An urgent plea to America's Smoker in Chief

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Brendan Smialowski/The New York TimesAs Vice President Joe Biden looks on, President Barack Obama joins in the applause from lawmakers and representatives of the Campaign for Tobacco Free Kids after signing the the Family Smoking Prevention and Tobacco Control Act at the White House on Monday, June 22. The legislation gives the Food and Drug Administration unprecedented authority to regulate tobacco.

President Barack Obama, who admits he struggles with his craving for cigarettes, should have been with us at the hospital the day surgeons removed part of my dad's tongue. It might have inspired the president to quit for good. Dad did. After battling his nicotine addiction unsuccessfully for three decades, he never smoked again after that surgery. By then, though, it was too late. His cancer finally took him a little more than a year later.
The president, like my late father, is a strong and intelligent man. That's the devilish thing about tobacco. You can be the strongest, smartest person in the room, someone like Obama or John Bates, who died last fall, and still not be able to figure out how to kick a powerful addiction to nicotine.
Some smokers manage to do it, of course. And more than a few of them are woefully self-righteous about it.
We saw that last week after Obama, pressed by reporters to talk about his smoking habit, admitted he battles with it "constantly," although he sidestepped the issue of whether he still lights up. That brought forth a barrage of blog posts from former smokers, several of whom slammed the president for being "weak" and lacking in will power.
What bunk. The truth is that precious few smokers can quit without help. And that's where our society continues to have a massive blind spot. Tobacco-caused disease has become the nation's leading preventable cause of death, killing more than 400,000 Americans every year, yet our health care system and federal government do next to nothing to help smokers who want to quit but can't conquer their cruel addiction.
Historically, nicotine addiction has been one of the most difficult of all drug addictions to break. A 1988 Surgeon General's report on it concluded that its pharmacological effects on the brain "are similar to those that determine addiction to drugs such as heroin and cocaine."
Ten years after that report, 46 states negotiated more than $246 billion in legal settlements against the tobacco industry for its crippling financial impact on the health care system. At the time, the states promised to spend a significant portion of the money on programs to protect kids from tobacco and help smokers like my dad quit. However, they've spent only 3.2 percent of their tobacco money -- just $6.5 billion -- on prevention and cessation programs.
Oregon ranks among the worst states at breaking this promise. In fiscal year 2009, a period when the state raked in $355 million in tobacco settlement revenue and cigarette taxes, Oregon allocated just 2.7 percent of it to protect kids and help smokers quit.
Dad tried so hard. So did my wife's father, Merle Burton. Both men got hooked on cigarettes while fighting overseas during World War II. By the time they came home they were heavy smokers and kept it up well into the 1970s before deciding to quit.
Neither could do so for long. Lung cancer killed Merle at age 58 in 1978. About that time my dad began trying nicotine patches, nicotine gum and hypnosis, over and over to no avail. The closest thing he ever got to actual help, if you could call it that, was an occasional lecture from his doctor.
Everyone marveled, though, that he never got lung disease. The official cause of death was pancreatic cancer, which doctors said was related to his smoking. He was 84 when we lost him last Oct. 9.
The president would certainly improve his own odds of living that long if he can kick what his aides describe as an "intermittent" smoking habit. In fact, he has a wonderful opportunity to provide some unprecedented leadership on the issue.
Obama has already done much. As a U.S. senator, he co-sponsored an unsuccessful bill to give the Food and Drug Administration broad authority to regulate tobacco products. Just last week, as president, he signed similar legislation recently passed by Congress.
That's huge, historic progress, but Obama could do more -- much, much more.
I'd like to see him enroll, very publicly, in a smoking cessation program. He could speak up about his struggle and demonstrate to the nation that even a strong, savvy person often needs help breaking the addiction.
Obama could also lead the way on ramping up spending on help for smokers who want to quit. States should be held to their early promises, and health insurers should be required to cover cessation programs.
Years ago, if my struggling father could have had a few hundred bucks worth of physician-supervised cessation treatment -- something he could not afford on his own -- it could have saved tens of thousands of dollars in surgeries and cancer treatment.
Even better, he'd still be here today.
-- Doug Bates, associate editor; dougbates@news.oregonian.com

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Ron Simon: Who the heck can afford to smoke these days?

