World No Tobacco Day: May 31st (w/poll)
Thu May 31, 2007 at 07:29:00 PM PDT
Today, May 31st is World No Tobacco Day. 650 Million people worldwide smoke tobacco regularly and half of them will be killed by it. 440,000 Americans die every year as a result of tobacco use. In the US, deaths associated with smoking account for more deaths than AIDS, alcohol use, cocaine use, heroin use, homicides, suicides, motor vehicle crashes, and fires combined. The World Health Organization (WHO) has been spearheading tobacco control worldwide through its Tobacco Free Initiative and the Framework Convention on Tobacco Control. 147 nations are parties to the FCTC. The US signed the FCTC in 2003, but has not ratified it.

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More after the jump
The FCTC outlines four areas where nations can work to reduce tobacco use.
- Advertising, sponsorship and promotion
- Packaging and labelling of tobacco products
- Protection from exposure to tobacco smoke
- Illicit trade in tobacco products
Although it would be great to see the US ratify the FCTC, implementation of the FCTC requirements regardless of whether it is ratified or not is what really matters. The problem with implementing these recommendations however, is that besides #3, all of these measures require Federal action, and while there has been a lot of State-level action on tobacco control, there have been almost no Tobacco Control measures at the Federal level in 30 years. That isn't surprising given 12 years of Republican rule on Capitol Hill but it's sad nonetheless. In its 2006 Tobacco Control Report Card, the American Lung Association gave the Federal Government an "F" grade. Maybe that will change with Democratic leadership in Congress and declining influence from the tobacco industry. However, I think that most of the movement will continue to be at the state-level.
The one FCTC recommendation which can be implemented at the state-level is #3, protection from exposure to tobacco smoke. There has been a lot of good news this year about tobacco exposure.
First, the CDC announced that 75% of households were smokefree. Ten years earlier, the figure was 43%. This is a pretty significant finding because while tobacco exposure in workplaces and public places gets the most attention, exposure to family members and guests accounts for much of the involuntary tobacco exposure in the country. I have no issue with people smoking at home by themselves, but when other people are present, particularly children, they are posing a significant risk to others.
Second, smokefree workplace laws continue to advance in many states.
This map shows the state-of-play with regard to Comprehensive Workplace Smoking Legislation

Legend
Blue - Comprehensive workplace smoking law in effect
Green - Comprehensive workplace smoking law enacted, not yet in effect
Yellow - Comprehensive workplace smoking law very likely to be enacted this legislative session
Orange - Comprehensive workplace smoking law possibly enacted this session
New Mexico, Maryland, and Minnesota enacted their workplace smoking laws this session. Illinois and New Hampshire have passed laws which are simply awaiting their Governors' promised signatures. Oregon's bill passed the Oregon Senate and will likely pass the Oregon House as well.
Many states which do not have comprehensive workplace smoking laws, have laws which cover many workplaces. Idaho, Nevada, North Dakota, Arkansas, Louisiana, Georgia, and Florida have partial workplace smoking laws. Tennessee's legislature passed a partial workplace smoking bill today which will be signed by Gov. Bredesen.
Many states continue to fight over the issue. Several Pennsylvania localities have passed workplace smoking laws only to come up against the state's preemption law. Smokefree workplaces will probably continue to be an issue in Pennsylvania until a law is passed.
Smokefree workplaces and public places are only part of measures that our states could be taking to limit tobacco smoke exposure and reduce tobacco use. There are a number of other measures which are equally important including higher excise taxes, youth access control measures, and prevention and cessation assistance spending. The Institute of Medicine, one of the National Academies, recently wrote a report "Ending the Tobacco Problem: A Blueprint for the Nation" which outlines the measures which would reduce tobacco harm.
http://www.nap.edu/... (Full Text Readable Online)
http://video.nationalacademies.org/... (Audio Press Release)