Princess Health and State and national smoke-free leaders tell Ky. advocates to focus on local smoking bans because of political climate in Frankfort. Princessiccia

Princess Health and State and national smoke-free leaders tell Ky. advocates to focus on local smoking bans because of political climate in Frankfort. Princessiccia

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Gusty 19:04 Add Comment

By Melissa Patrick
Kentucky Health News

More Kentucky localities are likely to see efforts for smoking bans, as a statewide ban appears less likely and leading advocates are saying to go local.

Stanton Glantz
photo: ucsf.edu

Stanton Glantz, one of the nation's leading advocates of smoke-free policies, said at the Kentucky Center for Smoke-Free Policy's spring conference April 28 that California initially had trouble passing a statewide indoor smoke-free law, which forced advocates to move their efforts to the local level. By the time the statewide law passed, 85 percent of the state was covered by local ordinances.

"I'm glad it worked out that way, because we are really talking about values and social norms and community norms and you just can't impose that from the outside," Glantz said during his keynote address. "And so all of these fights that you are having in all of these towns. ... In the end, when you win, you've won. And the fight itself is an important part of making these laws work."

Ellen Hahn, a University of Kentucky nursing professor and director of the smoke-free policy center, also encouraged her colleagues to shift their efforts to localities, saying the political situation doesn't support a statewide law. New Republican Gov. Matt Bevin doesn't support a statewide ban on smoking on workplaces, saying the issue should be decided locally.

"We are in a very difficult political climate in Frankfort," Hahn said in her opening remarks."We all know it. We all recognize it. And while we would all like to see Frankfort do the right thing � and it will someday, I promise � it is not the time to let somebody else do it. It is the time to go to your local elected officials and say we want this."

Advocates made some headway last year when a smoking-ban bill passed the House, but it was placed in an unfavorable Senate committee and never brought up for discussion. This year's House version of the bill, in an election year with Bevin in the governor's office, was dead on arrival.

Glantz, a University of California-San Francisco professor and tobacco-control researcher, looked at the bright side: "You're in a tough political environment, but you are really doing pretty well." He reminded the advocates that one-third of the state is covered by indoor smoke-free ordinances, with 25 of them comprehensive and 12 of them including electronic cigarettes. He also commended the Kentucky Chamber of Commerce for supporting statewide and local bans.

What's next

Glantz urged the advocates to "empower and mobilize" the 73 percent of Kentuckians who don't smoke and get them to help change the social norms. Two-thirds of Kentucky adults support a comprehensive statewide smoking ban, according to latest Kentucky Health Issues Poll, and have since 2013.

�The whole battle is a battle about social norms and social acceptability, and once you win these fights, and you have a law that�s sticking � which takes a while � you don�t go back,' he said. "And the tobacco companies understand that, and that is why they are fighting us so hard.�

Glantz armed the smoke-free warriors with research data to support smoke-free laws, including: they decrease the number of ambulance calls; hospital admissions for heart attacks, stroke, asthma and chronic obstructive pulmonary disease; and the number of low-birth-weight babies and complications during pregnancy.

"In Kentucky communities with comprehensive smoke-free laws, there was 22 percent fewer hospitalizations for people with COPD," Glantz said, citing one of Hahn's studies. "That is a gigantic effect, absolutely gigantic, at almost no cost and it happened right away."

He noted that politicians are usually most interested in this short-term data, but he also cited long-term statistics about how smoke-free policies in California have decreased heart disease deaths by 9 percent "in just a few years," and lung cancer by 14 percent in about 10 years. Kentucky leads the nation in both of these conditions.

"I would argue that the economic argument is actually on our side," Glantz said, noting that economic benefits of smoke-free laws are almost immediate, especially because "every business, every citizen and every unit of government" is worried about health care costs. He also cited research that found "as you pass stronger laws, you get bigger effects.'

Princess Health and 85 percent of Kentucky adults want schools to be tobacco-free, but only 28 percent of the state's school districts are. Princessiccia

Princess Health and 85 percent of Kentucky adults want schools to be tobacco-free, but only 28 percent of the state's school districts are. Princessiccia

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Gusty 09:32 Add Comment

An overwhelming majority of Kentucky adults, 85 percent, want schools to be tobacco-free, according to the latest Kentucky Health Issues Poll.

