World No Tobacco Day

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World No Tobacco Day
World-no-tobacco-day-2018.jpg
World No Tobacco Day poster by the WHO
Official nameWorld No Tobacco Day
Observed byAll UN member states
TypeAwareness
Date 31 May
Next time31 May 2024 (2024-05)
FrequencyAnnual
Related to Abstaining from tobacco
Ash trays with fresh flowers are a common symbol of World No Tobacco Day. Bluete in Aschenbecher.jpg
Ash trays with fresh flowers are a common symbol of World No Tobacco Day.

World No Tobacco Day (WNTD) is observed around the world every year on 31 May. The annual observance informs the public on the dangers of using tobacco, the business practices of tobacco companies, what the World Health Organization (WHO) is doing to fight against the use of tobacco, and what people around the world can do to claim their right to health and healthy living and to protect future generations. [1]

Contents

The Member States of the WHO created World No Tobacco Day in 1987 to draw global attention to the tobacco epidemic and the preventable death and disease it causes. The day is further intended to draw attention to the widespread prevalence of tobacco use and to negative health effects, which currently lead to more than 8 million deaths each year worldwide, including 1.2 million as the result of non-smokers being exposed to second-hand smoke. [2] The day has been met with both enthusiasm and resistance around the globe from governments, public health organizations, smokers, growers, and the tobacco industry.

WHO and World No Tobacco Day

WNTD is one of 11 official global public health campaigns marked by the WHO, along with World Health Day, World Blood Donor Day, World Immunization Week, World Tuberculosis Day, World Malaria Day, World Hepatitis Day, World Chagas Disease Day, World Patient Safety Day, World Antimicrobial Awareness Week, and World AIDS Day. [3]

Timeline

Themes

Each year, the WHO selects a theme for the day in order to create a more unified global message for WNTD. This theme then becomes the central component of the WHO's tobacco-related agenda for the following year. [19] The WHO oversees the creation and distribution of publicity materials related to the theme, including brochures, fliers, posters, websites, and press releases. [20] Videos were created as a part of the 2008 WNTD awareness campaign for the theme "Tobacco-free youth" and published on YouTube, and podcasts were first used in 2009. [21]

In many of its WNTD themes and related publicity-materials, the WHO emphasizes the idea of "truth". Theme titles such as "Tobacco kills, don't be duped" (2000) and "Tobacco: deadly in any form or disguise" (2006) indicate a WHO belief that individuals may be misled or confused about the true nature of tobacco; the rationale for the 2000 and 2008 WNTD themes identify the marketing strategies and "illusions" created by the tobacco industry as a primary source of this confusion. [19] The WHO's WNTD materials present an alternate understanding of the "facts" as seen from a global public health perspective. WNTD publicity materials provide an "official" interpretation of the most up-to-date tobacco-related research and statistics and provide a common ground from which to formulate anti-tobacco arguments around the world. Themes for World No Tobacco Day have been "Tobacco – a threat to development" (2017), [22] "Tobacco breaks hearts" (2018), [23] "Make Every Day World No Tobacco Day" (2019),[ citation needed ] "Tobacco Exposed: The secret's out" (2020), [24] and "Commit to Quit" (2021). [24] "Tobacco: Threat to our environment" (2022),"We need food, not tobacco" (2023). [25]

Event coordination

The WHO serves as a central hub for fostering communication and coordinating WNTD events around the world. The WHO website provides a place for groups to share news of their activities, and the organization publishes this information online by country. [26]

Awards

Since 1988, the WHO has presented one or more awards to organizations or individuals who have made exceptional contributions to reducing tobacco consumption. World No Tobacco Day Awards are given to individuals from six different world regions (Africa, Americas, Eastern Mediterranean, Europe, South-East Asia, and Western Pacific), and Director-General Special Awards and Recognition Certificates are given to individuals from any region. [27]

Global observance

Medical students in Jakarta demonstrate against tobacco, Sunday, 30 May 2010, a day before World No Tobacco Day. The action was meant to raise public awareness on negative effect of smoking. Bundaran Hotel Indonesia, Central Jakarta, Indonesia. Anti Tobacco Movement Jakarta.jpg
Medical students in Jakarta demonstrate against tobacco, Sunday, 30 May 2010, a day before World No Tobacco Day. The action was meant to raise public awareness on negative effect of smoking. Bundaran Hotel Indonesia, Central Jakarta, Indonesia.

