Full Ban Research Articles

Harmonisation of animal testing alternatives in China.

More and more countries are lining up to follow the EU's approach and implement a full ban on the sale of cosmetics that have been tested on animals, which has been the case in the EU since 2013. Besides animal welfare considerations, the need for mutual acceptance of data (MAD) and harmonisation of the global market have made the move toward non-animal testing a desirable general trend for countries worldwide. Over the last 10 years, the concept of alternative methods has been gradually developing in China. This has seen the harmonisation of relevant legislation, the organisation of various theoretical and hands-on training sessions, the exploration of method validation, the adoption of internationally recognised methods, the propagation of alternative testing standards, and an in-depth investigation into the potential use of in vitro methods in the biosciences. There are barriers to this progress, including the demand for a completely new infrastructure, the need to build technology capability, the requirement for a national standardisation system formed through international co-operation, and the lack of technical assistance to facilitate self-innovation. China is now increasing speed in harmonising its approach to the use of non-animal alternatives, accelerating technological development and attempting to incorporate non-animal, in vitro, testing methods into the national regulatory system.

Smoking-Related Attitudes and Knowledge Among Medical Students and Recent Graduates in Argentina: A Cross-Sectional Study.

Physicians in Argentina smoke at rates similar to the general population, and do not have a clear role in tobacco control strategies. To describe the attitudes and knowledge of medical students and recent graduates towards smoking behavior in Argentina. Cross-sectional self-administered online survey conducted in 2011. Medical students and recent medical graduates from the University of Buenos Aires. Attitudes and knowledge were evaluated by responses to 16 statements regarding the effects of smoking cigarettes and the role of physicians in tobacco control. Rates of agreement with a full ban on indoor smoking in different public settings were assessed. The sample included 1659 participants (response rate: 35.1%), 453 of whom (27.3%) were current smokers. Only 52% of participants agreed that doctors should set an example for their patients by not smoking, 30.9% thought that medical advice had little effect on patients' cessation behavior, and 19.4% believed that physicians could decline to care for smoking patients who failed to quit. In adjusted logistic regression models, current smokers had less supportive attitudes about tobacco control and were less likely than non-smokers to agree with a full indoor smoking ban in hospitals (OR: 0.30; 95% CI 0.16-0.58), universities (OR: 0.55; 95% CI 0.41-0.73), workplaces (OR: 0.67; 95% CI 0.50-0.88), restaurants (OR: 0.42; 95% CI 0.33-0.53), cafes (OR: 0.41; 95% CI 0.33-0.51), nightclubs (OR: 0.32; 95% CI 0.25-0.40), and bars (0.35; 95% CI 0.28-0.45). Recent medical graduates had more accurate knowledge about cessation and were more likely to agree with a full smoking ban in recreational venues. Although most participants reported a strong anti-tobacco attitude, a proportion still failed to recognize the importance of their role as physicians in tobacco control strategies. Current smokers and current students were less likely to support indoor smoking bans. Specific educational curricula could address these factors.

Minimal intervention delivered by 2-1-1 information and referral specialists promotes smoke-free homes among 2-1-1 callers: a Texas generalisation trial

BackgroundReplication of intervention research is reported infrequently, limiting what we know about external validity and generalisability. The Smoke Free Homes Program, a minimal intervention, increased home smoking bans by United...

Nondomination or Practices of Freedom? French Muslim Women, Foucault, and The Full Veil Ban

This article proposes a conception of freedom understood as practices. Based on Michel Foucault's work on the ethics of the self, I develop a conception of freedom that exceeds liberation and distinguishes between genuine practices of freedom and practices of the self that are unreflective responses to systems of government. I develop and illustrate this conception through an engagement with the recent French ban on full veils in public spaces and the ethnographic literature on European Muslim revival movements. I reconstruct how Muslim women relate to alternative discourses through specific practices of the self. These practices reveal that French Muslim women actively contest discourses of secularism and liberation that construct them as inherently passive and in need of tutelage. The conception I develop sheds light on some shortcomings of Philip Pettit's notion of freedom as nondomination. I argue that the proposed account is useful to, first, criticize the centrality of the opposition between arbitrary and nonarbitrary power in the definition of freedom. Second, I show that the predominant engagement with the external dimension of freedom in Pettit makes it difficult to capture the particular subjective practices that make up freedom and its development in the presence of power and/or attempts at domination.

