Fewer high school students smoking

Posted by: Colleen Stoxen
In the steepest decline ever found in Minnesota, the percent of high school students who smoked cigarettes in the past 30 days dropped from 18.1 percent in 2011 to 10.6 percent in 2014.
The 2014 Minnesota Youth Tobacco Survey also found fewer young people used used chewing tobacco and cigars between 2011 and 2014.
Efforts to curb cigarette smoking appear to be helping. They include a 2013 tobacco tax, bans on indoor smoking, and tighter restrictions on youth access to tobacco products.
For the first time, the survey also asked about e-cigarette use and found that 12.9 percent of high school students used or tried an electronic cigarette in the past 30 days. The survey found that 28 percent of high school students reported ever having tried an e-cigarette.
“These new findings indicate that our statewide efforts to reduce and prevent conventional tobacco use among Minnesota children are working,” said Minnesota Department of Health Commissioner Dr. Ed Ehlinger. “At the same time, we are seeing a wild-west approach toward e-cigarettes, which allows tobacco companies unlimited marketing access to young men and women. This has led to increasing numbers of Minnesota high school and middle school students using e-cigarettes.”
An estimated 85,900 Minnesota public school students in grades 6-12 have tried e-cigarettes, and 38,400 reported using them in the past 30 days. Nicotine is known to harm adolescent brain development. Nearly one-fourth of high school students who have tried an e-cigarette have never tried another tobacco product.
Read more from the Minnesota Department of Health.
http://www.startribune.com/lifestyle/blogs/282152861.html

Tobacco tax increase a success: Fewer Minnesota kids smoking

MINNEAPOLIS, Nov. 10, 2014 /PRNewswire/ — The Raise it for Health coalition praised the results of a study today released by the Minnesota Department of Health (MDH), showing a dramatic drop in the number ofMinnesota kids smoking cigarettes. Specifically, the smoking rate among Minnesota students grades six through 12 decreased from 18.1 percent in 2011 to 10.6 percent in 2014, the steepest decline ever recorded by this survey. The study also showed fewer Minnesota kids using other tobacco products, including cigars, cigarillos and smokeless tobacco.
The Minnesota Legislature raised the tax on cigarettes and other tobacco products significantly in 2013. The proposal had strong support from Governor Dayton, elected officials on both sides of the aisle and a majority of Minnesotans from all corners of the state.
“The dramatic drop in the number of Minnesota kids smoking is one clear indication that the tobacco tax is working,” said Molly Moilanen, Director of Public Affairs at ClearWay Minnesota, and co-chair of the Raise it for Health coalition. “The tobacco industry spends nearly 165 million dollars each year marketing their dangerous products in our state. Raising the price of tobacco is the best tool we have to prevent youth smoking and give our kids a fighting chance against Big Tobacco.”
In addition to keeping more kids from smoking, the $1.60 per-pack increase will:

  • Help more than 36,600 addicted adults stop smoking.
  • Prevent 25,700 Minnesotans from dying prematurely from smoking-related deaths.
  • Save $1.65 billion in long-term health care costs.

