Blood, Love and Rhetoric (BLR), an English-language theater company based in Prague, is putting on a production for the fourth time this January with the hearty title “Chekhov – From Russia With Love, Blood and Rhetoric.” The show covers Russian history from the times of intelligentsia in cake-dresses to the wife-beaters and Adidas sweatpants of the ferocious nineties. The performance takes place at Divadlo Inspirace at Malá Strana in Prague, which has a small, cozy auditorium and a no-less-cozy bar with a medieval touch.

The show consists of five one-act plays: “Mustard,” “Swansong,” “Tobacco,” “Inspector-General” and “Proposal.” Not only does BLR provide the spectators with an introduction to Chekhov’s peculiar rhetoric, but the style of the theater group itself shows a lot. BLR enriches Chekhov with practical jokes, killer Russian and French accents, a red couch, epaulets and lots of vodka.

With the first play, “Mustard,” we plunge into the times of eccentric characters wearing plateresque outfits. One may or may not like the over-expressiveness on the part of the noble russian Madame (Beathe Linde) and her no less noble fellow Frenchman with the fidgety eyebrows (Mikey Blount). Yet, the servant’s (Uliana Elina) song will surely give you goosebumps.

“Swansong” balances between being an existential tragedy and a philosophizing comedy of an old alcoholic who returns to the bottle and forgets what he is celebrating. Curt Mattew’s merely setting his foot on the scaffolding sends the audience into fits of laughter. That is why, despite the monologue being lengthy and uneventful, “Swansong” succeeds at being entertaining.  There is a curious dichotomy between the comedian’s (Mattew) artistry and the prompter-character (Ronald Prokes) being a stranger to art, which magnifies the conflict between the generations.

The apogee of the show is Logan Hiller’s monologue in “Tobacco.” Stalin’s portrait, the formidable chorus and the suitcase with something green and radioactive altogether create an immaculate interpretation of Chekhov in a character of its own. “Tobacco” set the bar really high for the rest of the show, which might have been a mistake, seeing that the two plays following the intermission do not quite reach “Tobacco”‘s epic nature.

The fourth play, “Inspector-General,” flies by: it is short, runs smooth and is a good laugh. It is not particularly memorable compared to the rest of the show.

“Proposal,” on the other hand, the fifth and last part of the show, is quite a surprise. “Proposal” combines lowbrow criminals with the delicate matters of Chekhov’s play, and regardless of the seemingly dichotomy, the two blend together into a perfect combination. The last part might appear a bit lengthy, but it is worth the story. You would not be able to imagine better characters than the trio consisting of Aneta Kölblová, John Poston and Ronald Prokes. This is the point in the performance when the audience indeed gets blood, love and lots of rhetorics all at once.

Due credit must be given to Jim Hight, who’s sudden appearances in almost every scene gave each play a touch of BLR’s distinctive black humor that has made them into something more than just another Chekhov revival.

Having said that, if you still have not made up your mind about whether to go see BLR or not, there is one argument that is better than all the prattling on about dichotomies and conflicts of generations: Blood Love and Rhetoric gets the audience rolling in the aisles.

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Sacramento, U.S.A. — Tobacco interests spent a total of $4.7 million during the first year of the 2011-2012 election cycle to fight Proposition 29 and to influence legislators and policies in California, according to a recent report by the Center for Tobacco Policy & Organizing of the American Lung Association in California.

“The numbers in this report are clear, Big Tobacco continues to use its vast financial resources to oppose bills and life-saving ballot initiatives that would benefit public health,” said Jane Warner, President and CEO of the American Lung Association in California. “This fact, though disturbing, further inspires the American Lung Association and millions of Californians to stop Big Tobacco in its tracks. We are committed to preventing children from ever picking up their first cigarette, helping smokers quit and fighting the lung diseases that so often result from smoking. We will not relent until smoking is eradicated in California.”

Tobacco Money in California Politics shows that tobacco interests contributed almost $3.6 million to candidates and members of the California legislature, constitutional officers, and political committees thus far in 2011-2012. Further, the industry and its partners spent $1.1 million on lobbying during this period. This amount includes only the beginnings of the investment Big Tobacco made to defeat Proposition 29 which would have prevented the deaths of more than 100,000 Californians from smoking related illnesses had it passed.

Tobacco Money in California Politics contains full details on which bills were lobbied by tobacco interests, and lists legislators and political committees who accepted contributions from the industry. Highlights include:

• The amount spent this year is more than double the amount spent during the first year of the 2009-2010 election cycle.
• Of the 120 state legislators, tobacco interests made campaign contributions to 55 members, or 45% of the legislature, higher than in previous years.
• More than 70% of the total contributions made during the 2011-2012 election cycle were to political committees who oppose Proposition 29, which was narrowly defeated in the polls on June 5 th.

