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The
report makes 37 separate ⊙
The
tobacco industry must accept that smoking is a major cause of premature
death.
*Remark
by Supreme Master News: Nicotine patches can bring satisfaction
to the tobacco smokers by allowing nicotine to be absorbed through
the skin, without harming other people through smoking. However,
we do not recommend the use of it either.
Passive smoking kills
up to 80 babies a year and is responsible for several hundred deaths
of non-smokers from lung cancer, a Government committee of scientists
said yesterday. It called for a ban on smoking in public places,
which could include restaurants, pubs and public service buildings,
and Sir Kenneth Calman, Chief Medical Officer, hinted at action
being announced in a White Paper this summer.
But Government sources
stressed last night that ministers wanted any new curbs to be voluntary
and there were no plans at this stage for legislation to ban smoking
in public places.
In the wake of the furore
over he banning of beef on the bone, Tony Blair is highly sensitive
to suggestions that his Government is creating a "nanny state".
Ministers were said
to be "very sceptical" about the need for additional legislation
to ban smoking in pubs and restaurants.
They pointed to the
growing success of voluntary action. Many offices and public buildings
now have no-smoking rules and, increasingly, cinemas, theatres and
public transport are also non-smoking.
"We are keen to go down
the voluntary route. Legislation would be introduced only as a very
last resort, if at all," a Government source said.
But confirmation of
the increased risk from passive smoking is likely to put pressure
on firms that allow smoking. Workers can use existing health and
safety legislation to sue employers by arguing that their health
has been damaged by a smoky environment. Tobacco manufacturers reacted
angrily, saying the "nanny state" should not interfere in the existing
balance between the rights of smokers and non-smokers.
The Scientific Committee
on Tobacco and Health said smoking caused 120,000 deaths a year,
one fifth of all deaths in Britain, led to higher levels of heart
disease and contributed to increasing asthma and wheezing illnesses
in children.
"The enormous damage
to health and life arising from smoking should no longer be accepted,"
it said. "The Government should take effective action to limit this
preventable epidemic."
The report, by a committee
chaired by Sir David Poswillo, of Guy's and St Thomas's hospitals,
is the most authoritative statement by a Government body on tobacco
and health for 10 years.
Its findings provide
the scientific evidence on smoking that will underpin a range of
anti-smoking measures to be announced in a White Paper on smoking
reduction.
It said children whose
parents smoke were twice as likely to be the victims of sudden infant
death and at a 50 per cent increased risk of suffering serious breathing
difficulties.
Those exposed to other
people's smoke long term were up to 30 per cent more likely to contract
lung cancer, resulting in several hundred extra deaths a year.
Passive smoking also
caused heart disease and represented "a substantial public health
hazard".
Smoking in pregnancy
caused increased risk of miscarriage, reduced birth weight and perinatal
death. If parents continued to smoke there was an increased rate
of cot deaths.
"Sudden infant death
syndrome, the main cause of perinatal death in the first year of
life, is associated with exposure to environmental (other people's)
tobacco smoke. The association is judged to be one of cause and
effect."
The report, published
on No Smoking Day, said "Smoking should not be allowed in public
service buildings or on public transport other than in designated
and isolated areas. Where possible smoking should not be permitted
in the workplace."
It comes three days
after a row between the World Health Organisation and tobacco manufactures
over passive smoking risk.
Manufacturers, who leaked
findings of the WHO report, claimed that it found no extra risk
of lung cancer from inhaling other people's smoke.
WHO then issued a statement
saying its study did show a link between lung cancer and passive
smoking and accused the tobacco industry of staging a "wholly misleading"
publicity stunt.
The chief medical officer,
came down firmly on the side of WHO yesterday, saying its findings
were in line with those of the latest report.
"This report has a really
powerful message and should not be missed," he said.
The chairman of the
Commons health select committee, Labour MP David Hinchliffe, also
said he expected ministers to bring forward proposals for action.
"The impact on the public
health is very clear. I think it would be irresponsible of the Government
not to act to include in the White Paper proposals to protect the
public in a range of ways."
However, John Carlisle,
executive director of the Tobacco Manufacturers' Association, said
the evidence that passive smoking caused lung cancer in others was
"insignificant".
But he said parents
who smoked should seek their doctor's advice about smoking in the
presence of babies and children.
Dr Chris Proctor, of
British American Tobacco, said that everyone knew the risks associated
with smoking but "being around a smoker" was quite different from
smoking itself.
Clive Bates, director
of the anti-smoking group ASH, said: "The question now is whether
the Government has the political guts to act on the advice of its
own committee."
Dr Sandy Macara, chairman
of the British Medical Association, said the tobacco industry should
hang its corporate head in shame.
Evidence in the report
shows that half of all smokers are killed by the habit unless they
quit. Those who live with a smoker have a 26 per cent increased
risk of lung cancer and a 23 per cent increased risk of heart disease.
People who smoke regularly
have a 15 times greater risk of developing lung cancer compared
with non-smokers.
One in five of the 400
cot deaths every year are the result of the mother smoking.
If both parents smoke,
their children have a 50 to 60 percent increased chance of developing
asthma.
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