Amiante et pathologie respiratoire

Previous occupational asbestos exposure (more rarely environmental or domestic exposure) may induce various pleural and/or pulmonary, benign or malignant diseases, sometimes with a very long latency for malignant mesothelioma (MM). Asbestos has been widely extracted and used in Western countries and in emerging or developing countries, resulting in a peak of MM incidence in France around 2020 and likely in a world pandemic of asbestos-induced diseases. These patients have mostly benign respiratory diseases (pleural plugs) but may also be diagnosed with lung cancer or malignant pleural mesothelioma, and have a global poor outcome. New therapeutic tools (targeted therapies, immunotherapy…) with first promising results are developed. However, it is crucial to obtain a full ban of asbestos use worldwide, and to do a regular follow-up of asbestos-exposed subjects, mostly if they are already diagnosed with benign respiratory diseases. Finally, new cancers (larynx and ovary) were recently added to the list of asbestos-induced tumors.

A process evaluation of an intervention to promote home smoking bans among low income households

Exposure to secondhand smoke occurs primarily in the home due to passage of smoke-free legislation. Creation of a total household smoking ban can reduce associated health conditions such as asthma, lung cancer, heart disease and stroke. This paper describes the results of a randomized control trial of a minimal intervention to create smoke-free homes. 2-1-1 callers were invited to participate in the trial and were randomized to an intervention (mailings and a coaching call) or a control group (no intervention). We assessed reach, dose, fidelity, and receptivity to the intervention through program records and a 3-month follow-up survey with intervention participants. For the intervention materials, materials were mailed to 244 participants (99.2%) and 227 participants (92.3%) received the coaching call intervention. 92.3% received all intervention components. Participants who had full household bans at 3 months were more likely to conduct behaviors leading to a smoke-free home (i.e., making a list of reasons, having a family talk, posting a pledge) than were those with no/partial ban. The intervention materials also were rated higher in relevance and usefulness by non-smokers than smokers. Results demonstrate that this minimal intervention had high fidelity to the delivery of components and relatively high receptivity.

Smoking behaviors before and after implementation of a smoke-free legislation in Guangzhou, China

BackgroundAccording to the partial smoke-free legislation implemented on 1 September 2010 in Guangzhou, China, smoke-free did not cover all indoor areas. Some places have a full smoking ban (100 % smoke-free), other places have a partial smoking ban, and homes have no ban. This study aimed to compare the smoking behaviors before and after implementation of a smoke-free legislation.MethodA repeated cross-sectional survey was conducted on smoking-related behaviors with a total of 4,900 respondents before, and 5,135 respondents after the legislation was instituted. For each wave of the survey, a three-stage stratified sampling process was used to obtain a representative sample. Pearson’s Chi-square test was used to determine differences of smoking prevalence and quit ratio between the two samples. Logistic regression models were used to examine the associations of a smoke-free legislation with smoking behaviors.ResultsThe overall daily smoking rate declined significantly from 20.8 % to 18.2 % (p < 0.05), especially among those aged 15–24 years. The quit ratios increased significantly (from 14.5 % to 17.9 %), but remained low among 15–44 year olds. The overall self-reported smoking behaviors in locations with a full smoking ban decreased significantly from 36.4 % to 24.3 % with the greater drops occurring in cultural venues, public transport vehicles, and government offices. Smoking in places with partial smoking bans remained high (89.6 % vs. 90.4 %), although a slight decrease was observed in some of these areas. The implementation of a smoke-free legislation did not lead to more smoking in homes (91.0 % vs 89.4 %), but smoking in homes remained high.ConclusionsThese findings highlight the urgent need for a comprehensive smoke-free legislation covering all public places in Guangzhou, simultaneously educational interventions and campaigns promoting voluntary changes in home smoking need to occur.

