Sunday, September 19, 2021

Second-Hand Smoke and COVID


      "This publication will deal with the so-called public smoking issue. . .. If left unchecked anti-smoking 'zealots' and 'fanatics' could bring about an almost total ban on smoking."

                   Chairman, Reynolds Tobacco, 1976


The tobacco companies fought back against complaints about "second hand smoke."


In the late 1970s and 1980s tobacco companies recognized a threat to their business. Second-hand smoke was beginning to be described as a public health hazard, endangering bystanders. They fought back. They argued that smoking tobacco was a right, a matter of personal choice, and that people trying to ban smoking in customary places were tyrants. The tobacco companies had a motivated base of supporters. They smoke and they vote. Smokers had the power of intensity. People who preferred not to be around smokers cared less strongly than did smokers who wanted to continue smoking. The right not to experience second hand smoke was less developed in law and custom than the right to smoke nearly anywhere, anytime, and any place.

In the 1980s tobacco companies created free-distribution magazines to promote their point of view, and a content analysis of it will seem familiar and very current. A 1995 academic article in the Journal of Public Health published an analysis of 58 issues of several smokers' rights publications, 1987-1992.  Click: PDF

To address the overall perceived threat to smokers the publications presented "individual rights, choice and freedom as the ideal."

The publications' intent to undermine the opposition was done by citing questions regarding "scientific evidence related to the health hazards of environmental tobacco smoke." Maybe others weren't really affected. Who knows? The publications attacked the motivations of people promoting no-smoking areas.

Publications encouraged readers to oppose unfair discrimination about public smoking. They were victims. Instead, they urged "accommodation, tolerance, common sense, and courtesy as a rational alternative to government intrusion, rights infringement, and restrictive nonsmoking policies." People concerned about second-hand smoke should back off mandates. Let people choose not to smoke around you.

Over the past 40 years the smoke-anywhere movement lost ground. Now the default cultural and legal presumption is that bystanders are protected from second-hand smoke. Public complaints about smoking in restaurants, and lawsuits over workplace safety for employees experiencing second-hand smoke hastened the switch. Over the decades American culture shifted the balance of whose rights were primary--smoker or bystander. Some minds were changed. People formerly smoked in airplanes and in hospitals, now it is unthinkable. The population changed, too. Old people with old expectations died; young people have never experienced a world in which smokers smoked indoors in public places.

Tobacco kills, but it kills people slowly, in a hit-or-miss fashion, with ambiguity about other potential causes, and it tends to kill people who are old enough that their deaths are not unexpected. Everyone dies. Tobacco sometimes--not always--accelerates the timing of the death. COVID appears to act in a similar way, with some hits and misses among the young, but primarily accelerating the time of death for the vulnerable and elderly. The result is that people inclined to ignore the risks of both smoking and COVID have anecdotal evidence to support their point of view.

Trump and the GOP did not need to invent a strategy to dismiss COVID as an over-reaction by the nanny stated. A familiar template existed in the second-hand tobacco battle: Call it a matter of choice and rights and the proponents tyrants.

 A familiar template also exists on the other side, for increasing the vaccination rate. Increase the overall "cost" of being unvaccinated. Government and private businesses have an interest in the safety of customers and employees. If unvaccinated people are inconvenienced by higher insurance premiums, by frequent testing, by job loss, or are banned from airplanes or sporting events--the COVID equivalent of standing outside in the rain to smoke--then people may decide that vaccination avoidance just isn't worth the hassle. Heads up to Democrats, though. It took two decades.





17 comments:

Anonymous said...

Now we are fighting disinformation by oil companies regarding climate change. 2 decades sounds about right. 2041 the sea will be higher, various one hundred year storms will have occurred, and the south will be even hotter, fires will have ravaged. Maybe then the Republican Party, if it still exists, will be ready to acknowledge an inconvenient truth.

Anonymous said...

Great analysis and comparison. Thank you for giving us a reasoned argument to respond to the anti-vaxers.

Rick Millward said...

I firmly believe our society would have beaten back the COVID pandemic by now had we not had Republicans in power. The wealthy and entitled largely avoided the initial surges and still are doing well, while those down the economic ladder have been devastated. When some patrician or celebrity gets sick it makes headlines, while thousands are dying every day with little comment from right wing media. There's no better example of wealth inequality.

