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Updated May 29, 2002
Toll of Tobacco Use in New Jersey

Ask Dr. Bill

Dear Dr. Bill,
I read in the papers recently that a survey of 115 New Jersey schools conducted late in 2001 by the Department of Health and Senior Services showed that smoking had decreased by 42% in our middle schools and by 11% in our high schools since 1999. That should please you!

B.J.S.- Fair Lawn

 

Dear B.J.S.,
Any decrease in the tobacco toll should should please me....it does, but not a heckuva lot. Granted, our high schooler's smoking has dropped down from 37% to 27.6% since 1999; but it only puts a dent in the 70% increase reported during the previous ten years...we are still at an historically high level. It wasn't widely reported, but the same study showed that use of spit tobacco (the leading cause of mouth and throat cancers) by high school boys has risen from 9% to 15.6%!

And, consider these facts: Last year 45,900 kids under 18 tried cigarettes for the first time; consuming over 8.2 million illegally sold packs of cigarettes...20,100 of these kids are now regular, daily smokers. If the current trends continue, 134,000 of New Jersey kids alive today will ultimately die of smoking!! 7,700 children in our state still lose at least one parent each year due to a smoking-caused death. During any given period 398,000 kids are exposed to second hand smoke at home. Result: 12,800 New Jerseyans die each year from their own smoking.

As the Campaign for Tobacco-Free Kids notes, "Smoking still kills more people than alcohol, AIDS, car crashes, illegal drugs, murders, and suicides combined -- and thousands more die from other tobacco-related causes -- such as fires caused by smoking (more than 1,000 deaths/year nationwide), exposure to second hand smoke (more than 40,000 deaths), and smokeless tobacco use. No good estimates are currently available, however, for the number of New Jersey citizens who die from these other tobacco-related causes, or for the much larger numbers who suffer from tobacco-related health problems each year without actually dying."

Those are the human costs. How about the tobacco-related monetary costs? The following should be of some interest to those of you who are non-smoking tax payers: Our debt-burdoned state, is now spending $2.6 billion annually to cover the health care costs of persons who have succumbed to illnesses caused directly by tobacco use. State medicare payments for tobacco related illnesses have reached $544 million a year. Additional annual expenditures in New Jersey for babies' health problems caused by mother's smoking or being exposed to second-hand smoke during pregnancy now total from $35 to $102 million. In spite of the high costs resulting from these truly preventable illnesses, our political leaders are seriously considering taking money from the tobacco settlement fund to help balance the budget. New Jersey's 2001/2002 per capita tobacco prevention spending is only $3.73....(Yes, only three dollars and seventy three cents!...a national rank of 11). If prevention money, even at this low level, has produced some good results...why are they robbing Peter to pay Paul?

Repeated published research studies have found that kids are three times more sensitive to tobacco advertising than adults and are more likely to be influenced to smoke by cigarette marketing than by peer pressure, and that one-third of underage experimentation with smoking is attributable to tobacco company marketing. Maybe those of us who repeatedly express disgust with the tobacco industry (and with those politicians who accept tobacco's blood money) can be somewhat pleased with what I see as limited results but, we can still wonder how a reduction in New Jersey's available settlement money for preventative efforts can overcome the power of a nationwide annual tobacco industry marketing expenditure of $8.4 billion .....$247 million of which is the estimated portion spent in our state each year.......

Bottom line: it can't and it won't.


Dr. Willian Van Ost, M.D., is a Co-founder of The Van Ost Institute for Family Living, a non-profit outpatient center for treatment of addictive illnesses. Located in Englewood, it offers continuing, free weekly educational lectures. (Call 201-569-6667, e-mail to vanost@msn.com or visit www.vanostinstitute.org). Dr. Bill welcomes questions about addiction and effects on the family.

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Address inquiries:
Dr. Bill
Care of The Van Ost Institute
150 East Palisade Ave.
Englewood, NJ 07631-3010
Phone inquiries: (201) 569-6667
E-mail to: drbill@vanostinstitute.org

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