23 April 2007. NZ SmokeLess e-News 2:3     

Snuff on sale

As from today, 23 April, nasal snuff is being test marketed at some 20 tobacconists, at $3.95 for 3.5 grams, with a menthol flavour. Estimating 0.1 g per two-finger pinch, one tin will allow one pinch into each nostril for a total of about 17 times, and thus replace an average smoker’s daily cigarettes.

Compared with cigarette smoking, the risk will be cut by 90 to 95%, and the dollar cost cut by 60 to 80%.

Nasal snuff, a brown powder of finely ground tobacco, is the only known product on sale in New Zealand that can equal smoking by raising blood nicotine levels by 10 to 12 nanograms per millilitre within ten minutes. It also drastically reduces the urge to smoke within ten minutes.

The cans carry an Australian type warning ‘This product can damage your health.’ A government-sponsored review has found that low-nitrosamine oral snuff is much less risky than smoking, and does not cause cancer.1

Advertising, and sale to under-18s is banned, as for all tobacco products.

For further information see www.endsmoking.org.nz/nasalsnuff.htm and www.endsmoking.org.nz/nasalsnuff_analyses.htm

1  Broadstock M. Systematic review of the health effects of modified tobacco products. http://nzhta.chmeds.ac.nz/publications/smokeless_tobacco.pdf  (129pp)

The price of war – editorial

As Anzac Day approaches, we remember the men and women who fought in all the wars since the first Anzac Day, and the grave-strewn hills of Gallipoli, which gave birth to the national identity of Australia, New Zealand and the modern Turkey.

The original Anzacs are gone now, but the boys born in that decade later enlisted for World War 2, and again, cigarettes were issued to any who wanted them. After the war, in 1947, smoking prevalence was at an all time high in New Zealand men - probably 60%, according to the 1976 Census of those who had ever smoked.

No one knows this better than Dr Newton Wickham, in the NZ Dental Corps at the battle for Monte Cassino, 90 next month, who plans to be on parade as usual with his mates at the Auckland Domain this Wednesday. In dental practice in Auckland from 1947, Dr Wickham could diagnose smokers from the changes it caused in the mouth, and personally advised all his patients to quit.

Returned servicemen didn’t speak much to their families about their experiences. Many gave up smoking in the years that followed, but for many the cigarette remained their solace, and the smokefree bars legislation's effect on RSAs understandably upset many of them.

Returning from war, they were not to know that if they gave up smoking before they reached 40, they had an 80% chance of reaching their 80th birthday, and that if they did not, their chances were only 40%, based on the death rates in British doctors of the same vintage followed for these past 50 years by the late Sir Richard Doll.

This generation of soldiers had lost fathers or uncles in World War 1, their mates in World War 2.  They had won the peace, but memories of war troubled them, and a lifetime of cigarette smoking unduly aged or prematurely killed many of them. They suffered double jeopardy – caught in a war not of their making, and addicted to cigarettes they did not know were killers.

Since World War 2, nearly 200,000 New Zealanders have died early due to smoking cigarettes. Preventing war requires two parties in agreement, but the sale of cigarettes in New Zealand does not require the permission of the tobacco industry. It requires us to seek the support of the people of New Zealand and Members of Parliament, most of whom are non-smokers. This support will be more readily given, if effective alternative products are on sale to satisfy smokers’ needs for nicotine.

NZ lags in quitting

NZ lagging behind other countries in reducing smoking

Summary: Smoking prevalence is higher in NZ than in five comparable countries and is reducing more slowly. In New Zealand, although the quitline provides subsidized nicotine, smokeless alternatives to smoking were not on sale and RYO cigarettes cost only $4 a day.

For the graphs and full explanation, see www.endsmoking.org.nz/NZlagsinquitting07.htm

 Dr Murray Laugesen QSO chair; Prof Ross McCormick, Sir John Scott KBE, Trish Fraser MPH, Dr Marewa Glover, Trustees

Making it easier to quit smoking for good © 2009 End Smoking NZ