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	<title>TobaccoToday &#187; Chris Crawley</title>
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	<link>http://www.tobaccotoday.info</link>
	<description>Information on the Tobacco industry</description>
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		<title>Altria launches smoking rights website&#8230;.</title>
		<link>http://www.tobaccotoday.info/2012/01/06/altria-launches-smoking-rights-website/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=altria-launches-smoking-rights-website</link>
		<comments>http://www.tobaccotoday.info/2012/01/06/altria-launches-smoking-rights-website/#comments</comments>
		<pubDate>Fri, 06 Jan 2012 19:09:23 +0000</pubDate>
		<dc:creator>Chris Crawley</dc:creator>
				<category><![CDATA[Current Issues]]></category>

		<guid isPermaLink="false">http://www.tobaccotoday.info/?p=854</guid>
		<description><![CDATA[Altria has launched a smoking advocay website which can be found by clicking on the link below or pasting it into your browser. http://www.tobaccorights.com/ctr/advocacy/default.aspx Interested individuals can sign up and post views and get involved in defending smoker&#8217;s rights.]]></description>
			<content:encoded><![CDATA[<p>Altria has launched a smoking advocay website which can be found by clicking on the link below or pasting it into your browser.</p>
<p>http://www.tobaccorights.com/ctr/advocacy/default.aspx</p>
<p>Interested individuals can sign up and post views and get involved in defending smoker&#8217;s rights.</p>
]]></content:encoded>
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		<slash:comments>2</slash:comments>
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		<title>GD &#8211; Bologna &#8211; acquisitions:</title>
		<link>http://www.tobaccotoday.info/2011/12/05/gd-bologna-acquisitions/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=gd-bologna-acquisitions</link>
		<comments>http://www.tobaccotoday.info/2011/12/05/gd-bologna-acquisitions/#comments</comments>
		<pubDate>Mon, 05 Dec 2011 20:05:24 +0000</pubDate>
		<dc:creator>Chris Crawley</dc:creator>
				<category><![CDATA[Acquisitions]]></category>
		<category><![CDATA[Current Issues]]></category>
		<category><![CDATA[Key International Business & Market Developments]]></category>

		<guid isPermaLink="false">http://www.tobaccotoday.info/?p=817</guid>
		<description><![CDATA[GD and its parent company have been busy in the last couple of months, acquiring first Sasib in October immediately followed by Flexlink in November. According to GD&#8217;s website Sasib will continue to operate as a separate business. This consolidation trend reflects the tobacco industry&#8217;s manufacturing consolidation where the number of large multinationals dominte the [...]]]></description>
			<content:encoded><![CDATA[<p>GD and its parent company have been busy in the last couple of months, acquiring first Sasib in October immediately followed by Flexlink in November. According to GD&#8217;s website Sasib will continue to operate as a separate business.<br />
This consolidation trend reflects the tobacco industry&#8217;s manufacturing consolidation where the number of large multinationals dominte the cigarette manufacturing sector operating from large regional or national factories.</p>
<p>Who will be next we wonder? </p>
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		<title>TabExpo &#8211; Prague 2011</title>
		<link>http://www.tobaccotoday.info/2011/11/22/tabexpo-prague-2011/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=tabexpo-prague-2011</link>
		<comments>http://www.tobaccotoday.info/2011/11/22/tabexpo-prague-2011/#comments</comments>
		<pubDate>Tue, 22 Nov 2011 16:47:27 +0000</pubDate>
		<dc:creator>Chris Crawley</dc:creator>
				<category><![CDATA[Exhibitions]]></category>

		<guid isPermaLink="false">http://www.tobaccotoday.info/?p=785</guid>
		<description><![CDATA[TabExpo Prague wrapped up last Friday and was by all accounts successful. The show was well attended by visitors from all parts of the industry. By the second day it had exceeded attendance at the smaller WT Expo held the week before in Munich. Visitor traffic was at times heavy for three of the four [...]]]></description>
			<content:encoded><![CDATA[<p>TabExpo Prague wrapped up last Friday and was by all accounts successful.<br />
The show was well attended by visitors from all parts of the industry. By the second day it had exceeded attendance at the smaller WT Expo held the week before in Munich. Visitor traffic was at times heavy for three of the four days. The last day is always slow in any exhibition.<br />
Exhibitors were well pleased both with the quality and quantity of attendees. Several exhibitors closed business on their stands and nearly all came away with good prospects</p>
<p>Organisation was also well executed and communicated.</p>
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		<title>Filtrona Mexico factory to close</title>
		<link>http://www.tobaccotoday.info/2011/08/01/filtrona-mexico-factory-to-close/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=filtrona-mexico-factory-to-close</link>
		<comments>http://www.tobaccotoday.info/2011/08/01/filtrona-mexico-factory-to-close/#comments</comments>
		<pubDate>Mon, 01 Aug 2011 14:11:09 +0000</pubDate>
		<dc:creator>Chris Crawley</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://www.tobaccotoday.info/?p=738</guid>