Challenges in Enforcing Home Smoking Rules in a Low-Income Population: Implications for Measurement and Intervention Design.

Smoke-free homes reduce exposure to secondhand smoke, contribute to lower levels of consumption, and help smokers to quit. Even when home smoking rules are established however, they may not be consistently enforced. This study uses data from a randomized controlled trial of a brief intervention to create smoke-free homes among callers to the United Way of Greater Atlanta 2-1-1. Participants with partial or full home smoking bans at 6-month follow-up were asked about enforcement challenges, rooms where smoking occurred, and exceptions to the rules. Air nicotine monitors were placed in a subset of homes. Participants (n = 286) were mostly female (84.6%) and African American (84.9%). Most were smokers (79.0%) and reported at least half of their friends and relatives smoked (63.3%). Among those with a full ban, 4.3% reported their rules were broken very often whereas 52.6% stated they were never broken. Bad weather and parties were the most common exceptions to rules. Among nonsmokers with full bans, 16% reported exposure to secondhand smoke in the home 1-3 days in the past week. In multivariate analyses, having a partial ban, being a nonsmoker, and living with three or more smokers predicted higher levels of enforcement challenges. Findings suggest the majority of households with newly adopted smoke-free rules had no or rare enforcement challenges, but about one-fifth reported their rules were broken sometimes or very often. Interventions to create smoke-free homes should address enforcement challenges as newly adopted rules may be fragile in some households. Interventions that promote smoke-free homes should address enforcement challenges.

190: Banning Tanning

The World Health Organization lists artificial tanning beds as a class one physical carcinogen. Tanning bed use is associated with a 75% increased risk of cutaneous malignant melanoma if used before the age of 35. In 2012, the Manitoba government announced a parental consent law that requires minors to have a guardian present or sign a permission form for children and youth to use artificial tanning equipment. This law falls below the national standards as set by the Canadian Pediatric Society (CPS); furthermore, parental consent laws have been shown to be ineffective at changing commercial tanning exposure in youth. Our group of senior pediatric residents worked on a project advocating for a complete ban of commercial tanning use for all youth under the age of 18 in Manitoba. The first component of the project focused on community education. Residents presented to middle and high school students about the harmful consequences of tanning, and created educational pamphlets that were made available at several general pediatric clinics. The second component of our project focused on legislative change and public forum advocacy. Residents engaged with the media to bring awareness to the general public about the risks of artificial tanning. A petition calling for a complete ban of artificial tanning for minors was also created. This petition, which included over 1000 signatures, along with evidence supporting a full ban for artificial tanning was presented to the Manitoba Ministers of Health and Healthy Living in an invited forum to advocate for legislative change. These efforts were successful and resulted in the recent proposed legislation calling for a full ban on artificial tanning for minors; this is expected to pass into Manitoba law in the spring of 2015. This project serves as an example of how physicians can promote the health of their patients via community education, collaboration with public health experts, and involvement in local government.

A minimal intervention to promote smoke-free homes among 2-1-1 callers: a randomized controlled trial.

We tested the efficacy of a minimal intervention to create smoke-free homes in low-income households recruited through the United Way of Greater Atlanta 2-1-1, an information and referral system that connects callers to local social services. We conducted a randomized controlled trial (n=498) from June 2012 through June 2013, with follow-up at 3 and 6 months. The intervention consisted of 3 mailings and 1 coaching call. Participants were mostly smokers (79.7%), women (82.7%), African American (83.3%), and not employed (76.5%), with an annual household income of $10,000 or less (55.6%). At 6-months postbaseline, significantly more intervention participants reported a full ban on smoking in the home than did control participants (40.0% vs 25.4%; P=.002). The intervention worked for smokers and nonsmokers, as well as those with or without children. Minimal intervention was effective in promoting smoke-free homes in low income households and offers a potentially scalable model for protecting children and adult nonsmokers from secondhand smoke exposure in their homes.

