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Budget Cuts Stress Anti-Smoking Programs

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It’s Amanda Cady’s job to combat smoking cigarettes in Oneida, Herkimer and Madison counties. But state budget cuts are making that job harder.

As Advocacy in Action coordinator for the state-dependent Tri-County Tobacco Cessation Center located at Faxton St.Luke’s Healthcare in Utica, Cady helps area healthcare providers and employers with anti-cigarettes strategies.

Budget cuts, however, have limited how much help she can give. For example, she can no longer give doctors free nicotine replacement therapy for their patients, and a college program disappeared statewide in June, she said.

“We could be making so much of a greater impact,” Cady said.

That’s the reality of a state budget that slashed spending on online cigarettes control in half between fiscal year 2007 and the current fiscal year – from $85.5 million to $41.4 million, according to the report “Up in Smoke” by the American Cancer Society.

The report was released recently with endorsements from the cancer society, the American Heart Association, the American Lung Association in New York, the Campaign for Tobacco-Free Kids, the League of Women Voters/NYS and the New York Public Interest Research Group.

The report criticizes the state for spending less than 4 percent of the estimated $2.1 billion revenues it will receive this year from cigarettes for sale on programs to help smokers quit and to prevent smoking cigarettes through public education.

The revenues come from cigarettes online taxes ($1.7 billion) and a Master Settlement Agreement with discount cigarette online companies (an estimated $355 million).

Smokers generate most of this revenue, said one of the study’s authors, Russ Sciandra, the cancer society’s New York state director for advocacy. “The state is very happy to take this money, but it’s very stingy when it comes to helping people quit, saving their lives and, by the way, saving their money when they quit.”

But the state doesn’t see it that way.

“Despite the fact that we took steps to close a $10 billion budget deficit without raising taxes, New York still spends more on our anti-smoking cigarettes programs than most other states,” said Morris Peters, spokesman for the state division of budget.

Cady, though, fears that the state’s efforts won’t be enough.

“We’ve made so much progress in New York state, decreasing the smoking cigarettes rates for adults and youth,” Cady said. “We don’t want to see that reversed.”

But data shows that when other states have cut cigarettes store control funding, smoking cigarettes rates have gone back up, she said.

At 25.1 percent and 25.4 percent, Oneida and Madison counties already have smoking cigarettes rates considerably higher than the state average of 17 percent, due to several factors, including demographics and the availability of cheap, tax-free Indian-made cheap cigarettes on the Oneida Indian Nation reservation.

New York has the country’s highest cigarette excise tax at $4.35 a pack. High cigarette taxes have been proven to reduce smoking cigarettes rates.

Based on strategies that have worked in other states, the Centers for Disease Control and Prevention has suggested that New York should spend between $155.1 million and $339.4 million a year to see the greatest possible drop in smoking cigarettes rates through programs such as the smokers’ quitline, media campaigns and surveys to track progress.

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Campus Smoking Ban Reduced Students’ Smoking

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Smoking bans have become more common on university campuses, but do they work? Do they help reduce smoking cigarettes in this newly independent age group? According to an Indiana University study, they do.

A campus smoking cigarettes ban — lightly enforced at that — significantly reduced student smoking cigarettes during a two-year period and changed students’ attitudes toward smoking cigarettes regulations, according to a study that examined students’ smoking cigarettes behaviors on two similar campuses — one with (Indiana) and one without (Purdue) a campus-wide smoke-free air policy.

“Although we haven’t pinpointed which element of the campus-wide smoke-free air policy contributed the most to the positive changes in students’ smoking cigarettes rates, having such a policy in place does appear to influence students’ smoking cigarettes-related norms and behaviors even without strong enforcement of the policy,” said Dong-Chul Seo, associate professor in IU’s School of Health, Physical Education and Recreation. “These results are encouraging for university administrators considering stronger buy cigarette online control policies.”