		<description><![CDATA[Filtrona PLC will close their filter factory located in Monterrey Mexico effective today &#8211; Monday August 1 2011. Staff are being informed and we wish them every success in finding new positions and for their families. Opened less than 10 years ago, the Monterrey facility was originally the latest model for cost-savings by opening a [...]]]></description>
			<content:encoded><![CDATA[<p>Filtrona PLC will close their filter factory located in Monterrey Mexico effective today &#8211; Monday August 1 2011.<br />
Staff are being informed and we wish them every success in finding new positions and for their families.</p>
<p>Opened less than 10 years ago, the Monterrey facility was originally the latest model for cost-savings by opening a facility where labor costs were lower than the neighboring US. In reality only direct labor was lower and the cost-savings elusive. As gas prices rose the facility became increasingly expensive to supply customers located East of the Mississippi. </p>
<p>High-speed combining machinery was relocated some time ago, leaving a residual mono-acetate filter business predominently supplying independent customers in North America. This business will presumably be relocated to the Greensboro facility &#8211; which apart from Paraguay is the only remaining facility in the Americas.</p>
<p>Special filter volumes have continued to slowly decline as special filter cigarettes were relocated to other multi-national cigarette factories outside the US &#8211; pressuring Filtrona with two large facilities in Monterrey and Greensboro.</p>
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		<title>Tabacchi Pojana &#8211; looking for sales partners</title>
		<link>http://www.tobaccotoday.info/2011/05/17/tabacchi-pojana-looking-for-sales-partners/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=tabacchi-pojana-looking-for-sales-partners</link>
		<comments>http://www.tobaccotoday.info/2011/05/17/tabacchi-pojana-looking-for-sales-partners/#comments</comments>
		<pubDate>Tue, 17 May 2011 17:48:09 +0000</pubDate>
		<dc:creator>Chris Crawley</dc:creator>
				<category><![CDATA[tobacco]]></category>

		<guid isPermaLink="false">http://www.tobaccotoday.info/?p=700</guid>
		<description><![CDATA[TABACCHI POJANA s.c.a.m.p Società Cooperativa Agricola a Mutualità Prevalente Pojana Maggiore (VI) – Largo Europa, 101 Tel.: +39 (0)444898036 – Fax: +39 (0)444794234 Introduction Tabacchi Pojana is an Italian company specializing in tobacco growing and processing. It was established in 1947 by a group of farmers from the Veneto who are mainly engaged in manufacturing [...]]]></description>
			<content:encoded><![CDATA[<p>TABACCHI POJANA s.c.a.m.p<br />
Società Cooperativa Agricola a Mutualità Prevalente<br />
Pojana Maggiore (VI) – Largo Europa, 101<br />
Tel.: +39 (0)444898036 – Fax: +39 (0)444794234</p>
<p>Introduction</p>
<p>Tabacchi Pojana is an Italian company specializing in tobacco growing and processing. It was established in 1947 by a group of farmers from the Veneto who are mainly engaged in manufacturing and marketing of tobacco grown by its members. The headquarters and factory are located in Pojana Maggiore close to the city of Verona in Northern Italy </p>
<p>Tabacchi Pojana is committed to the promotion of tobacco through its control of the production process, from sowing and care in the fields to final processing for clients. We handle the marketing, both direct and indirect, to a mixture of manufacturing industries.</p>
<p>The Flue-Cured (also called Virginia or Bright) tobacco varieties of Verona are Tabacchi Pojana’s flagship products. It is the result of the summation of good climatic, agronomic and soil conditions, making them excellent in quality and universally recognized. Additionally, our Burley tobacco, is a traditional Burley, where the plant is topped removing the button flower. This, together with sucker control,allows for a more aromatic and colorful tobacco. This is generally referred to as Burley high nicotine and is another high-quality traditional tobacco from Tabacchi Pojana.</p>
<p>Our research is directed primarily towards tobacco manufacturing companies producing cigarettes, cigars and cigarillos who are interested in tobacco varieties (Flue-Cured or Burley high nicotine – from green to strips) in a long-term business relationship supplying volume and consistent quality.</p>
<p>If you are interested do not hesitate to contact us for any further info.</p>
<p>You can contact us by email at: tabacchipojana@hotmail.com<br />
Ask for Flavio Carassini</p>
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		<title>Lorillard and RJR sue FDA:</title>
		<link>http://www.tobaccotoday.info/2011/02/28/lorillard-and-rjr-sue-fda/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=lorillard-and-rjr-sue-fda</link>
		<comments>http://www.tobaccotoday.info/2011/02/28/lorillard-and-rjr-sue-fda/#comments</comments>
		<pubDate>Mon, 28 Feb 2011 22:26:45 +0000</pubDate>
		<dc:creator>Chris Crawley</dc:creator>
				<category><![CDATA[Current Issues]]></category>
		<category><![CDATA[Regulations: FDA etc.]]></category>

		<guid isPermaLink="false">http://www.tobaccotoday.info/?p=674</guid>
		<description><![CDATA[Alleging conflicts of interest among members of the Food and Drug Administration (FDA) scientific advisory committee, Lorillard filed suit to stop FDA from receiving or relying on recommendations from their advisory committee &#8211; called tpsac &#8211; including proposals regarding menthol cigarettes. The lawsuit was filed jointly by Lorillard and R.J. Reynolds Tobacco Company in the [...]]]></description>