“Thank you, Governor Dayton and members of the Minnesota Legislature, for taking this bold and important step,” said Janelle Waldock, Director of the Center for Prevention at Blue Cross and Blue Shield of Minnesota, and co-chair of the Raise it for Health coalition. “These results reinforce what we know: increasing the tax on tobacco products was a victory for the health of Minnesota’s kids.”
The Minnesota Department of Health has conducted the Minnesota Youth Tobacco Survey (MYTS) in 2000, 2002, 2005, 2008, 2011 and 2014. The survey includes questions on the use of various tobacco products, characteristics of smokers, exposure to secondhand smoke, media awareness and other topics. Public schools and classrooms across the state were selected at random and invited to participate.
For more information on the MYTS, please visit www.health.state.mn.us.
Raise it for Health is a coalition of Minnesota’s leading health and nonprofit organizations with a common goal of reducing tobacco use in the state. Partners include: AARP Minnesota, Allina Health, American Cancer Society Cancer Action Network, American Heart Association, American Lung Association in Minnesota, Association for Minnesota Counties, Association for Nonsmokers – MN, Blue Cross and Blue Shield ofMinnesota, CentraCare Health System, Children’s Hospitals and Clinics of Minnesota, ClearWay Minnesota(SM), Courage Center, Four Corners Partnership, HealthEast Care System, HealthPartners, LAAMPP Institute, Local Public Health Association, Mayo Clinic, Medica, Metro-MN Oncology Nursing Society, Minnesota Academy of Family Physicians, Minnesota Cancer Alliance, Minnesota Chapter of the American Academy of Pediatrics, Minnesota Comprehensive Health Association, Minnesota Council of Health Plans, Minnesota Medical Association, Minnesota Public Health Association, Park Nicollet Health Services, PartnerSHIP 4 Health, School Nurse Organization of Minnesota, Service Employees International Union Healthcare Minnesota, Southwest Community Health Improvement Program and Twin Cities Medical Society.
SOURCE Raise it for Health
http://www.prnewswire.com/news-releases/tobacco-tax-increase-a-success-fewer-minnesota-kids-smoking-282162591.html

Cigars Loaded With Harmful Toxins, Study Shows

(HealthDay News) — Some cigar smokers may believe they face less health risk than if they were smoking cigarettes, but a new study casts doubt on that notion.
Researchers say that cigar smokers are exposed to high levels of cancer-causing agents and other toxic substances, which suggests that the habit is as risky as smoking cigarettes.
None of this came as much surprise to lung experts.
“In spite of the fact that cigar smokers don’t inhale, more attention needs to be paid to the damages of secondhand smoke, and to acknowledge that no smoking is safe,” said Dr. Len Horovitz, a pulmonary specialist at Lenox Hill Hospital in New York City.
“It is well known that secondhand smoking causes asthma, as well as a possible increase in the risk for lung cancer. The cloud around a cigar smoker’s respiratory system is tantamount to this phenomenon,” Horovitz said.
Cigar use in the United States more than doubled from 2000 to 2011, according to the U.S. Centers for Disease Control and Prevention.
The findings are reported Nov. 7 in the journal Cancer Epidemiology, Biomarkers & Prevention.
In the new study, researchers analyzed the presence of five chemical signals of tobacco exposure in tests conducted on more than 25,500 Americans.
Two of the biomarkers — cotinine and 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL) — are specific to tobacco. The other biomarkers — lead, cadmium and arsenic — are not tobacco-specific and can come from other sources.
The study found that cigar smokers — whether or not they also smoked cigarettes — carried higher levels of cotinine, NNAL, cadmium and lead than people who did not use tobacco. Cigar smokers with a history of cigarette use had much higher levels of cotinine and NNAL than cigar smokers who did not smoke cigarettes.
Also, levels of NNAL in daily cigar smokers were similar to those of daily cigarette smokers, according to the study.
“Cigar smoking exposes users to similar types of harmful and cancer-causing agents as cigarette smoking,” lead author Dr. Jiping Chen, an epidemiologist at the U.S. Food and Drug Administration’s Office of Science, Center for Tobacco Products, said in a journal news release.
“Once differences are accounted for in frequency of use, the levels of NNAL, a strong carcinogen, are comparable in cigar and cigarette smokers,” Chen said.
Another expert in respiratory health agreed that cigars are probably no better than cigarettes when it comes to health.
“This is especially significant because, although youth cigarette smoking has decreased, high school students in the U.S. are twice as likely as adults to smoke cigars,” noted Patrician Folan, director of the Center for Tobacco Control at North Shore-LIJ Health System in Great Neck, NY.
“Frequently, cigars are cheaper and are available in a wide variety of flavors that appeal to adolescents and young adults,” she said. “This combination of factors makes cigar smoking more attractive to young people, who may have the perception that cigar smoking is less harmful, especially due to flavors like chocolate, grape, strawberry and peach.”
More information
The American Cancer Society has more about cigar smoking.

