Sunday, December 28, 2008

smoking up the joint - in Kentucky

One day during this past fall term, I stepped into the elevator at work, and was nearly overcome by the stench of cigarette smoke. Since smoking is prohibited in all state buildings, including college buildings, I wondered if someone had been smoking in the parking garage (also not allowed, but not enforced on our campus), next to the elevator access door.

I mentioned the smell to one of our staff. He explained the source of the problem. The majority of the students in our respiratory care program smoke, and when they get their short breaks, they rush, en mass, from their third floor classroom, to the elevator and step outside the building, where they fire up their smokes for 10 minutes, and then at the last minute cram themselves back in the elevator carrying the putrid smell with them.

I have always found it disturbing that such a high percentage of our students smoke, and that every break between classes is a cigarette break. But as an asthma sufferer, I find it obscene that the majority of our respiratory care students are smokers. These are the people who hope to be entrusted with the care of people who suffer from breathing disorders.

Kentucky ranks number 1 in the percentage of adults who are smokers. More than 28 percent of Kentuckians smoke (2007 CDC report) . A study done in 1999-2000 found that 23 percent of pregnant women in Kentucky smoked. Though I have no hard data, I'm certain that both figures are higher in eastern Kentucky than in the urban portions of the state.

The political power of tobacco interests and smokers in Kentucky shows in the low cigarette taxes; only 30 cents per twenty-pack in 2008, lower by at least half compared to all but one of the state surrounding Kentucky. Other evidence of political power: the state of Kentucky has declared smokers a "protected class," and it is illegal to discriminate against smokers in employment and education (Cincinnati Enquirer October 22,2008), despite the well documented fact that smokers are more expensive employees than non-smokers. They are more likely to be absent, their medical costs are higher on average, and they always seem to be out taking a smoking break when you need them.

It seems more than reasonable to me that being a non-smoker should be a requirement for entry into certain fields of employment -- respiratory therapy being one of those. If nothing else, allied health programs (nursing, respiratory care, radiography, physical therapy assistant, and so forth) ought to put a high priority on developing "quit smoking" programs for their students. Many medical facilities, even in Kentucky, are creating smoke free campuses; that is they are eliminating smoking not only in all their buildings, but in all the outside areas between the buildings. Imagine being some one who smokes a pack or more a day, and discovering that in your job at a hospital or medical complex that you have to walk a block or more, and then stand on a busy public street in order to smoke. The Appalachian Regional Hospital (ARH) chain that serves eastern Kentucky has not yet moved in the direction of smokeless campuses, but not all graduates of allied health programs in eastern Kentucky will remain in the region.

Kentucky needs to consider raising cigarette taxes as well. It makes good health policy and would provided needed revenue.


Jessica G said...

As a smoker, I agree that the cigarette tax in Kentucky should be raised. As it stands now, I believe we have the thrid lowest rate in the country. Sure, it is nice only paying $2 and some change for a pack of smokes, but I would not mind payig much more for them...I say this hoping that if they do raise the tax, I'll be able to stop because I can't afford my nasty habit!

Personally, I apologize that you have to smell our yuck. I am constantly washing my hands, Febreez-ing my coat, and sprayig myself down with various body sprays to try to cover it up. Nobody likes talking to or standing next to a nasty ashtray.

Sue said...

People I love (my husband and in-laws) have suffered from the addiction to nicotine; John was (painfully) able to break the habit, his parents never were. Because it is a physical addiction, one of the most powerful known to man, I suggest stop-smoking problems rather than, out-right banning smokers.

Jessica G said...

Wow! John went from being a smoker to a marathon runner!?!

There IS hope for me! :)

Anonymous said...

Taxing a habit doesn't stop people partaking in it. That's a flaw of government thinking around the world. Education stops people smoking, but that must happen long before they start thinking about taxes.

We smokers are the only people still allowed to be treated like second class citizens. How about if we made all the coffee drinkers (I am not one) stand outside for their coffee breaks? Somehow I think they'd all find themselves feeling pretty upset.

"But second hand smoke..." I hear you say. If you think the air you're breathing right now, this second, is any cleaner than what comes out of a smoker's mouth, you're just kidding yourself. Second hand smoke is offensive only because you can see it.

(And yes you can smell it, but you can smell pollution also, we're just all used to it.)

And finally, "smoking up a joint" made me assume you were writing about the type of smoking we can all get behind... Am I right people?!

sarang said...

Varenicline (Champix) is the first non-nicotine drug developed specifically to help smokers give up.Nicotine replacement therapy and buproprion - an antidepressant that has been found to help smokers quit - are already widely available in

jrisi said...

In my opinion, smoking cigarettes is a phenomenon I will most likely never seem to understand. We all know and have grown hearing all of the negative things that come with smoking....lung cancer, yellow teeth and hands, addiction, increase in wrinkles in the skin, respiratory issues, death, and can be extremely expensive. Despite all these facts, these are only to name a few. These facts have been around for decades and are pounded into our heads as children(or so you would think). Yet as a college student, I am astounded by how many students still smoke. What is it really going to take for us to get the clue that SMOKING IS IN NO WAY GOOD for you or anyone around you. My only possible solution is to continue to limit smoking areas so that it becomes more and more of an inconvenience and hassle to smoke. Then maybe people would finally drop this disgusting habit and pick up something more healthy both biologically and socially such as, say, going to the gym? Cmon people, it's time for us to get rid of smoking once and for all.

Sue said...

jrisi -- I quite agree with you, however, I have observed that in places that make smoking super difficult-- such as hospitals that eliminated smoking entirely from their campuses and force smokers to leave the grounds completely and stand on busy public streets -- still does not deter many addicted smokers.