			<content:encoded><![CDATA[<p>Alleging conflicts of interest among members of the Food and Drug Administration (FDA) scientific advisory committee, Lorillard filed suit to stop FDA from receiving or relying on recommendations from their advisory committee &#8211; called tpsac &#8211; including proposals regarding menthol cigarettes. The lawsuit was filed jointly by Lorillard and R.J. Reynolds Tobacco Company in the United States District Court for the District of Columbia. The TPSAC advisory committee is expected to make a recommendation on menthol cigarettes on March 23, 2011.</p>
<p>The suit alleges that the Tobacco Products Scientific Advisory Committee as currently constituted fails to meet requirements of the Federal Advisory Committee Act to be fairly balanced and not to be inappropriately influenced by any special interest.  Instead, the suit alleges, conflicts of several members of the committee render the panel unable to deliver any report or recommendation to the FDA that is &#8220;free of the taint of conflicts of interest.&#8221;  </p>
<p>The suit specifically alleges that three members of the committee, Drs. Neil Benowitz, Jack E. Henningfield and Jonathan M. Samet are conflicted because they have made tens of thousands of dollars as paid expert witnesses in litigation against tobacco products manufacturers and due to their continuing financial relationships with pharmaceutical companies that make smoking-cessation products.  </p>
<p>Beginning last year, the two companies and others urged the FDA to ensure that members of the panel were free of conflicts.  Those concerns, however, were either summarily rejected or entirely ignored.</p>
<p>&#8220;We are taking this action reluctantly after the FDA failed to constitute the committee in accordance with the law and failed to properly address legitimate concerns regarding fairness and impartiality,&#8221; said Ronald S. Milstein, senior vice president and general counsel of Lorillard. </p>
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		<title>Fire at Filtrona Paraguay filter factory</title>
		<link>http://www.tobaccotoday.info/2011/02/18/fire-at-filtrona-paraguay-filter-factory/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=fire-at-filtrona-paraguay-filter-factory</link>
		<comments>http://www.tobaccotoday.info/2011/02/18/fire-at-filtrona-paraguay-filter-factory/#comments</comments>
		<pubDate>Fri, 18 Feb 2011 21:36:41 +0000</pubDate>
		<dc:creator>Chris Crawley</dc:creator>
				<category><![CDATA[Current Issues]]></category>

		<guid isPermaLink="false">http://www.tobaccotoday.info/?p=667</guid>
		<description><![CDATA[Reports coming from Brazil indicate Filtrona&#8217;s filter factory (Filtrona Paraguaya,) located on the outskirts of Ciudad Del Este, Paraguay was badly damaged by fire earlier this week. It is reported that all of their stock was destoyed along with most machinery. The exact extent of the damage is unclear but local customers in Paraguay and [...]]]></description>
			<content:encoded><![CDATA[<p>Reports coming from Brazil indicate Filtrona&#8217;s filter factory (Filtrona Paraguaya,) located on the outskirts of Ciudad Del Este, Paraguay was badly damaged by fire earlier this week. It is reported that all of their stock was destoyed along with most machinery.<br />
The exact extent of the damage is unclear but local customers in Paraguay and Brazil are scrambling to find alternative sources of supply. </p>
<p>It is not known when, or if, the facility may be restored.</p>
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		<slash:comments>2</slash:comments>
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		<title>TABEXPO Prague or WT Expo Munich – what to decide?</title>
		<link>http://www.tobaccotoday.info/2011/02/17/tabexpo-prague-or-wt-expo-munich-%e2%80%93-what-to-decide/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=tabexpo-prague-or-wt-expo-munich-%25e2%2580%2593-what-to-decide</link>
		<comments>http://www.tobaccotoday.info/2011/02/17/tabexpo-prague-or-wt-expo-munich-%e2%80%93-what-to-decide/#comments</comments>
		<pubDate>Thu, 17 Feb 2011 13:23:33 +0000</pubDate>
		<dc:creator>Chris Crawley</dc:creator>
				<category><![CDATA[Current Issues]]></category>
		<category><![CDATA[Exhibitions]]></category>

		<guid isPermaLink="false">http://www.tobaccotoday.info/?p=662</guid>
		<description><![CDATA[Since WT announced their Munich show directly on the heels of TABEXPO Prague the Tobacco Industry has been a regular gossip column. Why? Almost everybody agrees holding two shows, within a week of each other, in Europe, makes no sense. Indecision is rife and not surprisingly; making the wrong decision will be costly in many [...]]]></description>
			<content:encoded><![CDATA[<p>Since WT announced their Munich show directly on the heels of TABEXPO Prague the Tobacco Industry has been a regular gossip column. Why?<br />
Almost everybody agrees holding two shows, within a week of each other, in Europe, makes no sense. Indecision is rife and not surprisingly; making the wrong decision will be costly in many ways and what’s the harm in waiting it out?<br />
More than you think…..<br />