SOURCES: Len Horovitz, M.D., pulmonary specialist, Lenox Hill Hospital, New York City; Patricia Folan, RN, director, Center for Tobacco Control, North Shore-LIJ Health System, Great Neck, N.Y.;Cancer Epidemiology, Biomarkers & Prevention, news release, Nov. 7, 2014

http://consumer.healthday.com/cancer-information-5/smoking-cessation-news-628/cigars-loaded-with-harmful-toxins-study-shows-693504.html

The Taste Of Menthol Cigarettes Is Not Worth The Lung Complication Risk Compared To Regular Tobacco

By
Due to their minty taste and aroma, menthol tobacco products are often found more preferable than the bitter aftertaste and smell of regular cigarettes. Unfortunately, many smokers harbor the misconception that switching to menthol can help with smoking cessation. A recent study published in the journal Respirology has revealed that although better tasting than regular cigarettes, menthol cigarettes carry a higher risk of developing lung disease and being hospitalized as a result of complications.
Researchers recruited 1,941 regular cigarette smokers and 3,758 menthol smokers to compare each group’s overall health condition over the course of 18 months. Participants were between the ages of 45 and 80 and smoked at least 10 packs of cigarettes each year. The research team found that menthol smokers were more likely to be young, female, or black. Regular cigarette smokers were able to cover a longer distance in six minutes, while menthol smokers were more short of breath.
Although both groups had similar frequencies of chronic obstructive pulmonary disease (COPD) “exacerbations” — worsening of the condition — throughout the study, menthol smokers had a higher frequency of severe exacerbations at 0.22 per year, compared to 0.18 per year for regular cigarette smokers. Using menthol cigarettes as opposed to regular cigarettes was also associated with a 29 percent higher risk of severe lung disease exacerbations.
“We were surprised that menthol smokers, compared to non-menthol cigarette smokers, reported more severe exacerbations and had greater odds of experiencing severe exacerbations,” Dr. Marilyn Foreman of the Morehouse School of Medicine in Atlanta, Ga., told Reuters Health in an email. “Frequent exacerbations do affect quality of life and may result in greater loss of lung function over time.”
According to the Food and Drug Administration, over 40 percent of youth smokers and 30 percent of adult smokers in the United States report smoking menthol cigarettes. Following repeated attempts by anti-smoking campaigns to have the FDA ban menthol-flavored cigarettes, the administration recently began a series of studies to gauge the health-related impact of these tobacco products.
Source: Park S, Demeo D, Foreman M, et al. Menthol cigarette smoking in the COPDGene cohort: Relationship with COPD, comorbidities and CT metrics. Respirology. 2014.
Justin Caba is a reporter for Medical Daily focusing on nutrition, fitness, and all things athletic.
http://www.medicaldaily.com/taste-menthol-cigarettes-not-worth-lung-complication-risk-compared-regular-tobacco-309638

Letter: Raise state cigarette tax, protect ND kids

By Nicholas Thies, Fargo

I have a friend who started smoking in ninth grade, roughly seven years ago, and he is still addicted to this day. The tobacco companies are aware of these trends and spend millions of dollars on new products and deceptive marketing with the goal of turning children into lifelong customers, as is the case with my friend. I have talked with him, and he has told me how raising the tobacco tax would greatly encourage him to quit smoking.

One of the best ways to prevent kids from ever starting the deadly addiction is to increase the price of tobacco products so they can’t afford to purchase them. States have been successfully using this tactic over the past decade by increasing local tobacco taxes. It can also help detract adult smokers from continuing the habit. Many of my aunts and uncles have been smoking for decades, and I always wished for something that would make them quit.

I’m suggesting we raise North Dakota’s cigarette tax significantly. Of the surrounding states, North Dakota’s tobacco tax is incredibly cheaper.

This one simple act can keep nearly 7,900 North Dakota kids from ever becoming adult smokers. And, more importantly, it means that more than 4,700 caused deaths would be prevented.