SAVE YOUR LIFE NOW! GRAB YOUR HOW TO QUIT SMOKING IN A WEEK FLAT BOOK NOW! A friend of mine is hopelessly addicted to cigarettes. What's worse, he is out of work and not a millionaire.
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Recently, I stopped at a tobacco shop to buy him a pack or two of the cheapest cigarettes I could find and discovered that a 10-pack carton of fags, as we used to call them, runs close to $50.

Makes you wonder what a nicotine patch would cost. Not that they work all that well.

While an occasional cheap cigar can make my day a little better, I can't imagine what it would be like to consume the three packs a day I was wiping out when I quit close to three decades ago.

It took hypnosis and a lot of luck to kick that habit.

Non-smokers have a hard time seeing just how addictive smoking can be. I imagine non-drinkers have the same attitude about alcoholics.

"Just quit!" one simpleton told me years ago. I could have punched him.

It was too hard for me to do on my own. But coughing fits in the middle of the night and dried blood on my pillow in the morning convinced me to try.

Obviously, I was getting nowhere on my own. So I tried a hypnotist who advertised sure success. She was in Columbus, which may have helped in some odd way.

She told me that if I really wanted to quit (and I sure did) that all I had to do was tap into my willpower. What she provided was the vital link between the desire to quit and the willpower that resided somewhere in my head.

She charged just $100. It's the best money I ever spent.

I tossed a pack of cigarettes into a trash can on the way out of her office. I had smoked nearly 10 cigarettes on the way down. I never had another for years. When I did, just for the heck of it, there was no appeal. No desire to light up another.

Yet I like a cigar now and then. Go figure.

What I asked my inner self to do during that long-ago session, was to quit wanting to light up. I didn't want to be bothered by other smokers. Nor did I want to suddenly eat my way up to 500 pounds.

All three wishes were granted. I went from 170 to 225 and that was acceptable. Older men and potbellies seem to go together like chili and peppers. Just as long as that potbelly doesn't look too obscene.

I know my late wife, Victoria, would never have given me the time of day had I shown up for our first date with a Camel dangling from my lip.

Recently, while portraying the late Ohio Gov. Mordecai Bartley during a living history session at Mansfield Cemetery, I used a lit cigar as a prop. I went through four of them and had to swear off for a week.

Tobacco, even in small amounts, can be pretty awful unless you are hooked.

In days of yore, I would fill a big glass ashtray at work with spent cigarette butts each day.

Tom Brennan, my boss then and now the high poobah at the News Journal, said my trademark was to take a drag of smoke, type a few paragraphs, take another drag and type some more. It went like that all day for years. The big surprise is that I have any lungs left.

The truly big surprise is that people are still smoking.

Ohio has put such heavy taxes on smokes that it is darn near impossible to keep going. So far, cigars haven't been hit that hard. They will be.

I do know that when Ohio voters decided to ban smoking in restaurants and public places, somebody decided to extend the rule to private clubs and to bingo parlors.

The result was a disaster. I know charity money that comes from gambling in private veterans clubs took a plummet when the smoking ban went into effect.

Bingo didn't do so hot, either. Those chain-smoking bingo players sort of faded from sight, and a lot of charitable organizations -- including the Mansfield Memorial Museum -- took a hit.

I do understand that smoking has become fashionable in the Far East. The Marlboro Man is now wearing a different sort of hat.

It would obviously be better to invest in tobacco shares than to indulge in the habit.

Incidentally, somebody once asked me if I inhaled while smoking a cigar.

"Do I look that crazy?"

We all know what happened to the late Marlboro Man.

Ron Simon is a retired News Journal reporter and columnist. Call Simon at 419... or e-mail rsimon@ neo.rr.com.

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E-cigarettes: Cure, or crutch?

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Anti-smoking groups slam the device, while smokers embrace it

Monday, July 06, 2009

By STEPHANIE SLEPIAN

STATEN ISLAND ADVANCE

STATEN ISLAND, N.Y. -- Susan Albano took her first drag at 15 in a Brooklyn school yard. By her early 20s, she was addicted.
The 51-year-old Prince's Bay woman -- who sometimes plans her day around where and when she can smoke, which even she admits is absurd -- has tried to kick her pack-a-day habit "a million different ways" ever since.

Hypnosis and acupuncture failed. She was allergic to the adhesive in nicotine patches, and Chantix -- a smoking-cessation medicine -- made her sick. Cold turkey didn't work either.

Last week, Mrs. Albano took her first puff on an electronic cigarette -- simply known as an e-cigarette.