Republicans have adopted a specious Libertarian philosophy to appeal to an ever decreasing Regressive minority, mostly living in rural areas, that coincides with our lopsided outdated representative congressional structure. In effect we are now being ruled by the most racist, misogynistic and ignorant citizens. Republicans, who historically were a benign Regressive influence, are now militant, embracing violence and the threat of violence, as a means to power. Why? Because their governing principles are bankrupt and immoral.

Some erstwhile Progressives continue to attempt to find compromises, not realizing there's none to be had. The resistance to anti-smoking is one example, but a better one is the recent Texas abortion law that shows their utter disregard for established legal precedent, not to mention enlightened common sense.

Anonymous said...

The Oregon Health Authority reported 70 COVID-19 deaths of fully vaccinated Oregonians in August -- or 22% of the known 321 COVID-19-related deaths in Oregon for the month.

Michael Steely said...


It's neither a coincidence nor a surprise that the crackpots spreading disinformation about the pandemic are the same who claim the election was "stolen" and climate change is a hoax. They live in an alternate reality, but unfortunately they vote in ours.

Ed Cooper said...

And your point is ? Should we abandon all Vaccination efforts because the Virus is adapting faster than ever ?

Michael Trigoboff said...

Israel had very high vaccination rates and vaccine e-passports and they are still in pandemic trouble. Breakthrough infections are occurring, some with severe consequences.

Even without vaccine skepticism, we would still probably be in trouble. Using the pandemic to make political points is not helpful.

Up Close: Road to the White House said...

Anonymous said that 22% of the deaths were among vaccinated people. Remember that vaccinations are most common among the elderly and ill.. Therefore, 78 percent of the deaths are among the younger and more healthy segment of people who have not vaccinated. This means that the chances of dying from COVID are lower among the elderly and ill IF VACCINATED than it is among the unvaccinated young and healthy.

Anonymous made a strong cased for the value of vaccinations. As my blog post yesterday made clear, sometimes--rarely--the vaccinated get COVID and an even smaller group of them get hospitalized. There are no guarantees and nothing is perfect. But the local hospitals are over-run by COVID patients, who are overwhelmingly among the unvaccinated.

They are clogging the system. I don't want them to die, but I do hope that the ordinary run of the mill person needing hospitalization is not kept from getting help because un-vaccinated people fill the beds. I would urge unvaccinated COVID patients to get the care they need at the local Republican HQ where their care regimen aligns with their beliefs. If people don't want vaccines, why would they want intubation??

Malcolm said...

It seems totally unfair-backwards, even-that people needing hospitalization for legitimate reasons, for which they are not responsable, should be forced to forego treatment because of overcrowding caused by the unvaccinated. It’s like liver transplants. My friend got one, and was told that hospitals won’t give new livers to anyone who consumes ethanol.

Why not something similar re covid/vaccinations? Anyone who can safely receive a covid vaccination, yet refuses, due to so many silly misrepresentations, should be at he “back of the line.” If there’s someone needing emergency care for a non covid reason, let the anti-vaxxers wait for an opening.

It’s insane, in my humble opinion, to have people dying from, for instance, heart, liver, lung, or kidney disease because the hospitals are overrun with anti-vaxxers.

Too extreme? I don’t think so. Extreme conditions merit extreme actions.

John F. said...

Initially, Covid19 was sickening and killing urban populations. Urban populations in the US are mostly Democratic voting blocs. Aiding urban areas was not in the Republican interests if those areas were in Blue States. Ventilators moved quickly to Southern big cities not so to cities like Seattle, Chicago, New York, Los Angles. Whether this slow response was intensional is possible given the ideology of Stephen Miller and his hand in the matter is hard to confirm. Or look at the branding strategy of DJT to identify Trump supporters as tough freedom loving patriots; and, mask wearers as members of the nanny state. Vaccinations by State also took on a bias and slant whether you lived in a Blue or Red State. Republicans getting their shots in private while the general population was posting pictures on social media of themselves receiving the vaccine.

