettes by nonsmokers of all ages,” Dr. Nancy Rigotti of the Massachusetts General Hospital and Harvard Medical School wrote in a commentary.

 

 

The newest vaping trend — vaping caffeine

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I’m not sure what to think of this, other than the less kids get hooked on nicotine, the better.

Because of the wild success of vaping (e-cigarettes), the latest trend in e-cigs is moving toward vaping caffeine.

Hey, if it makes vaping nicotine less popular, more power to them. Though I wouldn’t considering myself an expert in talking about caffeine, I have no doubt it is considerably less nasty than nicotine. The New York Times describes this as “Red Bull for the lungs.”

A typical cup of coffee contains between 95 and 200 milligrams of coffee. By comparison, caffeine vaporizers contains 2 milligrams of caffeine per puff, meaning you’d have to puff about 50 times to get the same amount of caffeine as a cup of coffee.

Like nicotine e-cigs, the Food and Drug Administration hasn’t set any rules about caffeine vaporizers. In fact, it doesn’t appear the feds have even really studied it. (The FDA is working on final nicotine e-cig regulations … for like two years now.).

According to one writer who tried the caffeine e-cigs, the steam tastes like candy and little happened until the 10th puff.  From the New York Times:

In a recent test, I found the Eagle experience a far cry from smoking, or drinking coffee. The first drag on this cigarillo-size plastic tube produced a blue glow from the LED tip, and a mouth filled with a surprising hard-candy sweetness; it felt a bit as if one had been freebasing a Jolly Rancher Cherry Stix.

After the fifth hit, a promising tingle in the fingertips emerged. At 10 hits, it was an official buzz, albeit more the tingly, full-body caffeine glow one associates with Red Bull rather than the brain-focused coffee jolt.

 

 

Report: Peer pressure helping to drive e-cigarette use among teens

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Teen using e-cig

Arrrgghhh, this makes my head explode.

A University of Southern California study published in Pediatrics states that teens are being encouraged to use e-cigs by the fact that all of their friends are using e-cigs. Banging … my … head … on … my … desk ….

They study, which included a survey of more than 2,000 teens, states that about 40 percent of the kids using e-cigs have never smoked a cigarette.  Moreover, it showed how important peer pressure is for affecting how many kids use e-cigs. More than one-third — 34 percent — of teen e-cig users have other e-cig users at home or among their friends.

From the Good Morning America article:

Adolescents who have three or four of their closest friends who used e-cigarettes were 104 times as likely than those with no friends who currently used e-cigarettes, to be a current e-cigarette user themselves,” says Jessica Barrington-Trimis, research associate at the University of Southern California and the study’s lead author. “So that’s a very strong finding.”

One of the biggest drags about e-cigs (No pun intended) is that it took 20-30 years of work to convince kids that smoking was not “cool” or “hip,” or whatever. And now all that work seems to be becoming undone by kids simply choosing a different nicotine delivery system. Granted, e-cigs may not be quite as bad as cigarettes, but they are still pumping kids full of nicotine, an incredibly addictive and not benign substance.

From the article:

E-cigarettes often contain nicotine, so they may induce sort of a psychological dependency on nicotine and then may lead to future cigarette use,” Barrington-Trimis explained. “Or, e-cigarettes may lead to the normalization of smoking behaviors and that’s the normalization that we’re concerned with.”

“We don’t want to see smoking normalized again,” said Delaware State Representative Debra Heffernan, a prime sponsor of a passed bill that bans smoking e-cigarettes indoors. “You used to never see it and now I’ve seen people smoking them while standing in line at Starbucks or in a store. It’s just scary that it has become so popular so quickly.”

 

CVS quits U.S. Chamber of Commerce over CoC’s campaign against anti-smoking laws

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Great story, I loved this.

CVS Health, which gained notoriety  in recent months for removing all tobacco products from its chain of drug stores, has now left the U.S. Chamber of Commerce because that organization is embroiled in a lobbying campaign worldwide against anti-smoking laws.

This is a growing issue in the battle against the spread of tobacco worldwide. Something that I didn’t pay that much attention to until John Oliver did an epic 18-minute rant about it on his show earlier this year.

Big Tobacco has in many ways given up fighting anti-smoking laws in the U.S. and much of the West. However, it is taking the fight to the Third World, where smaller countries don’t have the financial resources to hold their own against Big Tobacco. The tobacco is fighting laws against tobacco marketing and packaging in countries ranging from Australia to Uruguay. While Australia kicked Big Tobacco’s butt (pun intended) over the issue of plain packaging of tobacco products, little countries like Uruguay and Togo which are trying to restrict tobacco marketing in their countries simply can’t go up against the tobacco industry’s wealth.

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Enter the U.S. Chamber of Commerce, which has become an increasingly right-wing entity over the past several years. The Chamber and its president Thomas Donohue are also fighting these small countries on behalf of Big Tobacco. Here is a list of some of the letters they have written supporting the tobacco industry to countries such as Ireland, Uruguay and New Zealand.

From a New York Times article:

We were surprised to read recent press reports concerning the U.S. Chamber of Commerce’s position on tobacco products outside the United States,” David R. Palombi, a senior vice president at the company, said in a statement. “CVS Health’s purpose is to help people on their path to better health, and we fundamentally believe tobacco use is in direct conflict with this purpose.”

In its defence, the Chamber responded:

“It’s unfortunate that a concerted misinformation campaign about the U.S. Chamber’s position on smoking has resulted in a company leaving our organization.

“To be clear, the chamber does not support smoking and wants people to quit. At the same time, we support protecting the intellectual property and trademarks of all legal products in all industries and oppose singling out certain industries for discriminatory treatment.”

However, if the Chamber is just trying to protect trademarks of tobacco companies, then why is it fighting smoking bans? That’s got nothing to do with trademarks.

According to the New York Times:

The chamber has not said why it has opposed public health steps like restricting smoking in public places, which it called an “extreme” measure when it was proposed in Moldova.

CVS is not the only entity taking the Chamber to task. Others include Sens. Al Franken and Elizabeth Warren, billionaire Richard Branson and the World Health Organization.

From the Times:

Last week, seven Senate Democrats, including Richard Blumenthal, Al Franken and Elizabeth Warren, called the chamber’s tobacco lobbying “craven and unconscionable,” adding that “member companies should be concerned that their good name is sullied in efforts to strike down public health protections worldwide.”

Richard Branson, the billionaire British entrepreneur, said on Twitter that the chamber was on “the wrong side of history.” And on Tuesday, the head of the W.H.O. weighed in, assailing the chamber over its lobbying practices.

“By lobbying against well-established, widely accepted and evidence-based tobacco control public health policies, the U.S. Chamber of Commerce undermines its own credibility on other issues,” Dr. Margaret Chan, the director general of the W.H.O., said in a statement on Tuesday. “So long as tobacco companies continue to be influential members of the chamber, legitimate businesses will be tarred with the same brush.”

Good on you, CVS, for highlighting what the U.S. Chamber of Commerce is doing and putting the spotlight on its sleazy lobbying on behalf of the tobacco industry.