The battery-powered, tobacco-free, nicotine-delivery device looks like the real thing, right down to the odorless vapor mist. And while e-cigarettes are being criticized by anti-smoking groups and monitored by the Food and Drug Administration (FDA), they are embraced by large numbers trying to quit or avoid bans on lighting up in public.

"My sister got it first, and me and Mom are trying it now," Mrs. Albano said after purchasing a starter kit in the Staten Island Mall at the Smoke Anywhere Kiosk, a cart decorated with gold ribbons to match the product packaging, glossy boutique-style shopping bags and glamour shots of e-cigarette users who might make the Marlboro Man jealous.

"My sister had some spots the doctors thought could have been lung cancer. We just got the good news that it's not. She had a kidney removed due to cancer and we thought it was spreading. It was kind of a wake-up call to all of us."

Starter kits, which typically include the battery-powered cigarette, replaceable cartridges and chargers, range in price from $70 to $150 at mall kiosks or online retailers.

When the user inhales, a heating element is activated, vaporizing the nicotine solution, which comes in a variety of strengths and flavors.

The tip glows red, imitating a real cigarette, but without the odor or secondhand and tar-filled smoke. E-cigarettes can be used in airports, shopping malls, restaurants and movie theaters -- or anywhere a cigarette can't.

"We think this is a reliable and safe alternative to smoking," said Matt Salmon, president of the Electronic Cigarette Association, a Washington, D.C.-based trade group representing an industry on track to make $100 million this year.

"It gives smokers the nicotine they crave, but without all the known carcinogens found in combustible cigarettes."

TOO MANY UNKNOWNS?

But some see e-cigarettes as nothing more than smoke and mirrors.

The American Cancer Society, the American Lung Association, the American Heart Association and the Campaign for Tobacco-Free Kids have joined Sen. Frank Lautenberg (D-N.J.) in calling on the FDA to remove them from the market until they can be tested.

Critics also charge children may be attracted by the e-cigarette's novelty, accessibility and its chocolate, strawberry, vanilla, cherry or mint flavorings.

"These devices haven't been examined by any government agency," said Alberta Brescia, regional vice president of the Staten Island American Cancer Society. "We don't know how the ingredients are affecting the body.

"Many smokers who use [e-cigarettes] also continue to smoke cigarettes, and they are under the false impression that because they are smoking fewer cigarettes, it's OK to keep smoking."

The FDA has banned several shipments of e-cigarettes from coming into the country -- mostly from China, where they have been manufactured for the last five years -- saying the product is a drug-delivery device requiring agency approval before being legally marketed and sold in the United States.

There is also no scientific data documenting the safety of e-cigarettes, a spokeswoman for the agency said.

Anti-smoking groups slam the device, while smokers embrace it

But Salmon said his group's members sell e-cigarettes strictly as an alternative that allows smokers to get their nicotine in a way that is more palatable, not as smoking-cessation products that need federal regulation. They also do not sell to minors, though many non-members play by their own rules.

"There are a lot of anecdotes out there about people kicking the habit, but those aren't claims we're making," said Salmon, a non-smoker who as an Arizona congressman pushed through a state law that was among the nation's first public-smoking bans.

Some companies have taken the FDA to court, arguing the agency has no jurisdiction over e-cigarettes because they are not designed to help people quit.

"You've got special interests out there that see us as a threat or maybe even a displacing technology and they're trying to do everything they can to gear up the FDA and the powers that be here in Washington to protect them," said Salmon, noting his association is not involved in any of the pending litigation.

"Withholding the e-cigarette from the market is like telling someone who chooses to smoke that his or her only legal option is to smoke tobacco," he said. "My feeling is government should try to help people have an alternative, not take them away."

For Mrs. Albano, an executive assistant to the CEO of Thomson Reuters in Manhattan, there is only one reason to power up her e-smoke.

"I think the concept is just perfect for people who want to quit -- and I want to quit."

Stephanie Slepian is a news reporter for the Advance. She may be reached at slepian@siadvance.com.

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Spur Of the Moment Quitting Works Too Says Researcher

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Listening to how people quit smoking can give you ideas of how to quit yourself

At Ukmedix News we have often written about the importance of planning your smoking cessation attempt because we have seen evidence and listened to experts who tell us that this greatly improves your chances of success. However new evidence from a clinical study suggests that people who give up impulsively on the spur of the moment can also have high rates of success.

