Coming to Labels Soon: What Chemicals Are in Cigarettes

Kenneth Spaeth, MD
Director, Occupational and Environmental Medicine Center
Pat Folan, RN
Director, Center for Tobacco Control

Some of the chemical found in cigarettes

Tobacco companies must display the concentration of 20 cancer-causing chemicals in cigarettes on warning labels beginning this June, according to a new requirement enacted by the Food and Drug Administration (FDA). This is the agency’s latest step to make the toxicity of cigarettes more transparent.

While there are more than 7,000 chemicals in cigarettes, 93 of them are proven to be harmful. However, the FDA selected 20 to display because of ease of testing, which ensures compliance. The 20 cigarette chemicals include such well-studied, recognized carcinogens as toluene, formaldehyde and benzene.

Just as nutritional labels on foods list such elements as calories, sodium and fats to help consumers make better-informed, healthier choices, the hope is that displaying the types and amounts of these chemicals on cigarette warning labels will add to the myriad motivators to inspire smokers to quit.

The FDA will also require tighter restrictions on tobacco company claims that characterize some tobacco products as “less risky” to health, including snuff and electronic cigarettes, which have been more heavily marketed in recent years.

Despite great success in the struggle against this scourge, smoking contributes roughly 20 percent of all deaths each year in the United States (more than HIV, drug and alcohol use, motor vehicle accidents, suicides and murders combined) at a cost of about nearly $200 billion. So the more we do to help people quit or never start using tobacco, the better off everyone will all be.

The North Shore-LIJ Center for Tobacco Control offers quit-smoking help. Call us at 516-466-1980.

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Anti-Tobacco Ads Show Painful Effects of Smoking

Pat Folan, RN

The painful reality of illness and damage suffered by real people because of smoking is the focus of a new anti-tobacco ad campaign. Launched by the Centers for Disease Control and Prevention, the ads show the toll of illnesses caused by smoking and secondhand smoke.

The “Tips from Former Smokers” campaign features ex-smokers with tobacco-related diseases and disabilities. The ads focus on lung and throat cancer, heart attack, stroke, Buerger’s disease and asthma. Former smokers give tips on how they quit successfully.
The real, painful consequences of smoking are hard to watch, but such ads often persuade smokers to make quit attempts, discourage children from initiating smoking and encourage ex-smokers to stay away from cigarettes. Yet despite the known dangers of smoking, approximately 20 percent of the nation continues to smoke and every day more than 1,000 adolescents become daily smokers.
The campaign will cost the federal government $54 million; the tobacco industry spends the same amount for marketing and promotion every two days.
The North Shore-LIJ Center for Tobacco Control offers quit-smoking help. Call us at 516-466-1980.
For telephone counseling, call the New York State Smokers’ Quitline at 1-866-NY-QUITS. The national quitline number is 1-800-QUIT-NOW.
Visit our main Web site to find a hospital in New York close to you or visit our Find a Physican tool to find a doctor best suited to your needs.
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Nicotine During Pregnancy Increases the Risk of Colic

Dan Jacobsen, NP

Babies are more likely to have colic when their mothers smoked or used nicotine replacement therapy during pregnancy, according to research just published in the journal Pediatrics. A significantly increased risk of infantile colic--ranging from 30 percent to 60 percent--was associated with prenatal nicotine exposure in the study of more than 63,000 mothers in the Danish National Birth Cohort.

As difficult as a bout of colic can be, tobacco’s effects on a fetus are worse. Smoking during pregnancy is associated with babies of low birth weight, which can affect lifetime growth and development. Smoking is also associated with spontaneous abortion, stillbirth and sudden infant death syndrome.
 
Obstetricians in the United States don't usually prescribe nicotine replacement therapy (like patches or gum) for pregnant women. The Center for Tobacco Control can help expectant mothers overcome nicotine addiction with counseling, behavioral therapy or hypnosis.
 
Visit our main Web site to find a hospital in New York close to you or visit our Find a Physican tool to find a doctor best suited to your needs.
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Clouded in Smoke: Cigarettes Dull the Male Brain

Marc Gordon, MD

Everyone knows smoking is dumb. Now it looks like it makes you dumb, too: A recent study in the Archives of General Psychiatry suggests that male smokers of a certain age experience faster loss of brain power.

Researchers found that, compared to men who never smoked, middle-aged men smokers are likely to experience more rapid decline in certain mental abilities over a period of 10 years. Recent ex-smokers also showed greater cognitive loss, although researchers observed no lasting effect in men who had quit more than 10 years earlier. The study also suggests that the negative association between smoking and cognition, especially at advanced ages, may actually be underestimated because of smokers' higher risk of death and drop-out.

Yet how smoking results in decreased mental abilities remains unclear. In this trial, cardiovascular disease, hypertension, elevated cholesterol or impaired lung function did not account for the effect. While the study didn't show an association between smoking and cognitive decline in women, there was a smaller proportion of women (about 30 percent) in the trial group and a higher percentage of women had never smoked. The average pack-years of smoking and number of cigarettes smoked were higher in men than in women and heavy alcohol consumption was considerably higher in men (38.7 percent) as compared to women (23.3 percent) smokers.

This study presents not only more evidence that smoking is bad for you, but it also shows that mid-life smoking is a modifiable risk factor which, left unchecked, will rob your brain of about 10 years.

Visit our main Web site to find a hospital in New York close to you or visit our Find a Physican tool to find a doctor best suited to your needs.

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Tobacco Worsens Heart Disease

Patricia Folan, RN
Daniel Jacobsen, NP

If you are a tobacco user and have heart disease or an irregular heartbeat, high cholesterol or high blood pressure, there are some things you need to know.

Smoking causes many health problems for everyone who does it, but some of the most significant damage is to the heart and blood vessels.

  • Heart disease is the number one killer of both men and women in the US.
  • Even smoking as little as one cigarette a day doubles your chance of having a heart attack. The more you smoke, the higher that risk goes.
  • Quitting smoking may have a greater impact on your heart disease than any other treatment or medication.
  • People who continue to smoke after their first heart attack are much more likely to have another heart attack compared to those who quit smoking after their first heart attack.
  • People with high blood pressure who use tobacco have worse heart disease than nonsmokers, even with treatment.
  • Quitting smoking can help reduce your low-density lipoprotein (LDL cholesterol) level, also known as the “bad” cholesterol.
  • You are more likely to suffer a stroke. And when a tobacco user has a stroke, the stroke tends to be more severe, with worse outcomes. 

It is important for anyone who uses tobacco to think about quitting. Quitting tobacco is the number one thing you can do for your health. This is even more important for someone with heart disease.

Quitting is hard, but with help from North Shore-LIJ’s Center for Tobacco Control and your healthcare provider, you can succeed. For free, confidential help, call 516-466-1980.

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