August 8, 2008
James D. Felsen
Smoking ban needs more study

AT A RECENT meeting of the Kanawha-Charleston Board of Health, board members - responding to complaints of bar owners claiming their businesses were suffering because of the recently implemented expanded smoking ban - said they would be willing to look at any information presented to them.

Board chairwoman Brenda Isaac further noted that the board was "...not telling anyone they can't smoke... We're telling them their smoke hurts other people." Accepting the validity and sincerity of these statements at face value, what type of information should the Board and public seek and assess to consider enacting any revision of the policy?

A good place to start would be to review a report on secondhand smoke exposure released by the Centers for Disease Control and Prevention in early July. The good news is that by banning smoking in most public places between the late 1980s through 2002, exposure fell 70 percent. The bad news is that this reduced exposure was insufficient to eliminate any signs of exposure (still nearly 50 percent) in the population, "particularly children age four to 11." Over 60 percent of children still showed signs of recent exposure. The study further reported that between "1999 to 2004, children were four times more likely to be exposed at home than were adults - 23.8 percent versus 5.9 percent."

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    Posted By: Peter (9:55pm 08-08-2008)
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    Dr Felser knows a lot more about the affects of secondhand smoke than most, if not all of the people posting here. I'm sure that he can understand the science, and he also sees the results first hand as a physician. Smoking bans do reduce exposure to secondhand smoke, especially in the workplace. And bans also encourage smokers to quit. Both are very positive results indeed.

    Posted By: neditor (3:28pm 08-08-2008)
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    Hilarious! Mr. Felser is not much of a scientist. He should try looking at the existing data before jumping to conclusions or suggesting a plan of action. Does Mr. Felser think Kanawha is the first place to try a smoking ban? Does he understand the relationships of cause and effect? He seems to believe that not having a smoking ban makes people smoke less at home. Yet he has no evidence. This article provides no useful information.

    Posted By: Wolfwm (3:25pm 08-08-2008)
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    "Facts" regarding causation are very inconvenient. They are often hard to understand and emotionally not very enjoyable. Suggesting that we use them invites attacks from the extremes on both sides of the issue.

    Dr. Felsen did NOT suggest that exposure to tobacco smoke was NOT a serious problem or that children would not be exposed at home by smokers that go to bars. His remarks clearly indicate that we do not know what impact banning smoking in bars has had on the level of home exposures - ESPECIALLY since children are four times more likely to be exposed at home. He suggested that we concentrate on eliminating a known source of exposure to children (BINGO) if that continues to be a problem.

    Children usually have no choice regarding exposure and we need to explore the reasons why 60% are still exposed and more effectively address that exposure.

    Posted By: UNBELIEVABLE (10:38am 08-08-2008)
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    It is NOT logical to hypothosize that public clean indoor air regulations result in exposing children to more secondhand smoke. those who smoke in pubilc will still smoke at home. such laws encourage people to quit the addiction. how deeply saddening it is that, instead of those who sincerely care about everyone's health uniting for this important cause, peole like this gentleman throw their hat into the public discourse and water down the message.

    Posted By: getthefacts (6:38am 08-08-2008)
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    Bingo isn't covered because state law says:

    §47-20-28a. Certain operators of bingo games to provide for smoking and nonsmoking sections.
    Any bingo operator who distributes more than one hundred bingo cards or bingo sheets at any bingo occasion shall provide a smoking and nonsmoking section, if smoking is permitted.

    The West Virginia Supreme Court Ruled in Spetember 2003 in Foundation for Independent Living v. Cabell County Board of Health that "regulations adopted by local boards of health, being inferior in status and subordinate to legislative acts, cannot contradict state statutes or properly promulgated state regulations" and in that ruling precluded Boards of Health from regulating smoking in areas in which the legislature had addressed, i.e., bingo halls and personal care homes.

    Posted By: BeenthereBeenback (4:02am 08-08-2008)
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    A Cause that created a Carcinogen

    The Great American Smokeout

    No way, no way, you’ll surely say,
    Don’t lie to us, do not betray.
    Oh yes, ….. tis true, …. tis true,
    The truth is out there ……. if you only knew.

    T’was long ago, back in Seventy-One,
    When money was needed, for the Scholarship Fund.
    In Randolph, Maine, not so far away,
    Mullaney said “Don’t smoke today”.

    The cause was good, the smoke that day was held back,
    The money was donated, that would have bought a pack.
    “Great News” said Mullaney, they had met their quota,
    His message was heard, far away in Minnesota.

    It was a cold day, in Seventy-Four,
    That silly Lynn Smith, started knocking on doors.
    She was Editor of the paper, she wanted her say,
    Thus was born, the state's first Don't Smoke Day.

    And “DUH”, what better opportunity to garner money, notoriety and fame,
    T’was none other than the American Cancer Society, who joined in the game.
    Their Great American Smokeout, was launched forthwith,
    The gullible public lo

    Posted By: bapaball (2:12am 08-08-2008)
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    DOCTOR... You cannot escape the Hippocratic oath you took when your became a doctor: "DO NO HARM!" The 2006 Surgeon General's Report you quote had a clear, consice conclusion confirming the known health effects of secondhand smoke exposure, including immediate adverse effects on the cardiovascular system, and coronary heart disease and lung cancer. The report concluded that there is no safe level of exposure to secondhand smoke and that establishing smokefree environments is the only proven way to prevent exposure. What about 'do no harm' don't you understand?

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