The emergence of the Delta variant is the game changer. The variant was a more contagious form of SARS-CoV-2 causing Covid19 case load to spike in 2021 affecting mostly the unvaccinated and causing breakthrough cases among the vaccinated. Smoking never had a "spike" that was so obviously related to second-hand smoke. While the ICUs are now filling with younger freedom loving Trump supporters and children that the lie about Covid19 can no longer be sustained. Being a Trump supporter, a Democrat or an Evangelical Christen if you get enough of the Delta variant in you nose you will get Covid19. What is true is being unvaccinated puts you at risk of serious consequences if you contract Covid19. What is the same, as Peter points to, is the concerted effort by a small group of individuals to muddle the news defining the cause to be explained by epidemiologists and not by political hacks trying to score political points leading up to an important National Election in 2022. Tobacco companies wanted to maintain their profit margins and sales and Republicans will use Covid19 to try to retake the House and Senate in 2022. Now that is strudels sick.

Low Dudgeon said...

The following’s directed more at some of the self-referential—and self-reverential—Democratic comments than at the blog entry itself. Something broader than a partisan navel’s-eye perspective is warranted when it comes to overall blame for COVID and COVID deaths.

Even if (if) the Chinese are not responsible for the virus itself, a prominent British university concluded that had the Chinese and their WHO stooges ceased lying about transmission even a month earlier than they did, 80% of all fatalities worldwide would have been prevented.

The vaccines are not and never were Trump vaccines or Biden vaccines. Just before and even after the 2020 election, Biden and Harris openly warned against trusting the same vaccines they themselves took, while agreeing that Americans’ general skepticism was justified.

Same for sanctimonious TV polemicists like MSNBC’s Joy Reid well into 2021, whose targets appear to be Tucker Carlson and Fox, not COVID. Biden and spokesperson Psaki declared all of a month ago that mask and vaccine mandates were wrong on principle, period.

Average folks, and above-average folks, must rely on expertise and reporting, so intellectual and ethical consistency is crucial. Now the already diminished Dr. Fauci urges boosters which top FDA scientists are willing to resign over rather than simply toe the latest party line.

Michael Steely said...


Mr. Dudgeon:
A quick fact-check shows that you’re being disingenuous at in your comment about Biden/Harris. I didn’t bother with thee rest. We all know Dr. Fauci is a far more reliable source than you. He even uses his real name.

https://www.politifact.com/factchecks/2021/jul/23/tiktok-posts/biden-harris-doubted-trump-covid-19-vaccines-not-v/

IF YOUR TIME IS SHORT
Video clips appear to show Joe Biden and Kamala Harris raising doubts about COVID-19 vaccines, but they were raising concerns about the rollout by then-President Donald Trump, not the vaccines themselves.

Low Dudgeon. said...

Michael—

Did you read the actual quotes, and watch the actual videos, or just trust the least reliable of the left-biased “fact” checkers, Politifact? Judge for yourself after doing so. National Review has an excellent piece deconstructing the appalling mental gymnastics in the protective Politifact spin. They weren’t doubting the vaccine itself, just its handling by Trump? Huh? Judge for yourself. Reminder, there were no Biden vaccines which replaced Trump vaccines. They were exactly the same, and Dr. Fauci, by the way, recommended them as unconditionally during the Trump presidency as afterwards. Finally, if you’re really unaware about the booster shot breach between the FDA and the CDC (and Fauci), look even harder past your drive-by slogan echo chamber. The rest I will take as conceded without anemic pushback.

Michael Steely said...

Using the National Review as a reference to prove PolitiFact biased...it's too bad you can't even appreciate the irony.

Low Dudgeon said...

Did you read the actual quotes, watch the actual video clips, and form your own actual opinion? Unintended irony indeed. Concession on the other merits again accepted.

Anonymous said...

Hollywood celebrities went maskless Sunday at the 73rd annual Emmy Awards as millions of children are being forced to wear masks in school.

Stars were packed close together into an enclosed space at the Event Deck at L.A. Live in downtown Los Angeles, with other celebrities congregating at an indoor venue in London.

Up Close: Road to the White House said...

I removed another anonymous post that plagiarized a troll website. I urge people who have Trump/Republican comments to identify themselves, write in their own voices with their own names, and stand behind what you write.

It speaks poorly for one's ideas if commmentary on this blog needs to be sneaked in as a nasty, sometimes obscene comment because some flaw in the argument or source would bring discredit on you personally if you were identified with your own words.