Groups around the world – from local clubs to city councils to national governments – are encouraged by the WHO to organize events each year to help communities celebrate World No Tobacco Day in their own way at the local level. Past events have included letter writing campaigns to government officials and local newspapers, marches, public debates, local and national publicity campaigns, anti-tobacco activist meetings, educational programming, and public art. [28]

In addition, many governments use WNTD as the start date for implementing new smoking bans and tobacco control efforts. For example, on 31 May 2008, a section of the Smoke Free Ontario Act came into effect banning tobacco "power walls" and displays at stores in this Canadian province, and all hospitals and government offices in Australia became smoke-free on 31 May 2010. [29] [30]

The day has also been used as a springboard for discussing the current and future state of a country as it relates to tobacco—for example in India which, with 275 million tobacco users, has one of the highest levels of tobacco consumption in the world. [31] The Government of India has also launched a Smoking Cessation Helpline to help curb the widespread addiction in the country. [32]

Resistance

For some, WNTD is seen as a challenge to individual freedom of choice or even a culturally acceptable form of discrimination. From ignoring WNTD, to participating in protests or acts of defiance, to bookending the day with extra rounds of pro-tobacco advertisements and events, smokers, tobacco growers, and the tobacco industry have found ways to make their opinions heard. [33]

Smoker response

There has been no sustained or widespread effort to organize counter-WNTD events on the part of smokers. However, some small groups, particularly in the United States, have created local pro-smoking events. For example, the Oregon Commentator , an independent conservative journal of opinion published at the University of Oregon, hosted a "Great American Smoke-in" on campus as a counter to the locally more widespread Great American Smokeout: "In response to the ever-increasing vilification of smokers on campus, the Oregon Commentator presents the Great American Smoke-in as an opportunity for students to join together and enjoy the pleasures of fine tobacco products". [34] Similarly, "Americans for Freedom of Choice", a group in Honolulu, Hawaii, organized "World Defiance Day" in response to WNTD and Hawaii's statewide ban on smoking in restaurants. [35]

Industry response

Historically, in America the tobacco industry has funded state initiatives that provide resources to help smokers quit smoking as per the Master Settlement Agreement regulated by the U.S. government. [36] For example, Philip Morris USA operates a website that acts as a guide for those who choose to quit smoking. [37]

World No Tobacco Days have not induced a positive vocal response from the tobacco industry. For example, a memo made publicly available through the Tobacco Archives website was sent out to executives of R. J. Reynolds Tobacco Company in preparation for the third annual World No Tobacco Day, [38] which had the theme of "Childhood and Youth Without Tobacco". The memo includes a warning about the upcoming day, a document that explains the arguments they anticipate the WHO making, and an explanation of how the company should respond to these claims. For example, in response to the anticipated argument that their advertisements target children, the company's response includes arguments that claim their advertisements are targeted towards adults by using adult models, and that advertisements lack the power to influence what people will actually purchase. [39] In Uganda, since the World No Tobacco Day is the one day that the media is obligated to publicize tobacco control issues, the British American Tobacco company uses the eve of the day to administer counter-publicity. In 2001, their strategy included events such as a visit with the President of the International Tobacco Growers Association. [40]

Some major pharmaceutical companies publicly support WNTD. For example, Pfizer was a large sponsor for many WNTD events in the United Arab Emirates in 2008. At the time, Pfizer was preparing to release its drug Chantix (varenicline) into the Middle Eastern market. The drug was "designed to activate the nicotinic receptor to reduce both the severity of the smoker's craving and the withdrawal symptoms from nicotine". [41]

Grower response

Many tobacco growers feel that anti-tobacco efforts by organizations such as the WHO jeopardize their rights. For example, the International Tobacco Growers Association (ITGA) argues that poor farmers in Africa may suffer the consequences if WHO anti-tobacco movements succeed. They also argue that these efforts may gang up on manufacturers of tobacco and be an attack on the industry, therefore hurting the growers. [42]