But only 28 percent of the state's school districts have "protected students, staff members, teachers and guests from secondhand smoke by enacting 100 percent tobacco-free school policies," says a press release from Interact for Health, which co-sponsored the poll with the Foundation for a Healthy Kentucky. A list of the districts is at www.tobaccofreeschoolsky.org.

"Kentucky ranks 50th, the worst state in the nation, in the percentage of secondary school campuses that prohibit tobacco use in all locations at all times," the release says. "Nationally, 65 percent of schools have such a policy." In Kentucky, such policies are set by local boards of education.

The state's tobacco heritage remains strong. In 2015, 23 percent of Kentucky middle-school students reported trying cigarettes, and 28 percent of high school students said they used cigarettes, cigars, or smokeless tobacco.

The poll found large majorities of smokers, former smokers and non-smokers in favor of tobacco-free campus policies, and support was strong across party lines. The greatest opposition was found among the poor, African Americans, people who haven't gone to college and those who said their general health was fair or poor.

Susan Zepeda, president and CEO of the foundation, said in its news release, "A 100 percent tobacco-free campus policy reduces a young person's exposure to second-hand smoke and allows adults to model tobacco-free lifestyles. Notably, Kentucky smokers understand this important issue. Eighty percent of current smokers favor tobacco-free school policies in their communities."

The Kentucky Health Issues Poll was conducted Sept. 17 through Oct. 7 by the Institute for Policy Research at the University of Cincinnati. The sample of 1,608 adults has an error margin of plus or minus 2.4 percentage points.

Princess Health and Another Kentucky school district goes tobacco-free and e-cigarette free; efforts largely led by students in Webster County.Princessiccia

Princess Health and Another Kentucky school district goes tobacco-free and e-cigarette free; efforts largely led by students in Webster County.Princessiccia

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The Webster County school board voted unanimously May 26 to make all district property, vehicles and buildings officially tobacco-free, Matt Hughes reports for the Webster County Journal-Enterprise. As in some other school districts, efforts for the ban were largely led by students.

�This is something the Youth Experiencing Success Youth Council has been working on for years,� said board member Mickey Dunbar, who has worked closely with Youth Empowerment Services. �I think it is very important that we educate our students' minds and educate them about their bodies.�

The ban will go into effect July 1 and includes all tobacco products, including vapor devices, commonly known as e-cigarettes. It also extends to school-sponsored trips, all sporting events and all school functions.

�I will enjoy being able to walk out of a basketball game without having to navigate a gauntlet of cigarette smoke,� Dunbar told Hughes. �I think this will set a good precedence for the other schools in our area.� Webster County is in the West Kentucky Coalfield.

The YES Youth Council and its adult sponsor first approached the board last fall, and said that while supportive, the board voiced concerns that the community would not be supportive, especially during ballgames. But since then, Hughes said, board members "have gotten a lot of positive feedback from the community."

As of May 2015, Kentucky reported 40 tobacco-free school districts, which include 500 individual schools, according to the Tobacco Free Schools Kentucky website. This amounts to 40 percent of Kentucky's students.

Princess Health andSmokers using electronic cigarettes are less likely to quit smoking than those who don't use the devices, California study finds.Princessiccia

Princess Health andSmokers using electronic cigarettes are less likely to quit smoking than those who don't use the devices, California study finds.Princessiccia

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The sudden increase in use of electronic cigarettes has prompted questions about whether they actually help people quit smoking. A study published online in the American Journal of Public Health found that individuals who use e-cigarettes are actually less likely to quit smoking than those who do not. In Kentucky, 24 percent of adults and 41 percent of those aged 18 to 29 reported using e-cigarettes, according to a Kentucky Health Issues Poll.

The study, conducted by researchers from the University of California San Diego School of Medicine, discovered that smokers who use e-cigs are 59 percent less likely reduce cigarette use and 59 percent less likely to stop smoking altogether, compared to smokers who have not used e-cigs.

"Based on the idea that smokers use e-cigarettes to quit smoking, we hypothesized that smokers who used these products would be more successful in quitting," said Wael Al-Delaimy, professor and chief of the Division of Global Public Health in UC-San Diego's Department of Family Medicine and Public Health. He said the research showed the hypothesis was false, and more studies are required to find out why these people can't stop smoking. "One hypothesis is that smokers are receiving an increase in nicotine dose by using e-cigarettes," he said.