First, we all agree there are too many shows. This is a mature industry, which is consolidating and new products / developments don’t appear every year. Exhibition costs are large – why spend on a booth if you don’t have to?<br />
Having two shows dilutes both. Nobody wins. Not you, the Tobacco Industry not TABEXPO or WT Expo.<br />
Many argue TABEXPO and WT should get together and have one show. It’s not going to happen. It’s not even a great idea as competition will be diminished (meaning eliminated) and that’s really not good for the Industry. The best solution would be if WT re-scheduled. Moving the Munich show, from the week before TabExpo which has been held in November since 1994, would actually be helpful to the Tobacco Industry.<br />
This seems unlikely. So what to do? Well the future is in your hands; here are some suggestions…..<br />
Do your research and find out who’s really going to exhibit? There are some shenanigans going on. Quite a few exhibitors are listed as exhibitors at Munich who haven’t paid deposits; meaning they’re not going. In some cases they are still listed as exhibitors when they’ve paid to attend TABEXPO and told WT they will not exhibit in Munich.<br />
Consider which show is likely to be the best supported and attended. WT does a good job with their shows but TABEXPO is an Olympic exhibition – a World Trade Show – a four-year event. You can guarantee TABEXPO will be well attended; and by key Tobacco Industry executives from around the World. Go for the show that will be best for your business.<br />
If you’re looking to do business, find opportunities, update yourself on the industry; make plans to be at TABEXPO &#8211; the show with the best exhibitor profile, attendee track record and congress participants? At TABEXPO you have an extra day to do it; in Prague, a city which costs considerably less than Munich.<br />
 WT is now offering bargain basement prices on booth space. Sound good – you bet – but check further before you leap. Is the bargain basement pricing possibly a sign of desperation and is it at the expense of early signers who find they paid more to exhibit than those who waited? What a deal! What if prices fall even further?<br />
If you exhibit in Munich, what if the show attendance is disappointing? Do you have a fall-back? Can you afford to exhibit at both? Do you want to? Can you afford not to?<br />
If you are a major raw material supplier or equipment vendor then one good order or prospect will cover your investment. Where will you, most likely, get that order; meet those prospects and others……..?<br />
Analyze where your prior exhibition business came from – did it come from TABEXPO or did it come from WT?<br />
Many industry insiders have confirmed they will go to TABEXPO Prague, some, if they can afford it, may go to both.<br />
If I had to choose just one show to attend in 2011 – it will be TABEXPO Prague. Good prospects, well attended, excellent connections and at a fair price.</p>
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		<title>Smoking is a choice, not a compulsion</title>
		<link>http://www.tobaccotoday.info/2011/01/09/smoking-is-a-choice-not-a-compulsion/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=smoking-is-a-choice-not-a-compulsion</link>
		<comments>http://www.tobaccotoday.info/2011/01/09/smoking-is-a-choice-not-a-compulsion/#comments</comments>
		<pubDate>Sun, 09 Jan 2011 22:17:41 +0000</pubDate>
		<dc:creator>Chris Crawley</dc:creator>
				<category><![CDATA[Current Issues]]></category>
		<category><![CDATA[Regulations: FDA etc.]]></category>
		<category><![CDATA[Science]]></category>

		<guid isPermaLink="false">http://www.tobaccotoday.info/?p=656</guid>
		<description><![CDATA[Smoking is a choice, not a compulsion By Christopher Russell The official view of nicotine addiction states that while initial smoking is voluntary, nicotine gradually changes the normal processes of neurotransmission within the brain’s reward system which make it increasingly difficult for smokers to control when and how much they smoke. As people continue to [...]]]></description>
			<content:encoded><![CDATA[<p>Smoking is a choice, not a compulsion</p>
<p>By Christopher Russell<br />
The official view of nicotine addiction states that while initial smoking is voluntary, nicotine gradually changes the normal processes of neurotransmission within the brain’s reward system which make it increasingly difficult for smokers to control when and how much they smoke. As people continue to smoke, they are believed to eventually pass a ‘tipping point’, as if a switch has been flipped in their brains, at which “to smoke or not to smoke is not a question of free will of the individual, because nicotine makes people to depend on her, thereby reducing their capacity for making free choices.” (Ochoa, 1994: 196–197). In other words, smokers are no longer merely smokers; they are now nicotine addicts whose smoking is physically compelled, no longer under their willful control. This medical explanation for why some people continue to smoke despite their stated desire to quit is endorsed by several authoritative health bodies including the World Health Organisation, American Medical Association, and the American Psychiatric Association, provides justification for tobacco control measures and the provision of medical treatment to quitting smokers, and is largely accepted by smokers and the general public as an unquestioned, scientifically-proven truth of nicotine addiction.<br />