North Dakota, this is a win-win idea. You can decrease long-term health care costs and protect our children. I urge you to write your legislator and ask them to consider increasing North Dakota’s tax on all tobacco products.

It’s the right choice for our kids.

http://www.inforum.com/content/letter-raise-state-cigarette-tax-protect-nd%E2%80%88kids

Fewer Fargo High School students smoking, binge drinking

By Helmut Schmidt | Fargo Forum
FARGO – The percentage of Fargo High School students taking up cigarette smoking is dropping fast, and fewer students are binge drinking.

But other risks are coming to the fore, including what appears to be higher rates of depression and thoughts of suicide. Students also report a high rate of texting, emailing and talking on cellphones as they drive.

One out of five Fargo high school students polled were bullied electronically, while nearly one in 10 students said they were physically hurt by someone they were dating.

Statistics from the 2013 Youth Risk Behavior Survey paint a stark picture of the challenges faced by youths today, said Ron Schneider, a counselor at Fargo’s Woodrow Wilson High School.

Presenting the survey results and trend data to the School Board Tuesday, Schneider said it’s vital for family, teachers and school officials to make connections with young people.

“The more connections, the more relationships, the less likely they get involved with negative behavior,” Schneider said.

Among the findings:

  • Depression is a problem that’s either on the rise, or it has become more acceptable to talk about, Schneider said. “My guess is it’s a little of both,” he said. In 2013, 26.9 percent of Fargo students polled in grades 9-12 felt sad or hopeless almost every day for two or more weeks straight, up from 22.7 percent in 2009, the survey showed.
  • Of those surveyed, 16.8 percent had seriously considered suicide in the previous year, 12.4 percent had made a plan about how they would attempt suicide and 11.6 percent had attempted suicide one or more times in that year.
  • About two out of three young drivers are so hooked on their cellphones they can’t put them down when driving. Among Fargo students surveyed, 57.3 percent said they had texted or emailed while driving in 2013. Meanwhile, 67 percent of Fargo students said they had talked on a cellphone while driving in 2013.
  • In Fargo, 8.6 percent of students surveyed in 2013 reported being hurt by someone they dated, with that rising to 9.7 percent statewide.
  • Also, 10.1 percent of Fargo high school students in 2013 said they had been physically forced to have sexual intercourse, compared with 7.7 percent of those polled statewide.
  • About 20.1 percent of Fargo students said they had been electronically bullied, compared with 17.1 percent statewide.
  • Nearly a third of Fargo students, 28.7 percent, said they had an alcoholic drink in the last 30 days. It was 35.3 percent statewide.

Drug use

Schneider said it appears that the use of other chemicals has stabilized.

  • In 2013, 19.6 percent of Fargo students had tried marijuana in the last 30 days, compared with 15.9 percent statewide.
  • About 10.7 percent of Fargo students said they had sniffed glue, huffed from aerosol cans, or inhaled paints or spray to get high, while 5.6 percent said they had used methamphetamines.
  • In 2013, 20.5 percent of Fargo students said they had illegally used prescription drugs such as OxyContin, Percocet, Vicodin, codeine, Adderall, Ritalin or Xanax.
  • About 13.5 percent of Fargo high school students used over-the-counter drugs to get high in 2013, while 10.8 percent said they had used synthetic drugs such as K2, Spice or bath salts.
  • About 12.5 percent of students polled in 2013 said they had attended school drunk or high in the last 30 days.

Some positives

  • Regular smokers, Fargo teens who had smoked a cigarette on 20 of the last 30 days before the 2013 poll, dropped significantly, from 11.1 percent in 2009 to 3.9 percent in 2013.
  • About 21 percent of Fargo students reported smoking cigarettes, cigars or using chewing tobacco, snuff or dip in the last 30 days in the 2013 poll.
  • Binge drinking declined, as 17.7 percent of Fargo students in 2013 said they had five or more drinks in a couple of hours, compared with 23.9 percent in 2009. Statewide, 21.9 percent reported binge drinking in 2013, compared with 30.7 percent in 2009.

