Smoking
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By Anna Churchill - June 2006

As a native Californian, (where, for those who don't know it, smoking has been outlawed anywhere but in one's home--if you are the owner--and if you rent and your building hasn't been deemed a non smoking building --and in some non controlled outdoor spaces) I thought it logical that I be the one to raise the issue of the Greeks and their love affair with cigarettes.

Though Californians like to think they have a monopoly on the good life including a huge selection of lush whole food supermarkets - they have nothing on the luscious offerings of produce and the seafood caught and brought in often meters from the taverna table you might be sitting at if on the island of Aegina.

Every few meters, it seems, one of the hundreds of shops within the lanes and passages of Aegina Town offers something good to eat: produce, pistaschios, meat, bakeries full of the best most wholesome bread you will ever eat; herb shops, mini markets and of course there is the famous fish market at the end of which is the most famous taverna on Aegina: The Agora. For 102 years it has been owned by the same family. Bus loads of Japanese desecend on Aegina and they all seem to end up eating at the Agora.

It is small, grubby and the inside eating space can hold only maybe 10 small tables the rest are outside under the protective awning gerry rigged toghether high above the passage and connecting it to the fish market. Its the first place I took a meal. You can go inside and up the step and you are in the cooking area. In a sort of buffet fashion you can see what the daily offering of fish, seafood and veg are and then you tell whomever is behind the prep counter what you want.

What does this have to do with cigarettes? Wait.

So, you are drooling over this epicurean orgy of heaps of fresh cooked greens, mussles saganaki, fresh grilled or fried kalamari and on and on it goes. You sit down.

A guy shuffles to your table, throws down the ubiquitous paper tablecloth, water, glass with napkin and silver and of course the basket of bread...all of which is done with a cigarette dangling from his lips. He stands over the outside grill and and cooks the octopus and fish with the same cigarette the ash at least half an inch. As soon as the cigarette threatens to come to an end he lights another. His coloring is not good.

The bus driver smokes, the owner in his supermarket smokes. Everyone smokes everywhere. According to an article it was only recently forbidden to do so in hospitals.

The irony of their living in an aesthetic and epicurian paradise, but unable to see it or it seems sometimes to enjoy it perhaps being obscured behind an ever present veil of smoke. A long time Ex Pat resident tells wild stories of both fear of dogs and of the landscape - forbidding a school excursion that would have the children taking a simple walk down through a lovely ravine. Others tell of the Greeks fear of the water despite being surrounded by the most beautiful water in the world.

Is this all because of the introduction of cigarettes? And what about the flip flop of the worry beads? Why are the Greeks "worried"? Why so much smoking? Is this left over from over 400 years of a brutal occupation, the Nazis, the Junta? I don't know. But below are what I found to be an intriguing range of books and articles on the subject of the Greeks and their relationship with cigarettes.

Print, take to your favourite taverna and read over a Greek coffee and light up...

Anna Churchill

PS: If you are staying in Athens and must have a non smoking room book at the lovely boutique hotel The Athenian Callirhoe. It has a floor of dedicated non smoking rooms. The A/C is one of about maybe two hotels that seem to boast of such a thing.

Because of the stone architecture here where much accommodation doesn't have carpets the issue of a place where smokers might have stayed isn't as pressing as in urban hotels cluttered with heavy carpets, drapes and bedspreads that hold the smell. ON
AEGINA THERE IS THE LOVELY ARTEMIS ROOMS IN AGHIA MARNIA WITH ALL MARBLE FLOORS  and simple bedding with big French doors leading to a balcony. The issue of smoking or non smoking didn't apply
.



Further reading  

The Hellenic literary and historical archive - www.elia.org.gr

A History of the Greek Cigarette
by MANOS HARITATOS, PENELOPE GIAKOUMAKIS
is a work which takes a full historical retrospective into the tobacco industry field, and was made possible with the kind sponsorship of PAPASTRATOS A. E. 

Hardcover Album (31cm x 24,5cm) Over 400 pages, 1250 colored photographs take you to a journey through time, to a 100-year history about over 1000 Greek cigarette-making companies around the world. Price 67.50 euro

click here for more information about the book



Highbeam research www.highbeam.com

Philip Morris acquires Greek manufacturer. Tobacco Retailer,
December, 2003


Read the full article online with a Free Trial of HighBeam Research

In October, Philip Morris International's affiliate, Philip Morris Holland, completed a private transaction with a group of principal shareholders for a 76.5 percent shareholding in the Greek company Papastratos Cigarette Manufacturing S.A. The acquisition of Papastratos follows nearly 30 years of a close working relationship between the two companies. Papastratos was established in 1930 and is the largest manufacturer and distributor of cigarettes in Greece. Papastratos produces and markets cigarettes including the Assos International, President, Old Navy, Cosmos, Saga and ...