Potential for Indigenous American opposition

As some traditions and ceremonies of a number of cultures and ethnicities of Native Americans in the United States and First Nations in North America have been based on tobacco since pre-Columbian times, some potential for unintended abrogation of such traditions may exist from authorities seeking to eliminate tobacco from worldwide use – traditions of non-combustive use of tobacco for some forms of indigenous American ceremonial purposes have begun to be used for cessation of cigarette use among indigenous tribal members, [43] while members of the Oglala Lakota have had their struggles to retain important historic tribal artifacts used for tobacco's traditional role in their ethnicity's traditions, to prevent their illegal sale. [44] It is possible that a 2015 survey from Health Canada concerning future tobacco control legislation in Canada, having a section requesting advice from indigenous peoples within Canada, showed the potential of concern over such issues. [45]

See also

Related Research Articles

<span class="mw-page-title-main">Cigarette</span> Small roll of cut tobacco designed to be smoked

A cigarette is a narrow cylinder containing a combustible material, typically tobacco, that is rolled into thin paper for smoking. The cigarette is ignited at one end, causing it to smolder; the resulting smoke is orally inhaled via the opposite end. Cigarette smoking is the most common method of tobacco consumption. The term cigarette, as commonly used, refers to a tobacco cigarette, but the word is sometimes used to refer to other substances, such as a cannabis cigarette or a herbal cigarette. A cigarette is distinguished from a cigar by its usually smaller size, use of processed leaf, and paper wrapping, which is typically white.

<span class="mw-page-title-main">Tobacco smoking</span> Practice of burning tobacco and breathing the resulting smoke

Tobacco smoking is the practice of burning tobacco and ingesting the resulting smoke. The smoke may be inhaled, as is done with cigarettes, or simply released from the mouth, as is generally done with pipes and cigars. The practice is believed to have begun as early as 5000–3000 BC in Mesoamerica and South America. Tobacco was introduced to Eurasia in the late 17th century by European colonists, where it followed common trade routes. The practice encountered criticism from its first import into the Western world onwards but embedded itself in certain strata of a number of societies before becoming widespread upon the introduction of automated cigarette-rolling apparatus.

<span class="mw-page-title-main">Smoking ban</span> Law prohibiting tobacco smoking in a given space

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.

<span class="mw-page-title-main">Nicotine marketing</span> Marketing technique

Nicotine marketing is the marketing of nicotine-containing products or use. Traditionally, the tobacco industry markets cigarette smoking, but it is increasingly marketing other products, such as electronic cigarettes and heated tobacco products. Products are marketed through social media, stealth marketing, mass media, and sponsorship. Expenditures on nicotine marketing are in the tens of billions a year; in the US alone, spending was over US$1 million per hour in 2016; in 2003, per-capita marketing spending was $290 per adult smoker, or $45 per inhabitant. Nicotine marketing is increasingly regulated; some forms of nicotine advertising are banned in many countries. The World Health Organization recommends a complete tobacco advertising ban.

Action on Smoking and Health (ASH) is the name of a number of autonomous pressure groups (charities) in the anglosphere that seek to publicize the risks associated with tobacco smoking and campaign for greater restrictions on use and on cigarette and tobacco sales.

<span class="mw-page-title-main">Health effects of tobacco</span> Circumstances, mechanisms, and factors of tobacco consumption on human health

Tobacco products, especially when smoked or used orally, have serious negative effects on human health. Smoking and smokeless tobacco use is the single greatest cause of preventable death globally. As many as half of people who smoke tobacco or use it orally die from complications related to such use. It has been estimated that each year, in total about 6 million people die from tobacco-related causes, with 600,000 of these occurring in non-smokers due to secondhand smoke. It is further estimated to have caused 100 million deaths in the 20th century.

<span class="mw-page-title-main">Prevalence of tobacco use</span> Percentage of population smoking tobacco

Prevalence of tobacco use is reported by the World Health Organization (WHO), which focuses on cigarette smoking due to reported data limitations. Smoking has therefore been studied more extensively than any other form of consumption.

<span class="mw-page-title-main">Smoking</span> Practice of inhaling a burnt substance for psychoactive effects

Smoking is a practice in which a substance is combusted and the resulting smoke is typically inhaled to be tasted and absorbed into the bloodstream of a person. Most commonly, the substance used is the dried leaves of the tobacco plant, which have been rolled with a small rectangle of paper into an elongated cylinder called a cigarette. Other forms of smoking include the use of a smoking pipe or a bong.