Sexually active

Many young people reported that they were sexually active. Of the students surveyed in 2013:

  • 39.7 percent of Fargo high school students reported that they had sexual intercourse, compared with 44.9 percent statewide.
  • 12.4 percent of Fargo students said they had sex with four or more partners during their lives.
  • 51.7 percent of Fargo students said they had used a condom during their last sexual experience, compared with 56.3 percent statewide.

http://www.inforum.com/content/fewer-fargo-high-school-students-smoking-binge-drinking

LLOYD OMDAHL: Legislature questions intelligence of voters

By: Lloyd Omdahl, Grand Forks Herald
Measure 4 on the November ballot is the latest attempt by the Legislature to restrict citizen use of the initiative process by which voters can propose measures for a vote of the people.
If passed, it would prohibit the secretary of state from putting on the ballot any citizen proposal that would direct the expenditure of money for a specific purpose. Apparently, legislators question the intelligence of the voters.
This is the latest in a never-ending series of attempts by the Legislature to make it more difficult for North Dakotans to use the initiative. In the past, most attempts have been aimed at raising the number of signatures required for filing petitions. They all failed.
This time, the Legislature wants to be sure that it has exclusive control over the huge surpluses in the state treasury. It is afraid that citizens who see neglected needs will win the support of the electorate to appropriate money.
The Legislature should be reminded that these surpluses would not exist without the adoption in 1980 of a measure initiated by the people to add a 6½ percent tax on oil production. The Legislature was doing nothing about the puny oil tax it had levied 25 years earlier.
Let’s look at the Legislature’s track record.
First, there’s the Legislature’s mismanagement of the money from the tobacco settlement in which North Dakota was awarded over $800 million. Even though Former Attorney General Heidi Heitkamp won the lawsuit, the Legislature was quick to grab the money for programs other than fighting tobacco addiction.
To get the Legislature back on track, Heitkamp and other tobacco fighters initiated a measure directing the Legislature to spend tobacco settlement money on tobacco addiction. The voters approved the measure.
But the 2013 Legislature, in a petulant fit, refused to accept the decision of the voters. It started stripping out key provisions of the initiated measure. The effort failed only when the leadership could not muster the two-thirds vote needed to change an initiated measure.
Meanwhile, the Legislature held the appropriation hostage until the last day of the session when it relented and belligerently approved funding the program to fight tobacco addiction.
By proposing Measure 4, the Legislature is telling North Dakotans that they are not to be trusted with money. Many residents feel the same way about the Legislature. That is why we have provisions in the state constitution for the initiative and the referendum.
There are pressing needs that have been neglected by the Legislature and may require initiative petitions to appropriate money in the future.
One is the need for more support for clean water, conservation and parks. Even if Measure 5 proposing a significance increase in such funding is defeated, the need will not go away. A new initiated measure may be necessary.
A recent public opinion poll revealed strong public support for such programs.
Another critical need is funding for statewide preschool education. The last session did nothing except authorize cash-strapped school districts to raise their own money for preschool. There is wide public support for preschool education. This may require an initiated measure.
Generally speaking, the governor and the Legislature have done quite well with state money. Nevertheless, the Legislature sometimes develops blind spots when it comes to new needs and new opportunities.
Historically, North Dakota voters have been very responsible in dealing with money issues on the ballot. There is no justification for questioning their intelligence. Measure 4 is an unnecessary restriction on citizens participating in their government.
http://www.grandforksherald.com/content/lloyd-omdahl-legislature-questions-intelligence-voters

Raise tobacco tax to discourage kids

By KATHLEEN DONAHUE Bismarck

Almost all tobacco users became addicted before age 26. Thousands of kids try their first cigarette every day.

In recent years, declines in youth smoking rates have stalled and the use of other tobacco products by youth has actually increased.

The tobacco companies are aware of these trends and spend millions of dollars on new products and deceptive marketing with the goal of turning children into lifelong customers.