Tobacco News: Countries: Greece
http://tobacco.org/newsfeed/country/greece.rss
The full article of the below items can be read on the website of www.tobacco.org but require registration (free at the moment). Click the source link to jump to the article.



Diagnostic Criteria and Treatment of Buerger's Disease: A Review -- Lazarides et al.   Vol. 5, No. 2, 89-95 (2006) DOI: 10.1177/1534734606288817

Source: International Journal of Lower Extremity Wounds, 2006-06-08

Intro:
Buerger’s disease is an inflammatory occlusive disorder affecting the small and medium-size arteries and veins of young, predominately male, smokers. The disorder has been identified as an autoimmune response triggered when nicotine is present. Tobacco abuse is the major contributing risk factor; however, smoking seems to be a synergistic factor rather than the cause of the disease. The traditional diagnosis of Buerger’s disease is based on 5 criteria (smoking history, onset before the age of 50 years, infrapopliteal arterial occlusive disease, either upper limb involvement or phlebitis migrans, and absence of atherosclerotic risk factors other than smoking). As there is no specific diagnostic test and an absence of positive serologic markers, confident clinical diagnosis should be made only when all these 5 criteria have been fulfilled although not universally accepted.


Thorax foundation holds meeting on smoking perils 

Source: Kathimerini (gr), 2006-06-03

Intro:
The Skalkottas Room at the Athens Concert Hall was wreathed in metaphorical smoke on Wednesday. Nobody dared light up, of course, as they heard the truth about the lethal consequences of smoking, which starts out as a game or a fashion or a demonstration of virility and becomes a dangerous habit that leads to an often painful death. The room was packed with personalities, officials, doctors and others devoted to the business of health, and many parents had brought their children along to hear the facts. Professor Haralambos Roussos, director of the Thorax foundation and head of the intensive-care unit at Evangelismos Hospital, rightly described World No Tobacco Day as a day of responsibility. On the panel were Grigoris Skalkeas, Athens Academy member, surgeon and professor of surgery, who has headed the anti-smoking campaign as well as Roussos and Professor Athanassios Fokas — aerospace engineer, mathematician, medical school graduate and winner of this year’s Aristeio award from the Bodossaki Foundation. Journalist Mara Zacharea moderated the discussion in which Health Minister Dimitris Avramopoulos also participated, speaking out forcefully against smoking.


Aimed at Decreasing Underage Smokers 

Source: ERT S. A. (gr), 2006-05-29
Author: the Secretary of ND. The candidates for Super Prefect are

Intro:
The Ministry of Health is promoting the legislative context, which will ban the sale of tobacco products to persons under 18 years of age and a campaign to decrease the number of smokers; mainly the underage ones. In addition, warnings will be typed on the tobacco products. The legislative context is being investigated by the Ministry and will be ready by autumn. All the above were announced by Minister of Health Dimitris Avramopoulos in a Press conference, on Monday, on the occasion of the No Tobacco Day, designated on 31 May.



Greece battles tobacco
 

Source: Reuters, 2006-05-31

Intro:
Health experts in Greece are ringing alarm bells over the country's high smoking rate.Health experts say in the last decade smoking has increased ten percent in Greece.Regulations introduced in 2002 banning smoking from public places, and requiring businesses to segregate non smoking areas in restaurants and other public places has not been enforced. Cigarettes are still quite cheap in Greece compared to other EU countries, at Euro 2.80 a packet.


Health - Aimed at Decreasing Underage Smokers 

Source: ERT S. A. (gr), 2006-05-29
Author: Sources: NET

Intro:
The Ministry of Health is promoting the legislative context, which will ban the sale of tobacco products to persons under 18 years of age and a campaign to decrease the number of smokers; mainly the underage ones. In addition, warnings will be typed on the tobacco products. The legislative context is being investigated by the Ministry and will be ready by autumn. All the above were announced by Minister of Health Dimitris Avramopoulos in a Press conference, on Monday, on the occasion of the No Tobacco Day, designated on 31 May. The figures on teenage smokers in Greece are shocking, since at 14, half of the youth have tried smoking, while at 18, one out of two is a regular smoker. The figures concerning adults are also worrying, as in the last decade the number of smokers increased by 10%, while deaths by lung cancer reached 6,000 annually.


Half the Greek population is still smoking despite ad bans 

Most advertising not allowed, but more people are lighting up
Source: Kathimerini (gr), 2006-05-24
Author: Lina Giannarou - Kathimerini

Intro:
The most worrying findings in the survey concern the increasing numbers of teenagers who smoke. . . .

according to a National Statistics Service survey of expenditures on and the consumption of cigarettes as part of a general survey on family budgets for 2004-2005, tobacco product sales have risen by 10 percent over the past 10 years. Unfortunately, younger people make up a large percentage of this increase.

