Out of Africa: The Tobacco War's New Battleground

As nicotine use spreads across Africa, cancer-fighting groups are advocating for stringent smoke-free laws as tobacco companies lobby to expand in a growing continental market















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Smoking out statistics
As propagating health messages to many African citizens—and health care workers—about tobacco's hazards has proved difficult, so has gathering data about its use. Even figures about tobacco consumption used in the ACS's report are far from definitive. "They're educated estimates," Glynn says. Knowing the data about who smokes—and why—would help health officials better spread awareness.

Better numbers require better surveillance and more cancer registries. Funding data-gathering work, however, can present a challenge when many advocates point to cancer patients who need immediate treatment.

Nicotine-related diseases are only some of the noncommunicable sicknesses killing people in Africa, but Glynn proposes that with the spread of the vaccine for cervical cancer and improved breast and prostate cancer screening, those forms of malignancy will decrease, whereas tobacco-related lung cancer will rise.

"It's very sad in that this is very predictable," Glynn says about "the march of the Western lifestyle" that brings along with it tobacco use, unhealthy diets, less physical activity—and more preventable diseases. But he does not believe extinguishing these threats are insurmountable challenges, agreeing with other experts that it will take a combination of education, political will, grassroots efforts and global awareness.

"Infectious diseases have been at the top of the world health care agenda," Glynn says, but for the first time, noncommunicable afflictions are killing more people worldwide than infectious ones. And if more people in Africa continue to pick up the habit, ACS's Blecher says, "it will not be long until tobacco is up there with HIV/AIDS and malaria."



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  1. 1. tknapp5 12:32 PM 11/12/09

    Ms. Harmon and other journalists: Please stop repeating former Surgeon General Carmona's claim that "there is no safe level of exposure to secondhand smoke." That's not true. Every source has a dosage level below which it is not harmful.

    Thank you.

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  2. 2. mikehattan 04:14 PM 11/12/09

    This is eerily reminiscent of the East India Company's' evil enslavement of the Chinese to opium. Why is this pernicious drug tolerated and promoted when Marijuana is demonized?
    It's a topsy turvey World.... But as with most things, its a case of 'follow the money'.

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  3. 3. philippeboucher 08:18 PM 11/12/09

    I think it is important to indicate that the Gates Foundation has generously started to provide funding to promote tobacco control in Sub-Sahara Africa. In December 2007 the Canadian IDRC received $5 million + (for a 2 year program), in July 2009 ACS was selected to lead a $ 7 million (5 year) program and in August WHO was awarded $9.9 million. Those are very big grants compared to what was available before. Some key problems could be: how are such projects managed, are the local advocates/organizations involved, what degree of transparency, accountability, good governance, evaluation, is required?
    How are the non-English speaking people be included
    I have still to read one article about those "new" programs.

    More info on http://blogsofbainbridge.typepad.com/

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  4. 4. philippeboucher 08:20 PM 11/12/09

    the complete url for the blog mentioned at end of the previous post should be:
    http://blogsofbainbridge.typepad.com/africa

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  5. 5. Ringgo 08:28 PM 11/12/09

    Here we go again ! Best remember, in it all, " Figures NEVER lie BUT LIARS figure and each side adds or deletes data to support THEIR view. Now, I do NOT pretend to say smoking is good for you, or its smoke(second hand). Yellow walls and ceilings TALK loads, BUT LET'S ATTACK THE PROBLEM; all chemicals sprayed on tobacco plants, genetic engineering of plants to produce MORE tar and NICOTINE, Chemicals used durring processing. All go back directly, and indirectly to the tobacco co.'s and no one will attack them directly, isn't POLITICALLY a good idea. As a previous commenter said, "FOLLOW THE MONEY tail" Thank you.

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  6. 6. buddhacosmos 08:39 PM 11/12/09

    Yeh. Car ownership goes up -and lung cancer and heart disease rise. I don't mean to be overly cynical but a) anyone who says motor exhaust is not a major vector for diease lacks a highschool education and b) why are the cancer rates and the self admitted sketchy statistics not accounting for 1)tobacco has always been readily available in Africa and I very much doubt that usage has changed a great deal in 100yrs. 2) there is always a lack of true correlation of data when people with a personal interest in regulating independance get preachy. If we lose this level of luxury consumption in the industrialized world tobacco will certainly be king again and they'll go back to regulating sex.

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  7. 7. buddhacosmos 08:52 PM 11/12/09

    A) IF anyone wants to tell me motor exhaust is not a significant vector for disease they lack a highschool education. b)Tobacco has always been readily available in Africa and I doubt if usage has changed much in 100yrs.(filters of no filters)

    whenever a body goes about controlling our lives for some scary excuse there is always a lame and misleading effort at correlating the facts. I will bet you money any increase in these problems is very slightly (the increase) due to Tobacco. When this horribly toppling luxury consumerism collapses Tobacco will again be King. Then they'll try to regulate sex or such.