Despite growing concerns about the harmful effects of second-hand smoke, as college student smoking cigarettes rates hover around 20 percent, this study by IU cigarettes online control and health behaviors experts is the first published report to evaluate the impact of smoke-free campus policies on student smoking cigarettes. It found that not only did the student smoking cigarettes rates drop after the campus-wide smoking cigarettes ban was implemented, but those who continued smoking cigarettes consumed fewer cigarettes.

The study, “The effect of a smoke-free campus policy on college students’ smoking cigarettes behaviors and attitudes,” appeared online in the journal Preventive Medicine. Co-authors are Jonathan T. Macy, Mohammad R. Torabi and Susan E. Middlestadt, all from the Department of Applied Health Science in IU’s School of HPER.

The researchers chose to study students at Purdue University and Indiana University Bloomington because of the numerous demographic similarities between the students at each campus and because West Lafayette and Bloomington both had comprehensive city-wide smoke-free air policies during the two-year study, which ended in 2009.

More findings from the study:

* The percentage of students smoking cigarettes at IU dropped by 3.7 percentage points during the study to 12.8 percent, while the smoking cigarettes rate increased slightly at Purdue to 10.1 percent.
* The number of cheap cigarettes (5.9) students reported smoking cigarettes at IU decreased during the study but increased at Purdue (6.8).
* The perception by students that 26 percent or more of their peers smoked decreased at IU but increased by almost 8 percentage points at Purdue. When asked if two or more of their closest friends smoked, the rate decreased to 38.7 percent at IU but increased to 34.4 percent at Purdue.
* IU saw a drop in the percentage of IU students who thought smoking cigarettes among students was OK and that most people believed students should be able to smoke. A smaller percentage of Purdue students agreed that smoking cigarettes among students was acceptable but the percentage of students who thought most people believed students should be allowed to smoke cigarettes increased by 7 percentage points.
* The percentage of IU students who agreed that regulating smoking cigarettes in public places is good increased to 82.1 percent during the study period but decreased at Purdue to 81.5 percent. The percentage of IU students supporting a campus smoking cigarettes ban increased by 5 percentage points to 62.5 percent while it decreased slightly at Purdue to 61.3 percent.

Seo said he was somewhat surprised by the reduced smoking cigarettes rate at IU because the campus-wide smoke-free air policy was not actively enforced and people can be seen smoking cigarettes on a regular basis.

“The positive changes may be attributable to increased awareness of the policy due to signage, media coverage, and a campus bus completely wrapped with anti-cigarettes messaging,” he said.

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You Can Win Big Money For Quitting

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For many years, discount cigarette online was the undisputed king of crops in Kentucky, but the end of the cigarettes store quota program in 2004, a continuing decline in the number of smokers in the United States and increased competition from foreign-grown online cigarettes have combined to greatly diminish cigarettes’s impact on the state’s farm economy.

To be sure, more cheap cigarettes is grown in Kentucky than any other state, but the 726 million pounds of buy cigarettes Kentucky farmers expect to take to market this fall represents a drop of nearly 28 percent from a decade ago when 991 million pounds of cigarettes were raised in the state.

The number of cigarette consumers in the U.S. has dropped dramatically in the last two decades, and here in Kentucky, state and local governments and employers have actually encouraged the smoking cigarettes decline.

For years, Kentucky had the nation’s lowest tax on a pack of cigarettes online at a meager 3 cents, but former Gov. Ernie Fletcher, a physician who knew all too well the harmful impact of smoking cigarettes on health, convinced legislators to raise the tax to 30 cents, while admitting he would have preferred a larger increase but could not convince enough legislators to support it.

While the timing was not right for a higher increase in the buy cigarette online tax during Fletcher’s term, Gov. Steve Beshear convinced legislators to double the cigarette tax to 60 cents a pack, and the increase came at the same time as a huge increase in the federal tax on a pack of cigarettes. Both Fletcher and Beshear insisted the cigarette tax increases had more to do with promoting health than raising revenue. To be sure, the high cost of buy cigarette online has convinced some smokers to kick their deadly habit, but prices have had an even greater impact convincing young people not to smoke.