Of all Greeks aged over 14, smokers make up 41.7 percent (32 percent of women and 52.2 percent of men). Fifty percent of the 25-54 age group are either occasional or habitual smokers (two-thirds are men).


Smokers lighting up across Greece 

Source: Kathimerini (gr), 2006-05-16

Intro:

Smokers in Greece are bucking a European trend by increasing in number, according to figures from the National Statistics Service (NSS) which were made public yesterday and indicate that almost 42 percent of Greeks over 14 years old smoke.

The most serious smokers are those aged between 35 and 44. The NSS, which questioned 17,386 people from around Greece, found that almost 60 percent of this age group are smokers. But younger Greeks are also picking up the habit.

The survey found that 57 percent of Greeks aged 25-34 smoked regularly and almost 15 percent of children under 18 are smokers.


Smoking among Greek nurses and their readiness to quit (Abstract) 

Int Nurs Rev, Vol 53, Issue 2, pp. 150-156: June 2006 doi:10.1111/j.1466-7657.2006.00483.x
Source: International Nursing Review, 2006-05-08
Author: P. Beletsioti-Stika1 capt (n), rn, bsc (hons), msc & A. Scriven2 ba, med, certed, frsh

Intro:
Conclusions: Findings suggest that smoking prevalence among qualified Greek nurses is greater than that reported in the general Greek population. Implications and recommendations for nursing practice, education and research include the early provision of smoking education in nurse training. Interventions should be directed at nurses who smoke to assist them to stop and to maintain cessation according to their stages of change.



Greece's tobacco policy: another myth? 

Volume 367, Number 9521, 06 May 2006 ; 367:1485-1486 DOI:10.1016/S0140-6736(06)68646-7

Source: The Lancet, 2006-05-05
Author: CI Vardavas a   and   A Kafatos  a

Intro:

As stated by Samuel Loewenberg (Feb 11, p 464),1 Greece has one of the highest rates of adult tobacco use worldwide, and the highest rate of adult tobacco use in Europe, even surpassing that of the Spaniards. Epidemiological studies estimate that up to 51% of men and 39% of women in Greece are current smokers.2

The smoking problems of Spain and Greece are very similar since both populations adhere to the classic Mediterranean libertarian ideas of free will and choice of lifestyle. There is thus an inherent loath to comply with any laws that restrict personal freedom. The extent of this problem was depicted in a pan-European health survey that assessed the newly introduced European guidelines on enforced labelling of health warnings on cigarette packages. Remarkably, the Greek male population was the only one in the European Union to regard the warnings as annoying, pointless, and invasive. . . .

if Spain and Greece wish to ban or seriously restrict smoking in public venues, it is imperative that all the loopholes in the existing laws are expunged. Sadly, lobbying against tobacco companies in Greece resembles mortals battling the demigods of Greek mythology.


Cigarette smugglers fired up 

Source: Kathimerini (gr), 2006-05-03

Intro:
More than 3 million packets of cigarettes exported from Greece and then illegally smuggled back into the country have been seized at customs checks during the last two months, high-ranking police sources told Kathimerini yesterday.

Officers said the practice, which results in millions of euros in lost tax revenues, is becoming more popular with smugglers. The cigarettes are often brought into Greece in the back of trucks but hiding them in shipping containers is also a popular method.

The port of Constanta in Romania is one of the hubs


Aiming at Tobacco Harm Reduction: A survey comparing smokers differing in readiness to quit 

2006, 3:13 doi:10.1186/1477-7517-3-13
Source: Harm Reduction Journal, 2006-03-29
Author: Maria Loumakou , Vasiliki Brouskeli and Jasmin-Olga Sarafidou

Intro:
Greece has the highest smoking rates (in the 15-nation bloc) in Europe. The purpose of this study was to investigate Greek smokers' intention and appraisal of capability to quit employing the theoretical frameworks of Decisional Balance (DB) and Cognitive Dissonance (CD). . . .

Conclusions
Findings provide support for the DB theory. On the other hand, "excuses" do not appear to be extensively employed to reduce the conflict between smoking and concern for health. There is much heterogeneity regarding smokers' intention and appraised capability to quit, reflecting theoretical and methodological problems with the distinction among stages of change. Harm reduction programs and interventions designed to increase the implementation of smoking cessation should take into account the detrimental effect of past unsuccessful quit attempts.


Smokers in Greece stand their ground 

Source: Agence France Presse (AFP) (fr), 2006-01-04

Intro:
Welcome to Greece, the last sanctuary for smokers in a European Union at war with nicotine.

"Non-smokers do not entirely feel at home in this country, and with cause," laments John Kosdouros, the head of the Greek anti-smoking society, a citizens group.