Advertising influenced my cousin to start smoking at an early age. Years later, his tobacco use cost him his life. I want to make sure no family experiences such a loss.

One of the best ways to prevent kids from ever starting the deadly addiction is to increase the price of tobacco products so they can’t afford to purchase them. States have been successfully using this tactic over the past decade by increasing local tobacco taxes.

I’m suggesting we raise North Dakota’s cigarette tax significantly. This one simple act can keep nearly 7,900 North Dakota kids from ever becoming adult smokers. And more importantly, it means that more than 4,700 tobacco-caused deaths like my cousin’s untimely passing would be prevented.

North Dakota, this is a win-win idea. You can decrease long-term health care costs and protect our children. I urge you to write your legislators and ask them to consider increasing North Dakota’s tax on all tobacco products. It’s the right choice for our kids.

http://bismarcktribune.com/news/opinion/mailbag/raise-tobacco-tax-to-discourage-kids/article_94347622-4046-11e4-a807-af727e9b9e46.html

Concordia campus goes fully tobacco-free

By Grace Lyden | Forum News Service
MOORHEAD – Following the lead of college campuses around the country, Concordia College at Moorhead is now fully tobacco-free.
As of Aug. 18, the college prohibits the use, sale or distribution of cigarettes, cigars, pipes, hookahs, electronic cigarettes and any other smoking products, as well as smokeless tobacco products, such as chew and snus, on campus grounds.
“We felt that what we wanted to do was be as comprehensive in this as possible,” said Sue Oatey, Concordia’s vice president of student affairs.
According to a survey done by Concordia’s Student Government Association in 2013, 88 percent of Concordia students did not use tobacco products on campus and 70 percent supported a tobacco-free policy.
Those statistics make it surprising that the move didn’t happen sooner, as it did at other colleges in the Fargo-Moorhead area.
Minnesota State University Moorhead went tobacco-free on Jan. 1, 2008. Two years later, North Dakota State University’s smoking ban went into effect March 1, 2010.
And in the past five years, the number of smoke-free campuses nationwide has soared.
Just 365 campuses were smoke-free in October 2009, compared to 1,372 campuses in July 2014, according to the American Nonsmokers’ Rights Foundation, a group that tracks those numbers.
Alyssa Coop, president of Concordia’s student government and a senior at the college, said her understanding was that a smoking ban had been often discussed but also often tabled.
“It’s kind of come and gone,” she said. “Every once in a while, the administration will make headway on it, but it seems to take a while to get through the red tape.”
That’s why the SGA wasn’t confident when they started working with Oatey and others on this proposal two years ago.
“We really didn’t have high hopes for it,” Coop said. “We didn’t know if it was going to be time for it or not.”
Now that it is in place, though, Concordia’s ban is one of the nation’s most comprehensive because it prohibits smoking products, smokeless products and also e-cigarettes.
E-cig debate
E-cigarettes have been a point of debate on numerous college campuses.
They’re marketed as a better option for public use due to reduced secondhand smoke effects, but the U.S. Food and Drug Administration and the World Health Organization have questioned those claims and called for stronger regulation.
Just 176 of this year’s 1,372 smoke-free campuses also prohibit e-cigarettes, according to the ANRF data, and three of those are now in Fargo-Moorhead.
MSUM released a statement March 13 that e-cigarettes would be added to its tobacco policy, citing the lack of FDA regulation and also a 2014 U.S. Surgeon General report that said e-cigarettes constitute tobacco use.
NDSU also recently added e-cigarettes to its policy to be in compliance with state law, said Janna Stoskopf, NDSU dean of student life.
North Dakota is one of two states that specifically prohibit using e-cigarettes in 100 percent smoke-free venues, according to the ANRF July report. The other is New Jersey.
NDSU differs slightly from Concordia and MSUM because while the campus is smoke-free, smokeless tobacco is allowed.
Stoskopf said students who spearheaded the ban were intentional about that choice.
“They thought they would have the best possible success based on the notion of secondhand smoke and the impact of that on others,” she said.
Slightly more than two-thirds of smoke-free college campuses – 938 of the 1,372 – are also tobacco-free, according to the ANRF.
There have not been efforts to change that aspect of NDSU policy, Stoskopf said.
http://www.inforum.com/content/concordia-campus-goes-fully-tobacco-free

CVS stops selling tobacco, offers quit-smoking programs

Jayne O’Donnell and Laura Ungar, USA TODAY

CVS Caremark plans to stop selling tobacco products in all of its stores starting Wednesday — a move health experts hope will be followed by other major drugstore chains.