E-cigs don't contain tobacco, but smoking them releases ultra-fine particles and volatile organic compounds such as heavy metals. The study also found that women and those who smoke daily are more likely to have tried e-cigarettes.

Princess Health and Princess Health andAltria, parent of Philip Morris, reports spending most on lobbying the 2014 legislature but says it didn't fight smoking ban.Princessiccia

Princess Health and Princess Health andAltria, parent of Philip Morris, reports spending most on lobbying the 2014 legislature but says it didn't fight smoking ban.Princessiccia

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The parent firm of the nation's largest cigarette company again reported spending more than anyone else on lobbying the Kentucky General Assembly, but says it did not fight the bill that would have imposed a statewide smoking ban in most public places.

"Altria Group, the parent company of Philip Morris USA and U.S. Smokeless Tobacco, reported spending $156,200, "far more than any other company or group, Tom Loftus reports for The Courier-Journal. "And it got the things it wanted from Kentucky lawmakers: tobacco taxes were not increased, no new tax was put on electronic cigarettes and the tobacco-industry supported bill to ban the sale of electronic cigarettes to minors passed."

Spokesman David Sutton "said not a penny of Altria's lobbying campaign went to defeat the so-called 'smoke-free' bill, though he said the company opposes such complete smoking bans within private businesses," Loftus reports. "He said he suspected Altria's lobby spending topped the list because 'We fully disclose everything'," including research time of its legal staff and its "grassroots activation" work to rally its supporters in Kentucky.

The Campaign for Tobacco Free Kids, "which reported spending $6,284 during the session, earlier this month blamed Altria for leading the successful defeat of the bill to ban smoking in indoor public places like bars and restaurants," The Courier-Journal reports.

"They've spent a lot of money on lobbying for years," the campaign's Betsy Janes told Loftus. "They've sent their message out for so long and have relationships with legislators. It's hard for us to compete with that." (Read more)

The campaign's Amy Barkley told Kentucky Health News that Altria's assertion "is very hard to believe. That said, I don�t have any hard evidence to dispute their claim. We all know the tobacco industry�s influence is very deep in Frankfort, so perhaps they didn�t need to overtly lobby against the smoke-free bill."

The Kentucky Farm Bureau Federation, which gets funding from Altria for some of its programs, lobbied against the smoking ban. It ranked eighth in lobbying expenses, with $68,821. For The Courier-Journal's lst fo top lobbying interests, click here.

Princess Health and Princess Health andTobacco heritage blocks smoking bans in rural Kentucky.Princessiccia

Princess Health and Princess Health andTobacco heritage blocks smoking bans in rural Kentucky.Princessiccia

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"A mural showing a tobacco harvest has been on display high in
the second-floor rotunda of the Bourbon County Courthouse for
than 100 years," Mary Meehan writes. (Herald-Leader photo) 

Bourbon County's strong tobacco heritage is the main obstacle for proponents of a local smoking ban, and similar feelings exist in many Kentucky counties, Mary Meehan reports for the Lexington Herald-Leader in the second of a series of stories about tobacco use in Kentucky.

"At an April political forum at Bourbon County High School, cigarette butts lined the walkway to the auditorium, although the campus is designated smoke-free," Meehan writes. "Onstage, candidates for city council and magistrate were asked whether they would support a smoking ban. Some said they had fathers or sisters who were longtime smokers who had cancer, most said they didn't smoke, and a few said they weren't sure smoking was really a health risk. Of 18 candidates, only one said he would support a smoking ban. He didn't win in last week's primary election."

The forum was organized by Students Making a Change in Our Communities, a youth group advocating a smoking ban. They have helped rejuvenate efforts begun three years ago by the Coalition for a Smoke-Free Bourbon County and Cyndi Steele, health coordinator for the Bourbon County Health Department.

"Twelve of Kentucky's 120 counties and 26 cities have enacted some type of smoke-free ordinance," Meehan notes. "In Kentucky, 34 percent of the population is protected by smoke-free laws. Almost all Kentucky cities with bans are county seats, leaving most of rural Kentucky without smoking regulations. Efforts to enact a statewide ordinance have failed in the legislature.