It may be surprising to some readers then to learn that the argument that certain smokers are physically unable to stop smoking is actually consistently and critically undermined by a large body of empirical evidence and logical argument. On the contrary, what we can show is that some people find quitting smoking to be easy, a bit hard, quite hard, or extremely difficult, and that people keep smoking and quit smoking because they choose to for their own reasons, not because they are caused to. Though an extensive review of research is not possible here, this article describes what I consider to be among the strongest arguments for viewing smoking always as a choice, not as a physically compelled act.<br />
Nicotine withdrawal severity does not distinguish those who do quit from those who don’t quit<br />
The medical explanation is built on the assumption that nicotine withdrawal severity, as a measure of dependence, should predict who is most able, less able, and unable to stop smoking, and promises that medical research will soon find a more effective treatment for reducing nicotine withdrawal severity. However, no conclusive evidence of a relationship between withdrawal syndrome severity and quit outcome has yet been observed.<br />
In a review of fifteen prospective studies of the strength of severity of withdrawal symptoms as predictors of quit outcome, Patten and Martin (1996) found that only six studies reported a relationship between withdrawal severity and quit outcome with the remaining nine reporting only weak relationships between withdrawal symptom intensity and frequency and short- and long-term relapse. In some studies, quitters reporting moderately severe symptoms lapsed to smoking within hours whereas people who reported severe withdrawal distress were are able to forego smoking for days and even weeks. Furthermore, most research has found that withdrawal symptoms largely resolve within two to three weeks following cessation and most affective symptoms resolve within three to four weeks yet the tendency to relapse to smoking persists for several years following cessation, long after withdrawal symptoms should have abated. Such incongruence between the temporal courses of withdrawal emergence and relapse potential suggests they are only weakly related.<br />
Furthermore, in opposition to claims that NRT produces smoking cessation by alleviating the severity of the nicotine withdrawal syndrome, the extent to which NRTs suppress withdrawal symptoms has not been found to correspond well with their ability to produce abstinence. I’ve chosen two of many studies which found this poor correspondence. In Jorenby and colleagues (1995) study, though a forty-four milligram transdermal nicotine patch further reduced participants’ craving for nicotine than a twenty-two milligram patch, this reduction was not related to success in maintaining abstinence as smoking cessation did not differ significantly between the two patch groups at either eight weeks or twenty-six weeks following the quit date.<br />
Alternatively, in a study by the Transdermal Nicotine Study Group (1991), though a twenty-one milligram transdermal nicotine patch produced a better abstinence rate at six months post-quit than a fourteen milligram patch and placebo treatment, abstinence rates across groups did not associate with changes in self-reported withdrawal symptom severity. This lack of a consistent association between withdrawal severity and quit outcome raises questions about the mechanisms of action and the psychosocial aspects of NRT.<br />
Belief in the addictiveness of nicotine as a better predictor of quit success<br />
There is better evidence that withdrawal symptoms are temporary rather than enduring obstacles, the effects of which are mediated by cognitive factors such as self-control ability, belief in the addictiveness of nicotine, and perceived self-efficacy. The belief that nicotine is addictive seems to increase the salience of withdrawal symptoms, thereby adding to their unpleasantness and increasing the chances of relapsing. In making symptoms more salient, a belief in the addictiveness of nicotine may lead quitters to overestimate the strength of these symptoms, therefore believing that they at greater risk of lapsing back to smoking than is actually posed by pure pharmacology. However, there is also evidence for the inverse hypothesis; frequent failure to stop smoking leads the smoker explain these failures as due to the fact that he is physically addicted and is incapable of stopping.<br />
The main reason given by smokers for their failure to stop smoking is that they see themselves as addicted, and many smokers are very willing to describe themselves as “addicts” on the back of cessation failures. From a functional perspective, attributing smoking to a physical disease is attractive because the “addict” label allows smokers to claim diminished responsibility for their behaviour, diminished free will to control their behaviour, and so, justification for discontinuing their efforts to quit without assistance. Therefore, regardless of its legitimacy, disseminating the message that some smokers have lost the ability to control their smoking should be counter-productive to the goal of persuading our populations to quit smoking.<br />
Most people quit smoking without assistance, medical or otherwise.<br />