    Nothing worse for you than petroleum, sugar and red meat.

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  8. 8. buddhacosmos 09:01 PM 11/12/09

    in the past 40yrs lung cancer incidence in USA has gone up 2pts. With the radical decline in tobacco use these years -something more harmful than tobacco in our air is indicated. what atmospheric contamination has increased substantialy?

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  9. 9. buddhacosmos 09:46 PM 11/12/09

    Tell me. how many communities -without a major and prominent industrial complex -could manufacture a repectable assault rifle? Isn't the elimination of military grade firearms totally within the capacity of industrialized nations. why are we picking on Tobacco? why dont' we put that money and effort into ending armed conflict?

    THE SHORTEST PATH TO WORLD PROSPERITY IS WORLD PEACE -TOBACCO IS A PEACE OF WORLD PEACE

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  10. 10. brsecu in reply to buddhacosmos 11:40 AM 11/13/09

    How would you disarm the world? That statement is so naive and stupid. People like you thinks it starts with us disarming. You want the entire world to behave like Somalia pirates? That's what would happen if we disarmed.

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  11. 11. buddhacosmos 09:01 PM 11/13/09

    How do YOU think pirates and insurgents get Arms. THE MANUFACTURERS SELL THEM TO THE INDEPENDANTS! -talk about naive.

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  12. 12. buddhacosmos 09:03 PM 11/13/09

    As lung cancer has gone up 2pts in the past 40yrs -colon cancer -which previously surpassed lung cancer -has dropped 2pts. Salad anyone?

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  13. 13. buddhacosmos in reply to brsecu 10:57 PM 11/13/09

    Your statement itself speaks of inequity being the source of violent action and armed conflict. Gross inequity. USA -internally our violence is due to the Gross Inequity in Our Society. Unfortunately we can't have prosperity without peace. peace is found in equity.

    where do you think your pirates and insurgents get their fire arms and rockets. Industrial Manufacturers SELL ARMS TO INDEPENDANTS. the more arms they sell the more conflict and the more demand -both nationally and independantly. Democracys at war with eachother. none.

    THE SHORTEST PATH TO WORLD PROSPERITY IS WORLD PEACE.

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  14. 14. buddhacosmos 11:39 PM 11/13/09

    so -industry sells firearms -citizens without a clue carry guns in public -and i'm like some demon pariah cause i'm killing myself with Tobacco? Industry markets petroleum, sugar and red meat -known killers -and i'm special?

    what are you? a boyscout? Always be prepared? do you ever wonder what to do about what you can't prepare for/ what are you a control freak?

    ONE MAN'S MEAT IS ANOTHER MAN'S POISON

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  15. 15. buddhacosmos 11:43 PM 11/13/09

    Life has been pretty damn miserable. How 'bout You? But I could always light one up and step out of the moment and say'hey! I can take on that task" It's a good herb.

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  16. 16. buddhacosmos 11:48 PM 11/13/09

    lost my locus-

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  17. 17. bushwhacker 01:50 PM 11/14/09

    ok check the statistics. deaths and injuries from tobacco use VS deaths and injuries from car wrecks.. and they worry about smoking. its a joke

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  18. 18. Steve Skeete 08:39 AM 11/20/09

    I find it a bit perplexing that as soon as you mention one problem someone comes up with another they consider more difficult and/or more worthy of attemtion.

    The fact is smoking tobacco is hazardous to the health of the smoker and innocent bystanders. The fact that we also have multinational weapons-making conglomerates who benefit from chaos and destruction does not make tobacco smoking any less insidious.

    It is never and either or situation? We must do our best to eliminate war, while doing our best to get the nations to "beat their swords into ploughshares". There is everything right about seeking to educate people about the dangers of smoking tobacco.

    And yes, there are some who would like to see marijuana legalized so that they can have another dangerous product with which they can destroy themselves. Others will fight back while at the same trying to bring about the total demise of smoking tobacco.

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  19. 19. BJ Bonobo 05:19 PM 12/28/09

    Nicotine is probably the most harmful and addictive drug commonly used by human beings. The tobacco companies are the most pernicious of all drug dealers and seem immune to any type of govermental intervention. The profits and payoffs have to be enormous.

    Second-hand smoke contributes to the continuance of addiction & smoking should be banned in all public places including the outdoors itself . In many countries one cannot stroll down the street while drinking liquor or even beer, still beaches and parks are littered with cigarette butts.

    If one must smoke they should be doing it in their own home or at least on their own property and the tax on these products should be doubled to help defray the cost of the medical treatment nercessary to hospitalize and care for its many victims.

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