"Across the country, about half the population lives in places with smoke-free rules, said Cynthia Hallett, executive director of the nonprofit Americans for Nonsmokers' Rights. She said the science on the dangers of smoking and exposure to secondhand smoke was clear, as were the benefits of smoke-free laws. Kids who grow up where smoking is banned in public places are less likely to smoke, she said. People tend to quit when towns go smoke-free." (Read more)

Read more here: http://www.kentucky.com/2014/05/25/3259432/bourbon-countys-tobacco-heritage.html?sp=/99/322/&ihp=1#storylink=cpy

Read more here:

Princess Health and Princess Health andHigh school students in Bourbon County campaign for indoor smoking ban, also against teenagers' use of e-cigarettes.Princessiccia

Princess Health and Princess Health andHigh school students in Bourbon County campaign for indoor smoking ban, also against teenagers' use of e-cigarettes.Princessiccia

cigarettes e-cigarettes electronic cigarettes smoking smoking ban smoking ordinances tobacco youth

Gusty 20:07 Add Comment

From left: LaShana Harney, Tyler Boyle
and Jessica Jones (Cori� Bowen photo)

By Cori� Bowen
Kentucky Health News

A group of young people in a Bluegrass county with a strong tobacco tradition is trying to make the county's indoors smoke-free.

Students Making a Change in our Community started at Bourbon County High School in the late 1990s and was revamped in 2013 by several students and Cyndi Steele of the Bourbon County Health Department. SMACC members said they felt it was time for the voices of youth to be heard again on smoking issues.

�Our main idea is to try to establish a smoke-free ordinance in Bourbon County,� senior Lashana Harney said.

The group has been busy this year collaborating with other youth in Paris at events such as the 2013 National Kick Butts Day � a youth rally against tobacco use and secondhand smoke � as well as attending a recent Kentucky Supreme Court hearing on an anti-smoking ordinance enacted by the Bullitt County Board of Health.

�It was interesting to be at an actual case,� Harney said. �It could go either way with this case.�

Jessica Jones, a junior, said that while SMACC targets adults, it also educates and trains elementary students on how to say no to tobacco, and about the harms of smoking. �We�ve been traveling and training fifth-graders,� she said.

SMACC members are working towards a school regulation against electronic cigarettes, which they think are deceptive. They don�t believe their peers realize the harmful effects associated with them.

�E-cigarettes are becoming more popular than traditional cigarettes,� junior Tyler Boyle said. ��The best way to get to youth is other youth.�

The Kentucky Tobacco Policy Research Program lists chemicals in e-cigarettes that can have negative effects on health including acetone (nail polish remover) and formaldehyde. The legislature recently banned sales of e-cigarettes to people under 18.

Harney, Jones and Boyle say they have seen a decrease in their parents� smoking since each student has become an anti-smoking advocate.

With Steele�s guidance, SMACC plans to keep educating and making its presence known in the community. Members will launch a group-written and directed YouTube video at the end of April that addresses secondhand smoke, titled, �It Could Be You.�

Steele said the road to banning smoking in public places for Bourbon County has been a work in progress for a long time: �I knew 20 years ago that when I chose to do this � it would be my career.� Now she has more help.

Princess Health and Princess Health andNew law bans sales of electronic cigarettes to minors.Princessiccia

Princess Health and Princess Health andNew law bans sales of electronic cigarettes to minors.Princessiccia

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Gusty 05:21 Add Comment

Sales of electronic cigarettes to people under 18 are now illegal in Kentucky, following Gov. Steve Beshear's signing into law Thursday of a bill that had support from cigarette manufacturers, many of whom are also getting into the e-cigarette business.

Senate Bill 109, sponsored by Republican Paul Hornback of Shelbyville and Dennis Parrett of Vine Grove, took effect immediately because it contained an emergency clause. A House committee had approved a similar bill, but it did not contain an emergency clause and never came to a vote in the full House.

The law bans the sale to minors of "alternative nicotine products," defined as "a noncombustible product containing nicotine that is intended for human consumption, whether chewed, absorbed, dissolved, or ingested by any other means," but "does not include any tobacco product, vapor product, or any other product regulated as a drug or device by the United States Food and Drug Administration." It also adds to state law more detailed definitions of "tobacco product" and "vapor product," and also bans the sale of the latter to minors.