Full and home smoking ban adoption after a randomized controlled trial targeting secondhand smoke exposure reduction.

The current study examined home and full (i.e., home plus car) smoking ban adoption as secondary outcomes to a randomized controlled trial targeting reduced secondhand smoke exposure (SHSe) for children under treatment for cancer. Families with at least 1 adult smoker who reported SHSe for their children (n = 119) were randomized to control or intervention conditions and followed for 1 year with 5 assessments. Both groups were advised of the negative health outcomes associated with SHSe; the intervention group provided more in-depth counseling from baseline to 3 months. Parents reported on household and car smoking behavior, demographic, psychosocial, and medical/treatment-related information. Regardless of group assignment, there was an increase in home (odds ration [OR] = 1.16, p = .074) and full (OR = 1.37, p = .001) smoking ban adoption across time. Families in the intervention group were more likely to adopt a full ban by 3 months, but this difference was nonsignificant by 12 months. Married parents (OR = 2.33, p = .006) and those with higher self-efficacy for controlling children's SHSe (OR = 1.11, p = .023) were more likely to have a home smoking ban; parents who reported smoking fewer cigarettes were more likely to adopt a home (OR = 1.62, p < .0001) or full (OR = 7.32, p = .038) ban. Smoking bans are in-line with Healthy People 2020's tobacco objectives and may be more feasible for parents with medically compromised children for immediate SHSe reduction. Furthermore, interventions targeting full smoking bans may be a more effective for comprehensive elimination of SHSe.

Managing hunted populations through sex-specific season lengths: a case of the Common Eider in the Baltic-Wadden Sea flyway population

Management of harvested wildlife populations aims to protect species from overexploitation and ultimately extinction, by regulating exploitation towards achievable sustainable levels. However, assessments of impact and sustainability of implemented management actions on a population level are scarce. This study assesses effects of changes in hunting season length imposed on the Baltic-Wadden Sea Common Eider Somateria mollissima population, including differential restriction on hunting of the sexes. The potential impact of these changes on the population was assessed by simple demographic matrix projections. Since the early 1990s, this population has declined at ca. 6.3 % per annum, and the male/female ratio among shot birds has fallen from 3:2 to about 3:1. Concerns in Denmark regarding the conservation status and sustainability of contemporary levels of exploitation resulted in shortening the open season by 44 and 46 days for females and 13 and 15 days for males from the hunting seasons 2004/2005 and 2011/2012 onwards, respectively. These reduced the kill of adult females by 82 %, adult males by 31 %, juvenile females by 58 % and juvenile males by 55 %. The observed reduction in the kill of adult females following both changes in 2004/2005 and 2011/2012 matched the expected changes based on the seasonal distribution of sexes in the bag prior to the change. Post 2004/2005 hunters killed more adult males, but shot markedly fewer juvenile birds than expected. Demographic modelling of the female population showed that the effects of the reduced hunting would correspond to an increase in the annual population growth rate from the previous −6.3 to −3.6 % (post 2004) and −1.6 % (post 2011). The model also predicted that a full ban on hunting female eiders (adults and juveniles) would lead to a positive population growth rate of 0.7 %. Taking into account the conservative model estimates and natural variations in annual breeding success, the implemented changes in sex-specific regulation of hunting may potentially be an effective management tool to halt the decline of the Baltic-Wadden Sea eider population, potentially rendering such levels of hunting sustainable under prevailing conditions.

Second-hand smoke exposure in different types of venues: before and after the implementation of smoke-free legislation in Guangzhou, China

ObjectivesSmoke-free legislation was implemented in Guangzhou on 1 September 2010. However, the smoke-free policy did not cover all indoor areas and smoking rooms can be set in some public places....

