Tobacco is an agricultural product acting as a stimulant triggering complex biochemical and neurotransmitter disruptions. [1] Its main ingredient is nicotine and it is present in all cigarettes. [1] Early tobacco usage was for medical cures and religious purposes. [2] In the early 1900s, cigarette usage became increasingly popular when it was sold in mass amounts. [3] In 1964, the Surgeon General of the United States wrote a report concerning the dangers of cigarette smoking. [4] In the United States, for the past 50 years efforts have been made so that the public should be aware of the risks of tobacco usage. [5]
In Alabama, 22.1% of the adult population (ages 18+), over 783,000 individuals, are current cigarette smokers. Across all states, the prevalence of cigarette smoking among adults ranges from 9.3% to 26.5%. Alabama ranks 42nd among the states. [6] Among youth ages 12–17, 12.0% smoke in Alabama. The range across all states is 6.5% to 15.9%. Alabama ranks 40th among the states. [6]
Among adults age 35+ years, over 7,600 died as a result of tobacco use per year, on average, during 2000–2004. This represents a smoking-attributable mortality rate of 317.5 per 100,000. Alabama's smoking-attributable mortality rate ranks 44th among the states. [6] [7] Also, approximately 850 adult non-smokers die each year from exposure to secondhand smoke. [7]
The American Lung Association, an organization which campaigns against the use of tobacco, [8] is a member of the Coalition for a Tobacco-Free Alabama and works towards reducing the tobacco usage in the state. [9] They try to discourage tobacco usage by working to create smoke-free environments and advocating an increase of tobacco taxes. [9]
While Alabama does not have a statewide smoking ban, smoking is prohibited in many public places and meetings because of the Alabama Clean Indoor Act which was enacted in 2003. [10] [11] State local governments have their own bans against smoking in their counties. [11] A bill for a statewide smoking ban failed in the Alabama Legislature in May 2008. [10] Alabama attempted to pass a smoking ban again in 2009, that was stalled when its author, Vivian Figures, pulled the bill from Senate consideration after it was amended by Senate to include smoking exemptions in certain places. [10] [12] In March 2011, a new bill was proposed, that if passed would ban smoking in all public places. [13]
In 2008, a student group called Students Working Against Tobacco (SWAT) received $28,000 from the Alabama Department of Public Health to spread their message. [14] SWAT operates out of Bryant, LeFlore and Murphy high schools and Phillips Preparatory middle school. [14]
The Youth Empowerment Program is a peer-teaching model that provides anti-tobacco messages to more than 58,000 teens according to Alabama's state health officer Don Williamson. [15] The state funds community groups to educate people about the dangers of second-hand smoke and to encourage young people to reject tobacco use. [15] The State Health Department also has a new teen cessation project that uses advertising on television and radio, as well as a MySpace page. [15]
The Auburn CARES Coalition and the Alabama Department of Public Health encourage young people to make healthy tobacco-free choices and for those using chewing tobacco to quit. [16] ADPH offers a free support and counseling service to help users successfully quit. [16]
The State of Tobacco Control 2010 Report grades states on their anti-tobacco efforts; in this report, Alabama received straight "Fs". [17] The state was graded in four categories:
Alabama ranked right at the bottom in all four categories. [17] For every smoker in Alabama, $993 a year is spent on hospital care as a result of smoking. [18] A national study shows that Alabama's economy suffers $5.6 billion a year in direct costs because of smoking, which also includes more than $1 billion in lost workplace productivity and $1.7 billion in direct medical expenditures. [18]
Specific smoking regulatory bills passed in Alabama include the following:
While the number of high school smokers is at an all-time low, 22.1 percent or 12,400 children under 18 still become new smokers each year. [16] It is estimated that 174,000 kids who are now under the age of 18 and alive in Alabama will ultimately die prematurely from smoking. [7] Furthermore, offsetting the positive trend of reduced smoking rates in youth is an increase in the use of smokeless tobacco products such as snuff, dip, and chew. [16]
A new product called "Snus," described as a smokeless, spitless, less detectable way to use tobacco is marketed to young users. [16] With higher levels of nicotine than other snuff products, it contains some of the same carcinogens and is more addictive. [16]
On the 2009 Auburn City School's Pride Student Survey, 10 percent of 10th graders and one out of seven seniors reported using smokeless tobacco products in the last year. [16] This is a dangerous trend since smokeless tobacco products are not safer, and a user's chance of getting oral cancer is 50 times greater than a non-user. [16]
Smoking bans, or smoke-free laws, are public policies, including criminal laws and occupational safety and health regulations, that prohibit tobacco smoking in certain spaces. The spaces most commonly affected by smoking bans are indoor workplaces and buildings open to the public such as restaurants, bars, office buildings, schools, retail stores, hospitals, libraries, transport facilities, and government buildings, in addition to public transport vehicles such as aircraft, buses, watercraft, and trains. However, laws may also prohibit smoking in outdoor areas such as parks, beaches, pedestrian plazas, college and hospital campuses, and within a certain distance from the entrance to a building, and in some cases, private vehicles and multi-unit residences.
The New Jersey Smoke-Free Air Act is a comprehensive smoking ban that took effect in New Jersey on April 15, 2006. The law prohibits smoking in most workplaces as well as in indoor public areas. The Act has been amended a number of times including in 2009 to extend the ban to electronic smoking devices and in 2018 to extend the ban to public parks and beaches. A notable exception to the smoking ban is in casinos, but legislation to remove this exception is currently pending in the New Jersey Legislature. The New Jersey Smoke-Free Air Act also allows municipalities to enact their own restrictions on smoking.