Professor Saul Shiffman from the department of psychology and pharmaceutical science based at the University of Pittsburgh explained that according to his research almost 40 percent of people who quit smoking permanently did not actually plan out any smoking cessation strategies and just quit cold turkey immediately. He did however suggest that many of those people who quit spontaneously had in fact subconsciously been very dissatisfied and concerned about their smoking and had been aware that they wanted to stop smoking for some time.
According to Professor Shiffman the results did not discredit the act of planning out a smoking cessation attempt but it did nevertheless remain important that smokers were aware of their weaknesses and took stock of how they were going to deal with situations and scenarios in which they developed strong cravings to smoke. His research was published in the medical journal Nicotine and Tobacco Research and involved 1,700 smokers and ex-smokers.
In fact at Ukmedix News we have often written about how individuals need to come up with their own strategies which work for them. We have called it “Do It Your Own Way” because every single successful quitter has their own story to tell about how they managed to overcome the hurdles of nicotine and psychological addiction to cigarettes, and every story seems to be unique. Listening to how people quit smoking can give you ideas and help you come up with your own strategies for success.
Some people find hypnotherapy effective, others find the use of smoking cessation aids such as nicotine replacement therapy or the medication Champix effective too. Do It Your Own Way ( :

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Project Combat To Beat Smoking In Soldiers

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It is important that you find something that works for you.

A novel way to help people quit smoking is being developed by Professor Alexander Prokhorov. An expert in behavioural science, Professor Prokhorov said that his idea (which is specifically designed for soldiers) is to develop an animated video game called Project Combat which will allow soldiers serving in the armed forces around the world to deal with the pressure that quitting smoking brings.

Smoking rates among serving soldiers are higher than normal civilian rates. In the United States army almost 40 percent of soldiers smoke and 15 percent use smokeless tobacco which is also harmful to health. The new video game is designed to help soldiers to deal with withdrawal symptoms and peer pressure problems as well as to take their minds off the stress which accompanies routine military life and going into battle.
Professor Prokhorov speaking recently at the Texas Medical Centre explained that the use of tobacco increased significantly during the Second World War. There is definitely a feeling that when you are in a dangerous war zone the possible health consequences of smoking are insignificant to the overall picture, however in fact continued smoking is probably more likely to kill or injure a soldier than his choice of profession.
As part of the research for this game around 2,000 soldiers based at Fort Hood in Texas will be given it free in order to get feedback and to see how effective it is. At Ukmedix News we believe that this smoking cessation game could be useful but is unlikely to be the only thing required for a heavy smoker to quit. Psychological conditioning in the form of a game could provide a little bit of motivation but at the end of the day you will require your own willpower and determination to quit too.
There are many quit smoking remedies which can be made use of and which can be recommended by doctors such as hypnotherapy, nicotine replacement therapy and the use of the smoking cessation drug Champix. It is important that you find something that works for you.

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When I snap my fingers, you will laugh out loud

SAVE YOUR LIFE NOW! GRAB YOUR HOW TO QUIT SMOKING IN A WEEK FLAT BOOK NOW! Joe Boccuti is quick to shoot down a popular misconception about hypnosis, that people in a hypnotic trance can do things they wouldn't ordinarily do.
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"Completely false," Boccuti says. "If I could do that, I'd have people robbing banks for me all over the country."

Boccuti has taken his talent for tapping into the human subconscious onto the stage with "Hypnosterical," his 75-minute show at Trump Marina.

Boccuti began his career as a hypnotist in a conventional manner. He used the power of suggestion to help people lose weight and quit smoking. But in the course of his practice, the thirtysomething Philadelphia native also realized that people are inherently funny -- and they become even funnier when they're under his hypnotic spell.

That led him out of the office and onto the stage, where he began developing an act in which he is more of a guide than the center of attention. It's the people who willingly climb onstage who are the real stars of the show.

"When you take away their inhibitions and let them let go and just be themselves, you'll be surprised at what will happen," Boccuti said during a pre-show interview.

Boccuti's interest in hypnosis began when he was 11 and had begun having vivid and scary nightmares. He began reading books about dreams, trying to find a way to have only happy ones.

"Over and over, I kept seeing the word "subconscious,' so I started reading books about that," he says.

He learned the subconscious part of the mind is a vast and mostly unexplored area for most people.