Princess Health and Princess Health andSmoking persists or even increases in poor, rural, working-class counties; New York Times cites Clay County as an example.Princessiccia

Princess Health and Princess Health andSmoking persists or even increases in poor, rural, working-class counties; New York Times cites Clay County as an example.Princessiccia

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Gusty 10:55 Add Comment

Clay County has a dubious distinction. It has the highest rate of smoking for any U.S. county with a population under 15,000. Researchers at the University of Washington pointed that out, and The New York Times focused on it in reporting the larger finding: Some poor, rural and working-class counties have increasingly high rates of smoking, while the smoking rates in wealthy counties continue to decline.

Ed Smith Jr.
(NYT photo by Tim Harris)

In Clay County, the smoking rate was 36.7 percent in 2012. �It�s just what we do here,� Ed Smith Jr., 51, told the Times, which reports, "Several of his friends have died of lung cancer, and he has tried to quit, but so far has not succeeded." (Institute for Health and Metrics map shows adult smoking rates by county; Clay and Knox counties are the red area in southeastern Kentucky. The interactive map shows how rates have changed since 1996, overall and among men and women. To view it, click here.)

The smoking rate among adults has decreased 27 percent since 1997, but only 15 percent among poor people, and haven't changed at all for adult smokers living in deep poverty in the South and Midwest, the study found. "The findings are particularly stark for women," Sabrina Tavernise and Robert Gebeloff write. "About half of all high-income counties showed significant declines in the smoking rate for women, but only 4 percent of poor counties did." Education also plays a role. "Americans with a high-school education or less make up 40 percent of the population, but they account for 55 percent of the nation�s 42 million smokers."

Clay County is one of the nation's poorest, and only 7 percent of its people have a college degree. The county seat, Manchester, passed an indoor smoking ban in 2012, and Manchester Memorial Hospital "runs a smoking-cessation program that offers free nicotine patches and gum in an effort to reach low-income smokers," the Times reports. �Smoking cessation is our biggest uphill battle,� Jeremy Hacker, the hospital�s community outreach coordinator, told the newspaper. Smoking is no longer a normal activity in urban places, he said, but in Clay, �It�s not viewed as a problem.� (Read more)

Princess Health and Williamsburg in line to pass smoking ban next month.Princessiccia

Princess Health and Williamsburg in line to pass smoking ban next month.Princessiccia

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An ordinance imposing a smoking ban in Williamsburg is ready for a City Council vote. The council listened Monday to the first reading of the ordinance, required before a vote, which could follow the second reading, planned for Feb. 11. If approved, the ban would take effect immediately, reports Mark White of the Corbin-Whitley News Journal.

The new ordinance says �Smoking shall be prohibited in all enclosed areas within all enclosed buildings open to the public and within places of employment,� reports John Ross of The Times-Tribune of Corbin. �Enclosed buildings� includes libraries, bars, bingo houses, child- and adult-care facilities, public and private educational facilities, gaming facilities, restaurants, pool halls, lobby areas and hallways in all multi-residential buildings, such as apartments and condominiums, and hotels and motels, Ross reports. In December 2011, the Corbin City Commission implemented a ban that prohibits smoking in similar locations and within 25 feet of main entrances and exits.

Ross's account of the meeting included no negative comments. Mayor Roddy Harrison said, �I know both sides of the issue � but our job is to protect everybody.� Harrison said he found extensive research to back up the negative effects of secondhand cigarette smoke while researching the ordinance.

Princess Health and Floyd County woman is Kentucky's smoke-free advocate of year.Princessiccia

Princess Health and Floyd County woman is Kentucky's smoke-free advocate of year.Princessiccia

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Gusty 08:01 Add Comment

For her work spreading the word about second-hand smoke and founding the coalition that ultimately helped Prestonsburg pass a smoke-free ordinance in 2009, Floyd County's Jean V. Rosenberg was named 2012 advocate of the year at the annual Smoke-Free Policy Conference hosted by the University of Kentucky's Kentucky Center for Smoke-Free Policy. She stands with center Director Dr. Ellen Hahn, left, and Dr. Melissa Walton-Shirley, right, the Glasgow cardiologist who won in 2011.

