The business that kills 5.4 million people a year and earns governments $200 billion a year

I had a friend who smoked.  She had two small children and was married to a nice chap called Timothy.  Nothing surprising about that you may be thinking.  Her young son David suffered from asthma and his inhalers were a part of his life.  

It was hard to see someone young struggle for breath and when asthma sufferers do not keep a control of their condition, things turn life threatening.  Hard enough to be disciplined when you are an adult but for young children it becomes trickier still.  Then, David had an accident and fell off his bicycle and ended up in hospital for many weeks as it was a compound fracture.  Julie, his mother travelled to every visiting time and took sweets, changes of pyjamas, toys and of course his asthma medication.  On the second week the nurse in David’s ward told her not to bring the asthma medication in, as he did not need it.  Perplexed Julie explained, “But he takes it every morning and evening!”  The nurse assured her that David had not used an inhaler since he arrived in hospital two weeks earlier and had been fine with not one single asthma attack.    Julie was stunned and the nurse asked a surprising question. “Do you smoke?”  Julie replied that she did, to which the nurse responded, “that is probably what is triggering his asthma, it is very common.”  Julie was stunned it had never occurred to her that she could be the cause of her son’s fight for breath.  When Daniel came home there was a sudden change, she no longer smoked in the house only in the garden.  After a few weeks it became only the kitchen.  In a month she was back to smoking in the house as before and David returned to his inhalers.  It amazes me how addictions can mean we sacrifice even our nearest and dearest to them. 

The smoking ban which came into force in public places in July 2007 has resulted already in 1,900 fewer emergency hospital admissions for asthma patients every year.  In other countries, where to the ban has been brought in both working and public environments the drop has been 40%. 

Dr Penny Woods, chief executive of the British Lung Foundation, added: "This is important new research that further demonstrates how the smoking ban has dramatically improved people's lives and made smokers more aware of the harm smoking does to their health.

"Nearly a third of a million GP appointments each year are caused by children who are the victims of passive smoking. These horrendous figures show the scale of the problem we are still facing.”

Emily Humphreys from the health charity, Asthma UK, has also welcomed the findings: "This is something we campaigned for, so it is particularly encouraging that there has been a fall in children's hospital admissions for asthma since its introduction.

"We have long known that smoking and second hand smoke are harmful - they not only trigger asthma attacks which put children in hospital but can even cause them to develop the condition."

I remember David with all his inhalers and breathlessness and think of all those tiny children fighting for breath due to passive smoking in homes throughout the world. 

But then, one has also to remember all those who die from the effects of smoking.  The World Health Organisation has brought out a report (The WHO Report on the Global Tobacco Epidemic) very critical of the lack of action by many countries in confronting smoking.   “The tobacco epidemic already kills 5.4 million people a year from lung cancer, heart disease and other illnesses,” said WHO Director-General Margaret Chan. “Unchecked, that number will increase to more than 8 million a year by 2030.”

The report also gives one clear explanation for the lack of action.  Nations worldwide collect more than $200 billion in tobacco taxes annually.  Killing people is obviously a profitable business and the very best business is built on addiction.