<span class="mw-page-title-main">Tobacco control</span> Field of health science

Tobacco control is a field of international public health science, policy and practice dedicated to addressing tobacco use and thereby reducing the morbidity and mortality it causes. Since most cigarettes and cigars and hookahs contain/use tobacco, tobacco control also concerns these. E-cigarettes do not contain tobacco itself, but (often) do contain nicotine. Tobacco control is a priority area for the World Health Organization (WHO), through the Framework Convention on Tobacco Control. References to a tobacco control movement may have either positive or negative connotations, depending upon the commentator.

<span class="mw-page-title-main">Tobacco in the United States</span>

Tobacco has a long cultural, economic, and social impact on the United States. Tobacco cultivation in Jamestown, Virginia, in 1610 lead to the expansion of British colonialism in the Southern United States. As the demand for Tobacco grew in Europe, further colonization in British America and Tobacco production saw a parallel increase. Tobacco use became normalized in American society and was heavily consumed before and after American independence.

<span class="mw-page-title-main">Women and smoking</span> Tobacco consumption among women

Tobacco smoking has serious negative effects on the body. A wide variety of diseases and medical phenomena affect the sexes differently, and the same holds true for the effects of tobacco. Since the proliferation of tobacco, many cultures have viewed smoking as a masculine vice, and as such the majority of research into the specific differences between men and women with regards to the effects of tobacco have only been studied in-depth in recent years.

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.

<span class="mw-page-title-main">Smoking in Syria</span> Legality, popularity and history of smoking in Syria

Smoking in Syria is steadily increasing in popularity amongst the Syrian population, mainly in the forms of cigarettes or narghiles. In Syria, the General Organization of Tobacco manages the growth and exportation of tobacco products. Syrians collectively spend about $600 million per year on tobacco consumption. As of 2010, 20% of women and 60% of men smoke and 98% of the overall population is affected by passive smoking. Narghiles and cigarettes are the two main forms of tobacco consumption. Despite the assumption that smoking, specifically the narghile, is embedded in Syrian culture, this phenomenon has only recently become widespread. Health officials are currently working on smoking cessation programs and policies, to remove this idea that smoking in Syria is an essential part of the culture, to educate regarding health effects, and to prevent citizens from smoking in public places.

<span class="mw-page-title-main">Smoking in Egypt</span> Overview of smoking in Egypt

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.

Smoking in South Korea has decreased overall for both men and women in the past decades. However, a high prevalence of tobacco use is still observed, especially with the rise of novel tobacco products such as e-cigarettes and heat-not-burn tobacco products. There are socioeconomic inequalities in smoking prevalence according to gender, income, education, and occupational class. Advocates call for measures to reduce the smoking rates and address smoking inequalities using a combination of monitoring and tobacco control policies. These measures include significant price hikes, mandatory warning photos on cigarette packs, advertising bans, financial incentives, medical help for quitting, and complete smoking bans in public places.

<span class="mw-page-title-main">Smoking in India</span> History, culture, legality and prevalence of smoking in India

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.

<span class="mw-page-title-main">Smoking in Costa Rica</span> History, culture, legality and prevalence of smoking in Costa Rica

Smoking in Costa Rica is still somewhat prevalent, and according to the Global Adult Tobacco Survey (GATS) in 2015, 8.9% of the population smoked tobacco. The number of people exposed to secondhand smoke indoors while at the workplace was 6.3% while 4.9% were exposed in their own home.

MPOWER is a policy package intended to assist in the country-level implementation of effective interventions to reduce the demand for tobacco, as ratified by the World Health Organization (WHO) Framework Convention on Tobacco Control. The six evidence-based components of MPOWER are:

The scientific community in the United States and Europe are primarily concerned with the possible effect of electronic cigarette use on public health. There is concern among public health experts that e-cigarettes could renormalize smoking, weaken measures to control tobacco, and serve as a gateway for smoking among youth. The public health community is divided over whether to support e-cigarettes, because their safety and efficacy for quitting smoking is unclear. Many in the public health community acknowledge the potential for their quitting smoking and decreasing harm benefits, but there remains a concern over their long-term safety and potential for a new era of users to get addicted to nicotine and then tobacco. There is concern among tobacco control academics and advocates that prevalent universal vaping "will bring its own distinct but as yet unknown health risks in the same way tobacco smoking did, as a result of chronic exposure", among other things.