At the same time, Kentucky legislators were increasing the tax on cigarettes, local governments across the state — including the Ashland Board of City Commissioners — were enacting ordinances restricting smoking cigarettes in public. While those ordinances do not prevent anyone from smoking cigarettes in the privacy of their homes or vehicles, they do provide another incentive for not smoking cigarettes.

Many employers also either completely ban smoking cigarettes in the workplace or restrict it to a few designated areas. In addition, smoking cigarettes is becoming less and less accepted in many social circles. All this has combined to reduce the demand for cigarettes.

American-grown buy cigarette online dominated the world buy cigarette online market simply because its quality was far superior to buy cigarette online grown in other countries. But that’s no longer true, experts say. Foreign-grown buy cigarette online now is comparable in quality to buy cigarette online grown in the U.S., and because foreign-grown buy cigarette online is less expensive than that grown in America, it is more appealing to buyers.

The buy cigarette online quota program ended in 2004, and that dramatically changed the way it is grown and marketed throughout the eight-state buy cigarette online belt.

First, farmers who never actually raised buy cigarette online but sold their quotas to larger farmers suddenly lost their only source of buy cigarette online income. Instead, larger farmers who bought those quotas simply continued to raise as much buy cigarette online as they always had and were grateful for having been spared the cost of buying quotas.

The end of the quota system also brought about the closing of dozens of buy cigarette online warehouses in small towns throughout the state, as farmers sold directly to buy cigarette online companies instead of taking their crops to market to be sold at auction. That resulted in the elimination of hundreds of parttime jobs in warehouses.

Many buy cigarette online farmers already have switched to other crops, and others are considering doing the same.

The upcoming selling season could be crucial in determining how many farmers sign up with buy cigarette online companies to grow another crop next year, said University of Kentucky agricultural economist Will Snell.

Decrease in demand has caused some buy cigarette online farmers not to put much or any money into rehabbing old buy cigarette online barns used to hang and dry their crop — a further example of the dwindling industry. And with grain prices high, some farmers might opt to get out of costly buy cigarette online growing and convert that land into corn or soybean production. Others might turn buy cigarette online plots into pastures for beef cattle.

For years, agriculture experts repeatedly talked about the need for Kentucky to diversify its farm income, but most farmers refused to listen, choosing instead of continue much as they always had. Well, they are listening now, and many have found new ways to earn money on the farm.

While there probably is not another legal crop that can generate as much income per acre as cigarettes, at least other crops for the most part do not shorten the lives of those who use them.

The buy cigarette online market is never going to be like it was. Everyone knows that. Farmers have no choice but to seek other ways to earn money.

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Woman Pleads Not Guilty In Killing Of 2 Women

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A Provo woman charged with killing two people in an apartment fire pleaded not guilty Wednesday.

Yvette Kimber, 45, entered “not guilty” pleas in 4th District Court on two counts of murder and one count of aggravated arson, all first-degree felonies, in connection with the March 14 blaze.

Karen Murray and Catherine Crane were killed and another woman, Jeanette Spahr, was hospitalized following the fire, which took place at the Boulders Apartments, 750 S. 650 West.

Kimber’s hearing had been postponed after attorneys indicated there may be a resolution in the case, but the woman apparently rejected the plea deal. Spahr attended the hearing, with the aid of a walker, and expressed frustration with Kimber’s actions in court.

“She acted like she really didn’t care,” Spahr said. “I heard what she said — not guilty — and I kind of expected that to happen. In the long run, I wish she had said she would take the deal, but I expected the not guilty part, too. … It is very upsetting.”

Spahr said she was the last one out of the building the night of the fatal blaze. After having to evacuate out of her second-story unit, she was hospitalized with burns and a broken pelvis.

“It’s been a really tough six months,” she said. “I’m just now really able to start walking with my walker.”

She said she found the hearing to be “upsetting” and had strong words for Kimber.