"There are laws against smoking, but they are not applied, and nobody dares sanction those who break them," he says.

Ranked second in tobacco production in Europe, Greece is also the EU's most prolific consumer of the "nicotiana tabacum" -- an estimated 45 percent of the Greek population lights up on a regular basis.



LETTER: Preliminary evaluation of the school-smoking-prevention policy in Greece -- Labiris et al. 15 (3): 329 ($$) 

2005 15(3):329-330; doi:10.1093/eurpub/cki072
Source: European Journal of Public Health, 2005-07-18

Intro:
Cigarette smoking among adolescents is one of the leading health indicators that reflect major health concerns at the European Union. Greece's leading position on cigarette smoking among its European partners forced the Hellenic Ministry of Health and Welfare to assume tobacco-control programs, introducing smoke-free zones, smoking-cessation centres, and an intense promotional strategy against smoking



GREECE: Last Puff for Tobacco Advertising 

Source:
seeurope.net, 2005-08-04
Author: Source: Kathimerini English edition

Intro:
Greece agreed to the EU-wide ban on tobacco advertising yesterday, effectively banning the promotion of cigarettes in printed media, radio and over the Internet.

In a country where lighting up is second nature and advertisements for cigarettes abound, perhaps it was no surprise the government missed the July 31 deadline for adopting the Tobacco Advertising Directive, passed by the European Parliament in 2003.

However, the ministers of interior, health, finance and state yesterday signed up to the ban



Rates and social patterning of household smoking and breastfeeding in contrasting European settings 

Volume 31 Issue 5 Page 603 - September 2005 doi:10.1111/j.1365-2214.2005.00537.x
Source: Child: Care, Health and Development, 2005-08-11
Author: G. Papadimitriou*, U. Kotzaeridou*, C. Mouratidis*, P. Goularas*, C. Coe, A. Ganas and N. J. Spencer

Intro:
Smoking and breastfeeding are more prevalent among households with young infants in Veria compared with Coventry. The social patterning of health-related behaviours noted in Coventry is less marked in Veria. The relevance of these findings for public health interventions in the contrasting settings is discussed.



Leader
of International Cigarette Smuggling Ring Arrested in Greece
 

Source:
Focus English News (bg), 2005-08-13

Intro:
A suspected leader of an international ring for smuggling cigarettes in the EU has been arrested in a resort near Athens, Greek police announced. The identity of the man has not been revealed. He used different pseudonyms and often travelled abroad. The ring smuggled hundreds of tonnes of cigarettes to the EU.



Man gets 15 months for smoking on plane 

Source: AP, 2005-11-17
Author: Associated Press

Intro:
A Greek court sentenced a man to 15 months in prison for smoking on a plane, and then hitting a male flight attendant who told him to put his cigarette out, court officials said Thursday.

The 50-year-old Greek resident of New York was also convicted of endangering the aircraft. He was traveling on Olympic Airlines Flight No. 412 from New York to Athens last week.



Genes, environment are factors in smokers’ illness 

Greek scientists lead study into chronic obstructive pulmonary disease
Source: Kathimerini (gr), 2005-11-26
Author: Penny Bouloutza - Kathimerini

Intro:
Four in 10 Greek smokers are threatened with chronic obstructive pulmonary disease (COPD), which kills about 3 million people around the world every year.

About 450 million people are estimated to suffer from this disease, also known as smokers’ cough. In Greece, it affects 8.5 percent of the adult population.

Smoking is the main cause and quitting is the only way to prevent it, but not all smokers are at risk. Scientists, led by Greek researchers from the University of Crete, have been studying the genetic basis of the disease for the purpose of developing a test to find out which smokers are at risk.

Professor Nikos Siafakas is head of the Greek Pulmonary Association, a professor at the University of Crete and the director of the Iraklion University Hospital’s pulmonary clinic, where important research has been carried out over the past few years into COPD.



COPPENRATH: Greetings from Greece 

Source: Burlington (VT) Free Press, 2005-12-11
Author: Taylor Coppenrath

Intro:
One noticeable habit that is very obvious is that it seems almost everyone over here smokes cigarettes. I am not sure what the age limit is to purchase tobacco, but it appears that people of any age are smoking, from teenagers to senior citizens. Not only that, but smoking is permitted in many places that I am not accustomed to. . . .

Also, people smoke in the arenas during our games. I guess people used to smoke in arenas back in the U.S. as well, but not in my recent memory so it is certainly a new experience to me. My dad told me that there was a bluish gray haze throughout the whole arena in my game against Olympiakos. I can't understand why they wouldn't at least have a designated section so that the arena would not be so hazy. It doesn't exactly make for the best viewing experience at the game, I don't think.

It seems that there has been such a massive effort to restrict smoking in public establishments in the United States over the past few years that it is easy to forget how things used to be.









 









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