<span class="mw-page-title-main">Smoking in North Korea</span> Overview of smoking in North Korea

Tobacco smoking is popular in North Korea and culturally acceptable among men, but not for women. As of 2014, some 45% of men are reported to smoke daily, whilst in contrast only 2.5% of women smoke daily, with most of these being older women from rural areas. Smoking is a leading cause of death in North Korea, and as of 2010 mortality figures indicate that 34% of men and 22% of women die due to smoking-related causes, the highest mortality figures in the world. There are tobacco control programs in North Korea, and although smoking was not prohibited in all public spaces, the smoking rates have declined since their peak in the 2000s.

References

  1. "World No Tobacco Day 2021: Theme, History, Quotes, Origin". SA News. 28 May 2020. Archived from the original on 6 December 2022. Retrieved 31 May 2021.
  2. "Tobacco Fact Sheet". WHO . Geneva. 24 May 2022. Archived from the original on 19 November 2016. Retrieved 6 January 2015.
  3. "WHO global health days and campaigns". WHO . Retrieved 20 October 2020.
  4. Centres for Disease Control. 1990. ″MMWR Weekly″ (6 April 1990). World No-Tobacco Day. Archived 25 June 2017 at the Wayback Machine Atlanta.
  5. "Previous World No Tobacco Days". WHO . Archived from the original on 9 September 2004. Retrieved 28 May 2020.
  6. World Health Organization. Tobacco Free Initiative (TFI). Archived 4 May 2010 at the Wayback Machine Geneva. Accessed 5 January 2015.
  7. Chan, Margaret. 2008. ″WHO calls for banning all tobacco advertising, promotion.″ Nation's Health. 38(6):21.
  8. World Health Organization. World No Tobacco Day 2015: Stop illicit trade of tobacco products. Archived 5 January 2015 at the Wayback Machine Geneva. Accessed 5 January 2015.
  9. "World No Tobacco Day 2016: Get Ready for Plain Packaging". 2 June 2016.
  10. World Health Organization. World No Tobacco Day 2017: Tobacco – a threat to development. Archived 22 May 2017 at the Wayback Machine Geneva. Accessed 26 May 2017.
  11. 2018 Tobacco Breaks Hearts brochure
  12. World No Tobacco Day 2019
  13. World No Tobacco Day 2020
  14. World No Tobacco Day 2021
  15. According to the WHO, the goal of the World No Tobacco Day 2021 campaign is to encourage and support tobacco users to quit. Communicating with more people to learn and discuss what role health insurance plays in tobacco control and how health professionals can be more employed.
    The main goal of this year's World Tobacco Day, May 31, is to protect young people from the marketing of big tobacco companies and to help them avoid tobacco and nicotine use. Each year, the World Health Organization (WHO) sponsors this awareness day to highlight the health risks of tobacco use and to encourage governments to implement policies that help reduce smoking and other tobacco products.
  16. "Protect the environment, World No Tobacco Day 2022 will give you one more reason to quit". WHO .
  17. "World No Tobacco Day 2023". WHO .
  18. "World No Tobacco Day 2024". WHO .
  19. 1 2 World Health Organization. World No Tobacco Day 2010. Archived 8 January 2011 at the Wayback Machine Geneva.
  20. World Health Organization. World No Tobacco Day 2009: Campaign Materials. Archived 12 May 2010 at the Wayback Machine Geneva.
  21. World Health Organization. Tobacco multimedia centre. Archived 11 April 2010 at the Wayback Machine Geneva. Accessed 5 January 2015.
  22. "World No Tobacco Day, 31 May 2017". World Health Organization. Archived from the original on 14 March 2018. Retrieved 26 April 2018.
  23. , "World No Tobacco Day, 31 May 2018". who.int. Archived from the original on 14 March 2018. Retrieved 31 May 2019.
  24. 1 2 "World No Tobacco Day". World Health Organization. Retrieved 24 May 2021.
  25. "World No Tobacco Day –". What Special Day is Today. 19 May 2023. Retrieved 19 May 2023.
  26. World Health Organization. Register your World No Tobacco Day 2010 event. Archived 10 May 2010 at the Wayback Machine Geneva.