CVS announced in February that it planned to drop tobacco by Oct. 1 as the sales conflicted with its health care mission. To bolster its image as a health care company, CVS will announce a corporate name change to CVS Health. Retail stores will still be called CVS/Pharmacy.

CVS, which has 7,700 retail locations, is the second-largest drugstore chain in the USA, behind Walgreens. It manages the pharmacy benefits for 65 million members and has 900 walk-in medical clinics.

The American Pharmacists Association called on drugstores to stop selling tobacco in March 2010 and several small, independent chains have done so, APA spokeswoman Michelle Spinnler says. CVS is the first large chain to stop tobacco sales.

“CVS’ announcement to stop selling tobacco products fully a month early sends a resounding message to the entire retail industry and to its customers that pharmacies should not be in the business of selling tobacco,” said Matthew Myers, president of the Washington-based Campaign for Tobacco-Free Kids. “This is truly an example of a corporation leading and setting a new standard.”

CVS is also launching a smoking-cessation campaign that will include an assessment of the smoker’s “readiness to quit,” education, medication support to help curb the desire to use tobacco and coaching to help people stay motivated and avoid relapses.

CVS says research shows its decision will have a big impact. A study the company is releasing Wednesday in the journal Health Affairs shows bans at pharmacies in Boston and San Francisco led to more than 13% fewer purchasers. Smokers didn’t just switch where they bought cigarettes and other tobacco products, some stopped buying them altogether. About 900 households in the two cities recorded everything they bought after the bans went into effect.

Troyen Brennan, CVS’ chief medical officer, says if the results were extrapolated for pharmacies across the USA, it would lead to 65,000 fewer deaths a year.

Ellen Hahn of the Tobacco Policy Research Program at the University of Kentucky says one chain not selling tobacco will have a limited effect, and other tobacco control strategies, such as price and tax increases and smoking bans, have been shown to be more effective.

Still, she said, “every little bit helps because they are such a large chain. If every pharmacy would follow suit, that would be best. But this sends a clear message that pharmacies should not be selling tobacco.”

Audrey Silk, founder of Citizens Lobbying Against Smoker Harassment, or CLASH, a national smokers’ rights group based in New York City, says CVS has every right to change what it sells, but she believes the company is falling for the anti-smoking “crusade.”

Pharmacies no longer sell just medicines, she said, “they have turned into grocery stores. They sell candy. They sell beer. CVS Health? It’s a perception war. … Tobacco is legal. They’re engaging in public coercion by not selling cigarettes.”

CVS says its tobacco sales total about $2 billion a year.

The U.S. Centers for Disease Control and Prevention calls tobacco “the single most preventable cause of disease, disability and death in the United States,” saying 443,000 people die from smoking or exposure to secondhand smoke each year.
Tobacco deaths are very personal to two top CVS executives. CEO Larry Merlo’s father died of tobacco-related cancer at age 57 and the mother of CVS/Pharmacy President Helene Foulkes died five years ago of lung cancer from smoking.
After its announcement in February, Foulkes says CVS was deluged with personal stories from customers who had quit smoking. Many said it was the “hardest thing they had ever done,” she says. The company is determined to make it easier for them, she says, because it simply makes sense.
“The contradiction of selling tobacco was becoming a growing obstacle to playing a bigger role in health care delivery,” Merlo says.
http://www.usatoday.com/story/news/nation/2014/09/03/cvs-steps-selling-tobacco-changes-name/14967821/