Home smoking policies in urban households with children and smokers

ObjectiveWe identified household, child, and demographic characteristics associated with not having a smoking ban and having a rule about smoking in the presence of children in an urban population. MethodWe conducted a cross-sectional random digit dial telephone survey (n=456) of Philadelphia parents in June 2012. ResultsForty-eight percent of homes reported a full smoking ban. In homes that allowed smoking, over half allowed smoking in front of children. Cigarettes smoked in the home decreased as the restrictiveness of the bans increased. Multinomial logistic regression analyses showed that compared to having a full ban, banning smoking only in the presence of children was associated with being African-American, having a child >5years old, and having an asthma-free child. These characteristics, as well as having both parents as smokers and not having an outdoor space, were also associated with not having any restrictions. ConclusionIt is possible that households attempt to reduce home smoking by limiting smoking in the presence of children. Health communication messages should be used to inform families about the lingering effects of SHS in the home even when smoking does not occur in the presence of a child.

Household Smoking Restrictions Related to Secondhand Smoke Exposure in Guangdong, China: A Population Representative Survey

China has a higher household secondhand smoke exposure rate than other countries. This study aims to estimate the prevalence rate of households implementing smoking bans in Guangdong and to identify factors correlated with household smoking bans. A cross-sectional, stratified random cluster sampling survey was conducted in Guangdong in 2010. A total of 2,114 adults aged 15 and older completed the face-to-face interviews with a response rate of 70%. The survey employed an adapted and validated questionnaire from the China Global Adult Tobacco Survey. Household smoking policy was divided into 3 groups: full ban, partial ban, and no ban. A multiple logistic regression model was employed to explore factors related to a full household smoking ban. The survey found 14.2% of respondents reported a full ban, 23.6% reported a partial ban, and 62.2% reported no ban of smoking at home. Current smoking status was the strongest predictor for less restrictive household smoking policies (odds ratio [OR] = 4.9, 95% CI = 2.634-8.999). Our study suggested that people with a high level of education were more likely to implement a full household smoking ban (OR = 4.4, 95% CI = 2.388-8.178). Additionally, urban residents were significantly more likely to report a full household smoking ban than rural residents (OR = 1.67, 95% CI = 1.202-2.322). Household smoking bans were not sufficiently established in Guangdong, China. Intensified efforts were called to promote home smoking bans, especially for those with a lower education level, with lower income, and living in rural areas.

Some Constitutional Thoughts about the Islamic Full Veil Ban in Europe

Abstract This work deals critically with the Islamic full veil ban in public spaces, that is start­ing to be adopted in some European countries and is being echoed in some regulations in Spanish municipalities. After a brief analysis of the general bans recently passed in Belgium and France and of the partial bans adopted in schools by other countries, like Germany, Ita­ly or the UK, the article analyses the constitutionality of the recently approved municipal bans in Spain from a constitutional perspective, including the case-law of the European Court of Human Rights. The author reaches the conclusion that according to the Sp Const 1978 an adequate interpretation of the limitations to the freedom of religion and the right to one’s own image, involved when wearing an Islamic full veil, would make a general ban on the full veil in each and every public space unconstitutional, but would allow its partial ban regarding the access to municipal buildings or services or regarding teachers and pupils at schools, as far as these partial bans could be justified by constitutional values like safeguarding of public institutions or services, or protecting the fundamental rights of others. `

Some comments on the Islamic full veil ban in Europe

This short comment gives an account of the Islamic full veil bans in public spaces that are starting to be adopted in some European countries. After mentioning the European Law framework and the general bans recently passed in Belgium and France, as well as the partial bans adopted by other countries, like Germany, Italy, Spain, or the UK, the comment draws two competing models of such regulation: the French model that relies on an immaterial understanding of public order for banning the Islamic full veil in public spaces and the German model, which requires concrete and tangible material public order grounds for limiting the wearing of the Islamic full veil.

Alternatives to antibiotics for farm animals.