Rosenberg started her work in 2005 when she began working for the Floyd County Health Department as a program specialist to increase awareness about the dangers of second-hand smoke, reports Ann Blackford reports in a university press release. During that time, she founded the Breathe Easy Floyd County Coalition, which educated people about second-hand smoke and supported local smoke-free initiatives.

On Nov. 1, 2009, the City of Prestonsburg implemented a 100 percent smoke-free ordinance in all workplaces and enclosed public places, with Rosenberg at the helm to propel the effort forward. (Read more)

Princess Health and Mayor will propose smoking ban in Hopkinsville, largest Kentucky city without one.Princessiccia

Princess Health and Mayor will propose smoking ban in Hopkinsville, largest Kentucky city without one.Princessiccia

cigarettes local government smoking ban smoking ordinances tobacco

Gusty 10:31 Add Comment

The largest Kentucky city that has not banned smoking in public places may change that.

Hopkinsville Mayor Dan Kemp's proposal "fundamentally resembles Lexington's ban," reports Nick Tabor for the Kentucky New Era. The law would apply to bars and restaurants but not private clubs; retail tobacco stores and tobacco warehouses; and rented rooms in hotels, hospitals and nursing homes. "The best thing would be to have no exemptions," Kemp said, adding that he recognizes the need for compromise. 

An online survey by the Christian County Health Department two years ago indicated strong support for a ban. A recent, scientific survey of 500 Kentuckians shows 59 percent support a statewide ban, the American Cancer Society found. Kemp said he has "received a mostly positive response from local businesses," Tabor reports.

As for a smoking ban imposing on a person's right to light up, Kemp said, "I just think it's such an overriding health concern that that trumps the individual rights argument." Kemp hopes the council will vote on the proposal June 5. If they ratify it, the ban could take effect July 1. (Read more)

Princess Health and Number of teens and young adults who smoke, use smokeless tobacco is on the rise.Princessiccia

Princess Health and Number of teens and young adults who smoke, use smokeless tobacco is on the rise.Princessiccia

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A "shocking" number of American teenagers smoke cigarettes and/or use smokeless tobacco, the first U.S. surgeon general's report on youth tobacco since 1994 has found. (Photo by Karen Bleier, AFP/Getty Images)

"The numbers are really shocking," Surgeon General Regina Benjamin said, noting the data show 1 in 4 high school seniors and 1 in 3 young adults under age 26 smoke. "It's a problem we have to solve."

Though there was dramatic progress in reducing youth smoking rates from 1997 to 2003, the 899-page report shows the decline has flattened. "Smokeless tobacco is up among white high school-age boys, and cigar smoking appears to be rising among black high school girls," reports David Brown for The Washington Post.

Data from the 2010 Kentucky Youth Tobacco Survey show that almost 25 percent of the state's high-school students are smokers. Although the prevalence of smoking among youth has declined in the past few years, the smoking prevalence among teenagers and young adults is higher than among other adult populations.

"Two people start smoking for every one who dies from the habit each year," Benjamin said. "Almost 90 percent of those 'replacement smokers' first try tobacco before they are 18."

The findings showed smoking can damage lung function at a very young age. One study of "nearly 700 children from East Boston found that those who started to smoke at age 15 exhaled 8 percent less air in one second � a key measure of lung function � than non-smoking teenagers. The growth of lung capacity stopped a year earlier in smokers � at 17 in girls and 19 in boys � than in non-smokers," Brown reports.

Another study showed how smoking affects the cardiovascular system. Researchers looked at autopsy results of white men ages 25 to 34 who were killed either by trauma or homicide. Smokers were two times as likely to have advanced damage of the abdominal aorta as non-smokers. "They also had somewhat greater damage to the blood vessel most often implicated in acute heart attacks," Brown reports.

Danny McGoldrick of the Campaign for Tobacco-Free Kids told USA Today's Wendy Koch tobacco marketing "is a big cause of the problem." He pointed to his organization's report revealing the tobacco industry's relationship with convenience stores to blatantly advertise and display tobacco products.

The industry's success in fighting increases in tobacco-related taxes is considered to be another factor. But industry officials like Ken Garcia of Altria Group, parent company of Philip Morris USA, said "there's already quite a (tax) burden on adult smokers." (Read more)