What we can and cannot show about the nature of nicotine addiction today is summed up by Akers (1991), a sociologist:<br />
“The problem is that there is no independent way to confirm that the “addict” cannot help himself and therefore the label is often used as a tautological explanation of the addiction. The habit is called an addiction because it is not under control but there is no way to distinguish a habit that is uncontrollable from one which is simply not controlled”.<br />
As an identifiable pharmacological substrate which compels smoking is yet to be found, the only evidence we have that people can’t stop is people say they can’t stop or are observed as not stopping. We cannot observe that people cannot stop; only that people do not stop.  Conversely, the best evidence we have that people can stop is that they often do stop in large numbers, and more often without medical intervention or a painful withdrawal experience. Indeed, despite the staunch promotion of nicotine replacement products as the best hope for those trying to quit and in opposition to media messages that quitting is more likely with the use of nicotine replacement products, population studies consistently show that unassisted cessation is by far the most effective quitting method, leading the second most effective method – nicotine replacement therapy – by a large distance (see Chapman, 2010). For example, in 1986, the American Cancer Society reported that “over 90% of the estimated 37 million people have stopped smoking in the US since the Surgeon General’s first report linking smoking to cancer (in 1964) have done so unaided” (i.e. without the help of a formal treatment method). During a similar time frame, a report by the United States Department of Health, Education and Welfare also estimated that 95% of those who have quit smoking have done so on their own (USDHEW, 1977) This suggests that, for these 90-95% of Americans, quitting smoking was a matter of changing their minds about smoking however this change of mind came about, not through pharmaceutical intervention. It is somewhat puzzling then that unassisted quitting is rarely advised to smokers and no public education campaigns to my knowledge carry statistics for unassisted cessation or promote unassisted cessation as an effective strategy.</p>
<p>Lastly, in contrast to the popular belief that smokers typically plan their quit attempt in advance and that such advance planning leads to longer cessation, West and Sohal (2006) found that 48.6% cent of smokers put their most recent quit attempt into effect immediately after the decision to quit was made and, compared to those who planned their quit attempt in advance, those who quit on the spot were 2.6 times more likely to still be not smoking six months later. More recently, Ferguson and colleagues (2009) similarly found that the odds of a “spontaneous” quit attempt lasting for 6 months or longer were twice that of quit attempts planned in advance. These favourable findings for spontaneous as opposed to planned, assisted quitting fit with many smokers’ stories of giving up because they just felt like it; they had just had enough; a friend was dying of lung cancer; they themselves had a brush with death; or they had just found out that they were to become a parent or grandparent, among many other reasons for quitting on the spot. Successful, unplanned quitting happens seems to happen because a sudden switch in motivation changes our view of smoking from something positive to something which threatens an important part of our life.  </p>
<p>The main point here is that quitting smoking appears to not depend on treating a physical addiction to nicotine, but on us becoming addicted to other ways of living and seeing smoking as something which interferes with these more valued ways of living. Simply, it appears that people smoke when it makes sense to smoke and stop smoking when smoking stops making sense.<br />
Why brain pharmacology cannot explain why people smoke<br />
Pharmacological processes of nicotine merely provide an on-line explanation of what happens to people’s brains and bodies when nicotine is consumed (i.e. the causes); they do not provide retrospective explanation for why people use nicotine (i.e. the reasons). There is good evidence that nicotine can make quitting hard; there is no evidence that a nicotine-induced pharmacological substrate compels people to put cigarettes in their mouths. Essentially, asking what happens when a person smokes is to ask about the involuntary neuroadaptation and gene expression which are caused; to ask why he smoked is to ask about the plethora of intra- and inter-individual reasons for voluntarily putting a cigarette to mouth and lighting. These are two very different sets of phenomena which require different levels of explanation.<br />
The fact that millions of people say they are addicted is not evidence that they are addicted; the vast majority of people who say at one point &#8220;I can’t stop smoking&#8221; then do stop smoking! Unfortunately, physicians and tobacco control bodies tend to take these &#8220;I’m addicted!&#8221; claims as if they were literally true, solid pieces of evidence of an actual physical disease! But no other true physical disease is diagnosed solely on what people say they can and cannot do. We would certainly be suspicious if our physician diagnosed us as having diabetes without conducting any physical tests. We wouldn’t allow it; we would demand that tests be conducted before accepting the diagnosis and starting a course of treatment. But this is not how we currently ‘diagnose’ nicotine addiction and not how doctors decide to prescribe a course of nicotine replacement products; these decisions are made on the basis of how people talk about their smoking, not on what can objectively be observe in their brains and bodies.<br />