Abstract Nowadays, there is an increasing concern for the public health about the consequences from the long and increased use of antibiotics in livestock production. The use of antibiotics in animal feed as growth promoters has been completely banned by the European Union since 2006, based on their possible negative effects on human and animal health. The removal of growth promoters has led to animal performance problems and a rise in the incidence of certain animal diseases. Thus, there is an urgent need to find alternatives to antibiotics, especially in EU. Due to the modern consumers' concern about the potential development of antibiotic-resistant bacteria as well as at the same time the need to prevent economic losses of the farmers, alternatives to antibiotics has been developed to prevent the health problems and to improve the growth performance in farm animals. Owing to the full ban of antibiotic use in EU there is an urgent need to find alternatives to in-feed antibiotics. New strategies and commercial products must be developed to improve animal health and performance, based on their safety, efficacy and cost-effectiveness. The aim of this study is to summarize the beneficial effects of currently used alternatives to in-feed antibiotics, i.e. probiotics, prebiotics, organic acids, phytogenic compounds and zeolites on health and growth performance in farm animals (swine, poultry and ruminants).

A Store Cohort Study of Compliance With a Point-of-Sale Cigarette Display Ban in Melbourne, Australia

This study aimed to evaluate compliance with legislation which restricted cigarette displays in retail outlets, and to assess prevalence of pro- and anti-tobacco elements in stores pre- and post-legislation. METHODS Three audits of 302 stores in Melbourne, Australia by trained observers who gathered information on point-of-sale tobacco displays 2-3 months before and 3-4 and 11-12 months after the enactment of new restrictions. Between the first and second audits, nine stores stopped selling tobacco and three stores had either shut down or were closed for renovations. Of the remaining 290 stores, 94.1% observed the full ban on cigarette package visibility, while new restrictions on price board size and new requirements for graphic health warnings were followed in 85.9% and 67.2% of stores, respectively. Between the second and third audits, another seven stores ended tobacco sales and two stores closed. In Audit 3, 89.7% of the remaining 281 stores complied with price board restrictions, and 82.2% of stores followed requirements for graphic health warnings. Overall, the prevalence of anti-tobacco signage increased and pro-tobacco features decreased between audits for every store type and neighborhood socio-economic status. Tobacco retailers were almost universally compliant with placing cigarettes out of sight and a substantial majority were compliant with regulations on price board size and display of graphic health warnings, demonstrating that such legislation can be implemented successfully.

Reducing Prenatal Smoking: The Role of State Policies

Maternal smoking causes adverse health outcomes for both mothers and infants and leads to excess healthcare costs at delivery and beyond. Even with substantial declines over the past decade, around 23% of women enter pregnancy as a smoker and though almost half quit during pregnancy, half or more quitters resume smoking soon after delivery. To examine the independent effects of higher cigarette taxes and prices, smokefree policies, and tobacco control spending on maternal smoking prior to, during, and after a pregnancy during a period in which states have made changes in such policies. Data from pooled cross-sections of women with live births during 2000-2005 in 29 states plus New York City (n=225,445) were merged with cigarette price data inclusive of federal, state, and local excise taxes, full or partial bans on smoking in public places, and tobacco control spending. Probit regression models using a mixed panel, state fixed effects, and time indicators were used to assess effect of policies on smoking (during 3 months before pregnancy); quitting by last 3 months of pregnancy; and having sustained quitting at the time of completing the postpartum survey. Multivariate analysis indicated that a $1.00 increase in taxes and prices increases third-trimester quits by between 4 and 5 percentage points after controlling for the other policies and covariates. Implementing a full private worksite smoking ban increases quits by the third trimester by an estimated 5 percentage points. Cumulative spending on tobacco control had no effect on pregnancy smoking rates overall. Association of tobacco control policies with maternal smoking varied by age. States can use multiple tobacco control policies to reduce maternal smoking. Combining higher taxes with smokefree policies particularly can be effective.