Jacksonville’s hospitals are to ban smoking from their properties, as of November 20. Anyone wishing to smoke a cigarette will no longer be able to step outside but must leave the hospital property altogether.
According to Dr. Bob Harmon, the director of the Duval County Health Department, “Tobacco and smoking are public health enemy number one and this brown plague must be brought under control.”
Emotive use of words there, Bob. Plague kind of implies that someone standing 25 yards away from a person smoking a cigarette is likely to be stricken instantly, or within a few days, by some deadly disease. I wonder if Bob can back that up with some hard scientific facts?
He would be right out of luck if he was looking to the World Health Organization. It conducted a study, just over a decade ago, to look at the link between passive smoking and lung cancer in seven European countries. The report was suppressed in 1998, according to The Daily Telegraph and The Economist, when it emerged that there was no statistical evidence that passive smoking caused lung cancer. WHO immediately issued a press release saying that the British media had “misrepresented” the report and yet when the study was published in the Journal of the National Cancer Institute in October 1998, it showed a statistically insignificant small risk from spousal and workplace Environmental Tobacco Smoke and that ETS exposure during childhood was not associated with an increased risk of lung cancer.
In 2003, a study by Dr. James Enstrom and Professor Geoffrey Kabat appeared in the British Medical Journal. The study looked at the wives and husbands of 35,000 smokers over a period of 40 years and concluded that the link between passive smoking and disease “may be considerably weaker than generally believed.” Their research did not support the anti-smoking lobby’s claim that passive smoking causes a 20 percent increased risk of lung cancer and a 30 percent increased risk of heart disease in people who live with smokers.
“Exposure to environmental tobacco smoke could not plausibly cause a 30 percent increase in risk of coronary heart disease,” Enstrom and Kabat concluded. “It seems premature to conclude that environmental tobacco smoke causes death from coronary heart disease and lung cancer.”
The American Cancer Society, whose data had been used by Enstrom and Kabat, levelled charges of scientific misconduct against Dr. Enstrom. A subsequent investigation by the University of California cleared Dr. Enstrom of the charges. The American Cancer Society did not apologize.
In 2007, Dr. Enstrom defended his research in Epidemiologic Perspectives & Innovations and showed that it was not “fatally flawed” or that he made “inappropriate use” of the underlying database. His paper also refutes the erroneous statements made by powerful U.S. epidemiologists and activists about him and his research, and defends legitimate research against illegitimate criticism by those who have attempted to suppress and discredit it because it does not support their ideological and political agendas.
But when someone is on a crusade, getting wrong results does not pose too much of a problem and the truth is all too easily jettisoned. There is plenty of junk science for the anti-smoking zealots to seize upon, although it is frightening when the members of the medical profession suspend their critical faculties and allow prejudice to hold sway.
The hospital ban elicited a response yesterday from Timothy Davlantes, M.D., president of the Florida Academy of Family Physicians, on the Letters Page of The Jacksonville Joke aka The Florida Times-Union.
Dr. Davlantes wrote, “I would like to applaud these Jacksonville healthcare facilities for their decision to protect employees, patients and visitors by implementing a campus-wide tobacco-free policy.”
Protect them from what? Oh, it must be the “brown plague” the other good doctor was talking about.
It is a pity Dr. Davlantes did not use his letter to the editor to condemn the export of $158 million of cigarettes to Iran during the years George W. Bush has been in office. I guess his Hippocratic oath and anti-smoking zeal do not apply outside the United States.
Is that cigarette smoke I smell? No, just the whiff of hypocrisy and an attack on personal freedom. Maybe it is time to heed the warning by John Stuart Mill in 1859 of the danger posed to liberty by “the tyranny of the majority.”
Or should that, in the 21st Century, be the tyranny of the medical profession? Doctors do have a tendency to come across as being all-knowing but the plain truth is that medicine is not a precise science governed by immutable laws. It is based on science, uses science but, in essence, is an art.
A doctor may say that he or she thinks something may be occurring or may have an effect but cannot say with 100 percent certainty it is the case. Take, for example, the recent acknowledgement that certain chemotherapy used in the past had no beneficial effect on patients. Sounds to me that when doctors started using it, they must have been just stabbing in the dark. But once a doctor dons the white coat, the rest of society assumes that they have god-like status and know all the answers.
Yes, it is true doctors can perform incredible things to save lives and the application of their skill relieves pain and suffering but they are not infallible; if they were, medical malpractice attorneys would not be in business. And if doctors such as Harmon and Davlantes have got it so right, how come they can often be proved wrong?
A few days ago, The Daily Telegraph carried an interview with actress Diana Rigg, the delightful Emma Peel in The Avengers televison series. The article revealed that Ms. Rigg, even at the age of 70, was still smoking 20 cigarettes a day. According to medical thinking, she should have been dead 10, 15 or 20 years ago. It may well be that lung cancer or heart disease eventually claims her but she will not have been cut down in her prime, unless 75 has become the new 35.
Her eventual death will, of course, be smoking related. The way medical statistics are compiled, if I were to die tomorrow in a road accident, my death would somehow end up as being a smoking-related death because my health records show that I am a smoker.
Now, don’t get me wrong about this hospital ban on smoking. I would not want to see nurses and doctors walking along a hospital corridor, puffing on a cigarette. I would be appalled if a surgeon conducted open-heart surgery with a Winston stuck in the corner of his mouth. But banning smoking in the hospital grounds is just another curtailing of personal freedom, with no justification other than the wish by some people to eradicate tobacco from society.
It was Dr. Joseph Goebbels, the Nazi Minister of Propaganda, who said, “If repeated often enough, a lie will become the new truth.” The anti-smoking Nazis have learned that and learned it well.
[Joe Jackson, the English singer and musician, has written an excellent essay — http://www.joejackson.com/smoking.php — on anti-smoking hysteria and debunks the myths surrounding passive smoking. Forces International — http://www.forces.org/evidence/index.htm — exposes the junk science used by the anti-smoking lobby to persecute people who happen to enjoy smoking cigarettes. The United Pro Choice Smokers Newsletter — http://www.smokersclubinc.com/modules.php?name=News&file=article&sid=4191 — documents the Dr. Enstrom saga.]