  27. World Health Organization. World No Tobacco Day 2009 Awards – The winners. Archived 12 April 2010 at the Wayback Machine Geneva.
  28. For examples, search "celebrations around the world" within each theme's page of the World Health Organization's website. Try World Health Organization, World No Tobacco Day activities – 31 May 2008 Archived 27 March 2010 at the Wayback Machine to get started.
  29. CBC News. 2008. Cigarette display ban begins in Quebec, Ontario. Archived 17 October 2010 at the Wayback Machine Ottawa.
  30. Health Life. Smoking to be Banned on Public Hospital Grounds. Archived 3 March 2016 at the Wayback Machine Adelaide, 25 September 2009. Accessed 5 January 2015.
  31. Campaign for Tobacco-free Kids. Global Epidemic: India. Archived 26 April 2010 at the Wayback Machine Washington. Accessed 5 January 2015.
  32. "World No-Tobacco Day: Dr Prashant On Smoking & Women's Health". The Channel 46. 31 May 2020. Retrieved 16 June 2020.
  33. "World No Tobacco Day". The New Times | Rwanda. 27 May 2010. Retrieved 31 May 2021.
  34. The Oregon Commentator. OC to host Great American Smoke-in. Archived 11 January 2011 at the Wayback Machine 26 November 2007.
  35. Zimmerman, Malia. Defiance—one puff at a time. Archived 10 April 2008 at the Wayback Machine Hawaii Reporter. 6 July 2007.
  36. Cummins, Sharon E et al., Tobacco cessation quitlines in North America: a descriptive study. Archived 26 April 2018 at the Wayback Machine Tobacco Control. Dec 2007; 16(Suppl 1): i9–i15.
  37. Phillip Morris USA. Quit Assist. Archived 1 January 2015 at the Wayback Machine Accessed 6 January 2015.
  38. Tobacco Archives. www.tobaccoarchives.com Archived 16 July 2006 at the Wayback Machine
  39. R.J. Reynolds Tobacco Company Online Litigation Document Archive. 1990. Infotab. WHO World No-Tobacco Day, 31 May 1990: Growing up without tobacco, The Industry Response. PDF Version
  40. The Environmental Action Network. 2002. Tobacco Industry Tactics in Uganda. Archived 30 August 2011 at the Wayback Machine
  41. UAS Interact. 2007. Today's News Stories: World No Tobacco Day is "Critically Important" for the Middle East. Archived 6 March 2012 at the Wayback Machine
  42. Yach, Derek; Bettcher, Douglas (2000) Globalisation of tobacco industry influence and new global response. Archived 3 December 2010 at the Wayback Machine Tobacco Control. 9:206–219.
  43. Maron, Dina Fine (29 March 2018). "The Fight to Keep Tobacco Sacred". scientificamerican.com. Scientific American. Retrieved 31 May 2018. Tobacco has become a much-maligned plant in modern society...But tobacco itself is not the problem, according to Gina Boudreau. In fact, she considers it sacred. And she is not alone. Many Native American communities, including hers, use the substance in traditional rituals and pass down stories about how and why the creator gave it to them. Yet customs related to growing and respecting tobacco have eroded over time, leaving communities exposed mostly to commercial versions of the plant—and furthering smoking addiction.
  44. Cain, Rachel (7 June 2016). "Native American Tribe Fights To Stop Texas From Auctioning Off Its Sacred Objects". thinkprogress.org. Think Progress. Archived from the original on 10 June 2016. Retrieved 31 May 2018. An upcoming auction in Texas intends to sell over 100 Native American items – including ceremonial pipes that are deeply sacred to the Oglala Sioux and guns that were used in the Massacre at Wounded Knee – over the objections of tribes who say it's disrespectful. "These are our items, these are our laws," Trina Lone Hill, the historic preservation officer for the Oglala Sioux Tribe, told ThinkProgress...Selling ceremonial pipes is "taboo," Lone Hill said. "The pipe is the most sacred item in our whole culture."
  45. Consultation on the future of tobacco control in Canada (Report). Health Canada. Retrieved 31 May 2018. "Who" – We are looking for comments from: the general public – Indigenous peoples, including: leaders, individuals, communities. organizations.