When he got serious about pursuing hypnosis as a career, he began studying under established hypnotists, some of whom practiced clinically and others who had become entertainers.

"There's no college or university you can go to, so I learned from the guys who are experts at it, people who had studied the work of the forefathers of hypnosis like (Franz) Mesmer and (Milton) Erickson," he explains.

He also learned how to think quickly and react on stage when something funny or unexpected happens, which it usually does during every "Hypnosterical" performance.

When it's show time, Boccuti bounds onto the stage of the casino's intimate, 462-seat Shell Showroom with the energy of an athlete, the patter of a comedian and a twinkle in his eyes which says he knows what's coming, but the audience doesn't.

From an initial group of about 30 people who willingly take the stage, he weeds out those he feels won't make good subjects. Once under his spell, the volunteers appear to fall asleep on his command. Soon, the stage is littered with sleeping bodies, whom he then awakens and commands to do things such as use one another as pillows or swim like a fish in a bowl.

The show takes an R-rated turn when he suggests the volunteers are strippers auditioning for a job. At one point, he sends them into the audience, where they actually do lap dances with strangers.

Through it all, Boccuti insists nothing in the show is staged or rehearsed.

"I don't use stooges or plants," he says adamantly. "People are funny when you tap into their subconscious. That's why the show is so funny. Because people are different, the show is never the same."

It's the return of "Love Train: The Sound of Philadelphia," featuring The O'Jays, the New Stylistics, Jerry "The Iceman" Butler and other acts with Philly roots in the Event Center at Borgata. Show time is tonight at 8. Tickets are $50, $65 and $85, available through theborgata.com or ComcastTIX at (877) 544-8499.

Paul Potts, the winner of the first "Britain's Got Talent" TV showcase, will fill the Music Box at Borgata with his big tenor tonight at 9. Tickets are $39.50, available through theborgata.com or ComcastTIX at (877) 544-8499.

Rock 'n' rolling bass guitar virtuoso Les Claypool will thump onto the stage of the House of Blues at Showboat tonight at 8:30. Tickets are $25 and $30, available through ticketmaster.com or (800) 736-1420.

The tribute band series will continue at the Hilton with Spread Eagle's tribute to The Eagles tonight at 9. Tickets are $15, available through ticketmaster.com or (800) 736-1420.

Veteran rockers Stone Temple Pilots, with 15 Top 10 hits over the past 15 years, will land on the stage of Borgata's Events Center Saturday at 8 p.m. Tickets are $95 and $135, available through theborgata.com or ComcastTIX at (877) 544-8499.

Singer, songwriter and actor Robin Thicke will headline the House of Blues at Showboat Saturday at 9 p.m. Tickets are $30 and $35, available through ticketmaster.com or (800) 736-1420.

Loverboy, the Canadian rock band that has been bringing it for nearly 30 years, will play the Atlantic City Hilton Saturday at 8 p.m. Tickets are $30, available through ticketmaster.com or (800) 736-1420.

Comedian Dave Attell will crack wise in Borgata's Music Box Saturday at 9 p.m. Tickets are $35 and $45, available through theborgata.com or ComcastTIX at (877) 544-8499.

Drake Bell, the actor, comedian and musician who stars on the Nickelodeon series "Drake & Josh," will headline the Tropicana Saturday at 8 p.m. Tickets range from $35 to $65, available through ticketmaster.com or (800) 736-1420.

On-going shows include: Chazz Palminteri starring in "A Bronx Tale" at Harrah's Resort through Aug. 9; "Cirque Dreams: Pandemonia" at Trump Taj Mahal through Sept. 6; "Carnival of Wonders" at Trump Plaza through Sept. 6; and "Fame" at the Tropicana through Sept. 9. For tickets and show times, contact ticketmaster.com or (800) 736-1420.

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NRT: Studies Destroy “Four Times More Likely To Quit With NHS” Claim

SAVE YOUR LIFE NOW! GRAB YOUR HOW TO QUIT SMOKING IN A WEEK FLAT BOOK NOW!  2009-07-11 21:06:51 - Freedom2Choose, working with hypnotherapist Chris Holmes, reveals that the continued use of the Department of Health’s claim “you are up to four times more likely to quit with NHS help” has no evidential basis. Freedom2Choose can show that the Department of Health routinely uses misleading statements to promote Nicotine Replacement Therapy (NRT) products as its preferred method of treatment for smoking cessation. This promotion is a very costly exercise, at a time of imminent cutbacks to public services.