A confusion of outcomes with intentions<br />
While I do not dispute that tobacco smoking is associated with the onset of several bodily diseases, the act of smoking itself is not symptomatic of a disease. That people die from smoking says nothing about whether they were able to stop smoking at any point; it only says that they didn’t stop. That bad things happen as a result of smoking also does not make the decision to smoke a pathological decision, just as injury or death due to climbing mountains at the peak of winter does not mean that the decision to go mountain climbing, with all the foreknowledge of the potential risks, was a pathological decision. We must remember that people do risky things every day, many of which have the potential to kill on the spot, but the outcome of doing these behaviors says nothing about why these behaviors were instigated.<br />
What medications do and do not do for smokers<br />
Of course, I do not deny that the uses of medications like bupropion make it easier to forego smoking by blocking parts of the brain which can increase the pleasure obtainable through smoking. I would encourage people to use these medications if they find it helps them to not abstain from smoking. However, reducing the difficulty of quitting should not be confused with restoring the individual’s ability to quit as if this ability was at any point lost. Medications can help people quit smoking and great strides are being made to manufacture medications which make the process of quitting more tolerable. However, these medications are not necessary for controlling smoking in the way heart medicines, radiation therapy, and insulin are necessary to stave off the mortal threats of heart diseases, cancers, and diabetes respectively. These groups of people unfortunately do not have agency over their conditions in the way smokers have over their smoking.<br />
No medication has yet been shown to restore a smoker’s free will to reject cigarettes. Additionally, manufacturing medications has long been considered by addiction researchers such as Bruce Alexander, Stanton Peele, and John Davies to be focusing on the thin edge of the wedge; too much focus on the uses of medication, they would argue, restricts the need for drug users and treatment providers to consider a broad social analysis of why tens of millions of people start or continue to light up each day.<br />
Conclusion<br />
The evidence in several domains combine to suggest that the nature of nicotine addiction is not well explained by nicotine pharmacology alone, but rather, that the evidence depicts smoking as primarily a reasoned choice influenced only peripherally by the pharmacologic effects of nicotine on the brain and body. Even when accounting for the presence of severe nicotine withdrawal symptoms and intense negative emotional experience associated with smoking abstinence, a relapse to smoking is not something that is done to people, but rather, something people do. There is good evidence that smokers often fail to control their smoking but no scientific evidence that they ever lose the ability to control their smoking.<br />
Although the medical explanation receives unwavering support from authoritative health bodies around the world, particularly in the United States, continual reformulation is required to keep it from being undermined by the facts of nicotine addiction. The view that smokers continue to smoke through choice is vehemently denied by these health bodies, deeming this explanation to be judgmental and unsympathetic, and its dissemination to be irresponsible, ill-conceived, and dangerous to those smokers who want to quit. On the contrary, this position is not harsh, judgmental, or ideological; it is based on what available evidence suggests smokers are capable of.<br />
Current arguments about the nature of smoking were intended only to encourage those who argue for the medical model to present evidence and theory which stand up to or resolve the caveats described here. I do not contest that nicotine replacement products can make the abstinence period more physically tolerable but I would always emphasize smoking, abstinence and relapse are chosen outcomes, each of which do occur with and without the use of nicotine replacement products.<br />
To conclude, smokers will smoke for as long as smoking makes sense to them; when smoking stops making sense, people stop smoking. The issue for the tobacco industry and health bodies then is to advertise smoking in ways which respectively reinforce the sense and senselessness in continuing to smoke.<br />
References:<br />
Akers, R. L. (1991). Addiction; the troublesome concept. The Journal of Drug Issues, 21(4). 777-793.<br />
Chapman, S. &#038; McKenzie, R. (2010). The global research neglect of unassisted smoking cessation: Causes and consequences. PLoS Medicine, 7(2), 1-6.<br />
Ferguson, S. G., Shiffman, S., Gitchell, J. G., Sembower, M. A., &#038; West, R. (2009). Unplanned quit attempts &#8211; Results from a U.S. sample of smokers and ex-smokers. Nicotine &#038; Tobacco Research, 11(7), 827-832.<br />