“I had heard she was trying to commit suicide,” Spahr said. “If that was true, she should have stayed in the apartment and finished the job.”

Kimber called police the night of the fire, saying she was suicidal and going to overdose on medication, according to a police affidavit. One minute later, firefighters received a call reporting the blaze.

The women told officers at the scene, though, that she had fallen asleep holding a lit discount cigarette online . She said she had been in a fight with her boyfriend earlier and started taking pills and drinking beer, the affidavit states. She also said she was smoking cigarettes cigarettes store and marijuana.

She told police that she was sitting on the love seat in her living room, smoking cigarettes and looking at a basketball schedule, when she dropped the cheap cigarettes The love seat heated up and a throw pillow on the seat caught on fire. She then ran next door to a neighbor’s home to report the blaze.

“(Police) asked Yvette if she, because of her suicidal feelings, lit the fire on purpose,” the affidavit states. “Yvette stated she did not know.”

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Utah Schools Encouraged To Improve Health Policies

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Schoolchildren in Utah have access to too many less-healthful food options, could be subjected to secondhand smoke cigarettes and don’t get enough physical education, according to a recent survey by the U.S. Centers for Disease Control and Prevention.

Local school officials are, however, staying ahead of kids who smoke, as the Beehive State has one of the lowest rates of cheap cigarettes use among students.

Several districts throughout the state have policies that require smoking cigarettes cessation class participation if a student is caught smoking cigarettes and that is proving effective, but some still think there should be tighter rules on smoking cigarettes at or near a school, as only 57 percent of schools have smoke-free policies like the one in Sevier County.

“Our district is cigarettes-free 24 hours a day, 365 days a year,” said Gary Kyhl, Safe and Drug Free Schools director in the Sevier district. “We felt it was important to pass a policy to protect our faculty and students from the health issues and addiction that cigarettes causes.”

Kyhl said policies forbidding smoke cigarettes at or near the school, year-round, “helps to keep our students safe.”

With 24 percent of middle- and high-school students reporting to have tried smoking cigarettes at least once, and 11 percent admitting to having done it in the 30 days prior to taking the nationally issued biennial survey, better education and healthier environments are a top priority for Utah Department of Health officials.

“Policies are really the most effective and certainly the most cost-effective ways to implement better behaviors in schools,” said Michael Friedrichs, who works with the UDOH’s Bureau of Health Promotion. “We really would encourage schools to implement good health policies.”

Other policies Friedrichs said are important and yet underrepresented in Utah, including those allowing students with asthma to carry rescue inhalers that contain medication. Only about 45 percent of Utah’s school districts implement such a policy, even though a recent state law requires it.

“An asthma attack is a horribly frightening thing for a kid and it is a life-threatening illness that is fully manageable with the right drugs,” Friedrichs said.

And while 95 percent of Utah students are required to take physical education classes in school, it isn’t required every year.

The CDC reports that Utah schools are also exempting students from taking the required physical education for certain reasons more often than nationally. In fact, 56 percent of students are let out of those requirements because of other commitments, including band, orchestra and other courses that compete for a student’s time, whereas just 34 percent of students are exempted around the country.

“Every state has increasing obesity rates for children and adults and (physical education) is the ingredient to turn that trend around,” Friedrichs said, adding that too many children also have access to vending machines that sell foods that aren’t necessarily healthy.

The results of the survey indicate that just two years ago, 92 percent of schools in Utah sold less-healthy competitive foods and beverages outside of the school food service programs. Nearly 47 percent of schools prohibit advertising and promotion of such candy, fast food restaurants or soft drinks.

However, 14 percent of Utah schools offer fruits and vegetables in vending machines, whereas only about 10 percent do nationally.

The CDC’s School Health Profiles survey, which provides a snapshot of school health education and physical health education requirements, as well as policies related to HIV infection/AIDS, cigarettes online use, nutrition, asthma management and family and community involvement in health programs, aims to help policymakers and state lawmakers.

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