Tobacco harm reduction (THR) is a public health strategy to lower the health risks to individuals and wider society associated with using tobacco products. It is an example of the concept of harm reduction, a strategy for dealing with the use of drugs. Tobacco smoking is widely acknowledged as a leading cause of illness and death, and reducing smoking is vital to public health.
In the early 20th century, German researchers found additional evidence linking smoking to health harms, which strengthened the anti-tobacco movement in the Weimar Republic and led to a state-supported anti-smoking campaign. Early anti-tobacco movements grew in many nations from the middle of the 19th century. The 1933–1945 anti-tobacco campaigns in Nazi Germany have been widely publicized, although stronger laws than those passed in Germany were passed in some American states, the UK, and elsewhere between 1890 and 1930. After 1941, anti-tobacco campaigns were restricted by the Nazi government.
Smoking in Japan is practiced by around 20,000,000 people, and the nation is one of the world's largest tobacco markets, though tobacco use has been declining in recent years.
Tobacco politics refers to the politics surrounding the use and distribution of tobacco, likewise with regulations.
Inflight smoking is the act of smoking tobacco on an aircraft while in flight. While once prevalent, it is now prohibited by almost all airlines and by many governments around the world. The bans on inflight smoking have been imposed in a piecemeal manner around the world beginning in the 1980s. The use of electronic cigarettes and smokeless tobacco is also prohibited.
Smoking bans in private vehicles are enacted to protect passengers from secondhand smoke and to increase road traffic safety, e.g. by preventing the driver from being distracted by the act of smoking. Smoking bans in private vehicles are less common than bans extended to public transport or vehicles used during work, like trucks or police cars.
Smoking in China is prevalent, as the People's Republic of China is the world's largest consumer and producer of tobacco. As of 2022, there are around 300 million Chinese smokers, and 2.4 trillion cigarettes are sold there every year, 46% of the world total.
The use of tobacco products in Egypt is widespread. It is estimated that approximately twenty percent of the population uses tobacco products daily. Cigarettes are the most common form of tobacco consumption in Egypt, with an estimated twenty billion cigarettes smoked annually in the country. After cigarettes, shisha water-pipes are the most common form of tobacco consumption.
SmokinginCanada is banned in indoor public spaces, public transit facilities and workplaces, by all territories and provinces, and by the federal government. As of 2010, legislation banning smoking within each of these jurisdictions is mostly consistent, despite the separate development of legislation by each jurisdiction. Notable variations between the jurisdictions include: whether, and in what circumstances ventilated smoking rooms are permitted; whether, and up to what distance away from a building is smoking banned outside of a building; and, whether smoking is banned in private vehicles occupied by children.
Smoking in the United Kingdom involves the consumption of combustible cigarettes and other forms of tobacco in the United Kingdom, as well as the history of the tobacco industry, together with government regulation and medical issues.
Smoking in India is one of the oldest industries and provides employment to more than five million people directly and indirectly. India is the second-largest producer of tobacco in the world. Smoking has been known since at least 2000 BC when cannabis was smoked and is first mentioned in the Atharvaveda. Fumigation (dhupa) and fire offerings (homa) are prescribed in the Ayurveda for medical purposes and have been practiced for at least 3,000 years while smoking, dhumrapana has been practiced for at least 2,000 years. Tobacco was introduced to India in the 17th century. It later merged with existing practices of smoking.
Tobacco smoking in the Philippines affects a sizable minority of the population. According to the 2015 Global Adult Tobacco Survey (GATS) conducted under the auspices of the Philippines' Department of Health, Philippine Statistics Authority, the World Health Organization, and the United States Centers for Disease Control and Prevention, 23.8 percent of the adult population were "current tobacco smokers". This figures represented 16.6 million of 69 million adult Filipinos.
Tobacco-free college campuses are institutions that have implemented policies banning the use of tobacco products in all indoor and outdoor areas. The stated aim of these policies is to reduce cigarette smoking among college students and to protect people on campus from secondhand smoke. A banner promoting a smoke-free campus initiative often accompanies these efforts.
Executive Order No. 26, entitled Providing for the Establishment of Smoke-Free Environments in Public and Enclosed Places, was issued by Philippine President Rodrigo Duterte on May 16, 2017. This executive order invoked the Clean Air Act of 1999 and the Tobacco Regulation Act of 2003 to impose a nationwide ban on smoking in all public places in the Philippines. The ban replicates on a national level an existing ordinance in Davao City that Duterte created as mayor in 2002. The order took effect on July 23, 2017, 60 days after its publication in a newspaper.
Smoking in Latvia is common, with a rate higher than the OECD average, and Latvian men are among the heaviest smokers in the European Union. One in four Latvians smoke, as compared to one in five in the rest of the European Union. While the overall smoking rate in Latvia has decreased in recent years, it is considered a significant factor in the country's significant health challenges, particularly with regard to preventable diseases such as heart disease, diabetes, and cancer.
Tobacco use in Nepal is a common practice. Smoking cigarettes is the most common mode of tobacco use in Nepal. Tobacco is attributed to cause over 27000 annual deaths in Nepal.