Jorenby, D. E., Smith, S. S., Fiore, M. C., Hurt, R. D., Offord, K. P., Croghan, I. T., et al. (1995). Varying nicotine patch dose and type of smoking cessation counselling. Journal of American Medical Association, 274, 1347–1352.<br />
Transdermal Nicotine Study Group. (1991). Transdermal nicotine for smoking cessation. Six-month results from two multicenter controlled clinical trials. Journal of the American Medical Association, 266, 3133–3138.<br />
Ochoa, E. L. M., Li, L., &#038; McNamee, M. G. (1990). Desensitization of central cholinergic mechanisms and neuroadaptation to nicotine. Molecular Neurobiology, 4, 251–287.</p>
<p>Patten, C. A., &#038; Martin, J. E. (1996). Does nicotine withdrawal affect smoking cessation? Clinical and theoretical issues. Annals of Behavioral Medicine, 18, 190–200.</p>
<p>U.S. Department of Health, Education and Welfare. (1979). Smoking and health: A report of the surgeon general. Washington, DC: Author.</p>
<p>West, R. J., &#038; Sohal, T. (2006). “Catastrophic” pathways to smoking cessation: findings from national survey. BMJ, 332(7539), 458–460.</p>
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		<title>Electronic Cigarettes:</title>
		<link>http://www.tobaccotoday.info/2010/11/27/electronic-cigarettes/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=electronic-cigarettes</link>
		<comments>http://www.tobaccotoday.info/2010/11/27/electronic-cigarettes/#comments</comments>
		<pubDate>Sat, 27 Nov 2010 16:05:23 +0000</pubDate>
		<dc:creator>Chris Crawley</dc:creator>
				<category><![CDATA[Current Issues]]></category>
		<category><![CDATA[Science]]></category>
		<category><![CDATA[Snus, Snuff & Alternative Products in US Markets]]></category>
		<category><![CDATA[Tobacco Harm Reduction]]></category>

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		<description><![CDATA[I recently picked up a copy of the Fort Lee Traveller (Vol. 70 # 46 dated November 18, 2010) &#8211; a newspaper for soldiers transiting through or based at Fort Lee, Virginia near Petersburg. Page 12 included an article by Jean Davis R.N under the heading Kenner&#8217;s Corner titled; Are Electronic Cigarettes Safe, Effective? It [...]]]></description>
			<content:encoded><![CDATA[<p>I recently picked up a copy of the Fort Lee Traveller (Vol. 70 # 46 dated November 18, 2010) &#8211; a newspaper for soldiers transiting through or based at Fort Lee, Virginia near Petersburg. Page 12 included an article by Jean Davis R.N under the heading Kenner&#8217;s Corner titled; Are Electronic Cigarettes Safe, Effective? It wasn&#8217;t a surprise to read the points made; namely;<br />
  Their safety and effectiveness is not proven.<br />
  The FDA has concerns and is classifiying them as a drug delivery device requiring regulation.<br />
  E-cigarettes contain carcinogens and diethylene glycol.<br />
  They are not an effective cessation device.<br />
  They are not endorsed by DoD, the Department of Veterans Affairs or the US Public Health Service.</p>
<p>All of the above is accurate and correct. Nevertheless you may like to know that;</p>
<p>Although not proven to be safer, because the research has not been done, it is likely that they are considerably less harmful than cigarettes. Why; because e-cigarettes don&#8217;t burn tobacco which is the major cause of most harmful constituents in tobacco. Finding some carcinogens is also not a surprise, look hard enough and you&#8217;ll find them almost anywhere. The real point is what was the dosage and how does it compare to cigarettes? It is likely to be substantially less than cigarettes a point not generally shared with the public. Why not? Because rather than migrate to something less harmful (like e-cigarettes) most public health community advisors would prefer you to quit. Period.</p>
<p>If you really want to quit, not just say you do &#8211; you can do it; but most smokers don&#8217;t choose to quit because they really don&#8217;t want to quit. That&#8217;s leaves them in a pickle as the public health community advises no good alternatives; but there are&#8230;<br />
Almost any non-combustible tobacco product is less harmful than cigarettes. This includes products like snus, moist snuff and other oral tobacco products.<br />
E-cigarettes are a non-combustible product. They don&#8217;t burn tobacco as a result they are likely to be considerably less harmful than cigarettes (albeit unproven.) They can be bought with a variety of nicotine levels and even without nicotine or tobacco!<br />
They provde a similar sensory reward to smoking a real cigarette &#8211; there is almost no tar, only a smoke vapor and little or no sidstream smoke &#8211; to annoy / pollute your colleagues.</p>
<p>So why the fuss?<br />
Big-Pharma is conerned. E-cigarettes have the potential to take market-share of their lucrative NRT (Nicotine Replacement Therapy) market. This is highly profitable and generally does little to help smokers quit so you keep buying these relatively costly products for quite a while. Some members of FDA&#8217;s scientific advisory committe (TPSAC) are accused of favoring Big-Pharma as some of its most anti-tobacco panel members are, or have been, Big-Pharma paid consultants. More on this at another time&#8230;. </p>
<p>As usual comments welcome&#8230;&#8230;&#8230;&#8230;..</p>
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