Belinda Cunnison, of pro-choice group Freedom2Choose, investigated the common claim that you are “four times more likely to quit with NHS”, which is used in most promotional materials for NRT products, and frequently in press releases on the subject of smoking cessation. “I traced this claim to a Department of Health web page,(1) which also claimed a 15 per cent
success rate at 12 months for NRT. The evidence that was supposed to demonstrate this 15 per cent success rate and the ‘four times more likely to quit’ phenomenon was not listed in the footnotes, so I wrote to the Department to ask for it.”

It took over three months to get the information. The following reports were made available by Cameron Gordon of the Department of Health in relation to smoking cessation studies:

• The Ferguson Health Inequalities Reduction Paper(2)
• The Evaluation Report(3)
• The Shiffman Report(4)
• The Cochrane Reviews(5)
• The Hughes Report(6)
• The Borland Report(7)

The documents revealed neither a 15 per cent quit rate at 12 months, nor any evidence that quitting with the NHS is four times more effective than willpower alone. The Borland Report recorded a 12-month success rate of 6.5 per cent (higher rates were achieved only in the smaller scale studies), whereas the largest study done on quitting using willpower alone achieved a rate of around 6 per cent.

“On the government’s own evidence, the claim ‘up to four times more likely to quit with the NHS’ is completely untrue. How can this claim be justified?” continues Belinda Cunnison. “The use of NHS treatments makes almost no difference at all to quitting success. A recent study published in the British Medical Journal(8) has also documented the long-term success rate of NRT at a mere 1.6 per cent. The whole exercise is futile as well as being enormously expensive.”

Freedom2Choose also has evidence that General Practitioners are given payments for patients who set a quit date, and an additional payment for patients who remain quit at four weeks. The payments are listed in NHS Warwickshire’s board report, March 2009.(9) This reflects the urgency of smoking cessation on the Trust’s list of priorities – an unfortunate choice of priority since patients seem just as good at giving up smoking under their own volition as they are with NHS help.

“At a time when we need to economise, particularly in the Health Service, why is our Government pumping tax-payers’ money into a failed product and using misleading claims to the service user?” questions Belinda Cunnison. “Will-power alone has a comparable success rate for those who choose to give up smoking. This is a complete waste of our resources.”

Author and hypnotherapist Chris Holmes(10) agrees and states, “We are exposing a systematic and deliberate policy to seriously mislead the public over the true effectiveness of these services. The actual extent of long term failure was being quietly covered up - which we now know from the Borland report is 94 per cent failure at 12 months - whilst four-week results were shamelessly promoted, even including published 'success rates' as high as 90 per cent. Since they knew that to be the exact opposite of the real outcomes, this is a fraudulent misappropriation of hundreds of millions of pounds of taxpayers’ money. NRT simply doesn't work.”

References:
1 NHS Stop Smoking Services & Nicotine Replacement Therapy -
http://www.dh.gov.uk/en/Publichealth/Healthimprovement/Tobacco/Tobaccogeneralinformation/DH_4002192
2 The Ferguson Health Inequalities Reduction Paper -
http://opus.bath.ac.uk/6357/
3 The Evaluation Report -
http://www3.interscience.wiley.com/journal/118739516/issue?CRETRY=1&SRETRY=0
4 The Shiffman Report -
http://tobaccocontrol.bmj.com/cgi/content/abstract/12/1/21
5 The Cochrane Reviews -
http://www.cochrane.co.uk/en/index.html
6 The Hughes Report -
http://www.hospitaldofuturo.com/imagens/Shape%20of%20the%20relapse%20curve%20and%20long-term%20abstinence%20among%20untreated%20smokers.pdf
7 The Borland Report -
http://fampra.oxfordjournals.org/cgi/content/abstract/cmn046
8 British Medical Journal -
http://www.bmj.com/cgi/content/extract/338/apr29_1/b1730
9 NHS Warwickshire, page 7, Appendix 2H -
http://www.warwickshire.nhs.uk/trustboardenclosures/march09/Enc%2016%20Tobacco%20Control%20and%20Smoking%20Cessation%20Board%20Report%20-%20March%202009.pdf - Page 7, Appendix 2H
10 Chris Holmes: Truth Will Out -
http://www.truthwillout.co.uk

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