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New results from a national survey show that over one in ten smokers (13%) in the United States did not disclose their smoking status to their health-care providers (HCP), who are among the most important resources that a smoker could have in quitting successfully.

Furthermore, social stigma around smoking may contribute to why smokers sometimes keep their smoking status a secret from their doctors. The survey of 3,146 adult participants in the U.S. (smokers and former smokers) was conducted using the web-enabled KnowledgePanel, a probability-based panel designed to be representative of the U.S. population.

Researchers from Legacy, a national public health organization dedicated to building a world where anyone can quit, say that while a majority of smokers did admit their smoking status, only one-quarter sought help from their doctors or health care providers during their last quit attempt. Although most smokers surveyed stated they are honest with their health care provider (HCP), one in ten smokers reported they do not disclose their smoking status. The findings have important implications for how HCPs can more effectively reach smokers with resources to help them quit.

“Health care providers play a critical role in reaching smokers with appropriate messages and resources for quitting, especially now that insurance coverage has expanded to include some smoking cessation treatments. It becomes a missed public health opportunity if what amounts to more than six million smokers in the United States do not talk to doctors and nurses about smoking and quitting,” said Cheryl G. Healton, Dr. PH, President and CEO of Legacy.

Using a nationally representative panel, researchers surveyed smokers and former smokers to examine issues that might affect a smokers’ decision to conceal their smoking status. The results found that smokers who concealed their smoking from HCPs were more likely to perceive high smoking-related stigma compared to those who had not ever concealed their smoking.

“There has been a significant shift in the social climate around tobacco and smoking in our country in recent years as people recognize the health consequences of tobacco and second-hand smoke. As an unintended result of higher prices of cigarettes, increased measures to ban smoking in public places, and create smoke-free workplaces, many smokers may feel marginalized and less compelled to discuss smoking with their physicians and other providers,” said Healton.

To address the void between doctors and all smokers, Legacy has developed a guide for HCPs with strategies on how to conduct more meaningful and effective conversations with their patients about smoking and quitting. “If we can start the conversation by acknowledging smoking behavior, we can get smokers on a path to quit,” Healton said.

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ClearWay Minnesota (SM), in partnership with ECHO Minnesota, has produced a unique television program warning that secondhand smoke should remain a public health priority for Minnesotans – particularly among Minnesota’s ethnic communities.

Secondhand Smoke in Our Communities will air on public television stations across Minnesota, as well as online, beginning January 15, 2012. Each program will feature guests from Minnesota’s ethnic communities with a goal of helping all Minnesotans understand the dangers of exposure to secondhand smoke. The program will be broadcast in eight languages, including English, Spanish, Hmong, Somali, Karen, Vietnamese, Lao and Khmer.

“Secondhand smoke is harmful to all Minnesotans’ health, but diverse communities experience some of the greatest harm,” said David Willoughby, Chief Executive Officer of ClearWay Minnesota. “Tobacco companies use clever marketing practices to make their dangerous products attractive to these communities. This program offers a distinct way to tell the story of tobacco’s impact in all Minnesota and to educate the specific populations that are most at-risk.”

Tobacco companies spent nearly $200 million in Minnesota in 2008, targeting people based on factors including income, education level, ethnic background or lifestyle. The report Unfiltered: A Revealing Look at Today’s Tobacco Industry gave examples of minority-directed tobacco advertising, and showed that rates of tobacco use among some ethnic communities are greatly outpacing those of the general and Caucasian populations.

Additionally, rates of quitting tobacco use can be substantially lower in these communities. ”The impact of tobacco is regressive,” said Willoughby, “with our ethnic and low-income populations facing disproportionate risk.” ”ECHO Minnesota’s television program provides a unique venue for bringing important health information to ethnic communities,” said Lillian McDonald, Executive Director of ECHO Minnesota.

“Many Minnesotans who speak limited or no English may be unaware of the dangers of secondhand smoke and tobacco use in general. We are pleased to help bridge that information gap.” Nationwide, secondhand smoke is responsible for more than 40,000 deaths in nonsmokers each year from cancer and heart disease. Secondhand smoke contains 11 known cancer-causing poisons and even more toxins.

“Tobacco’s impact and health risks do not discriminate – but tobacco companies’ marketing efforts do,” Willoughby said. “We need to continue strong public policy efforts together with tobacco prevention and smoking cessation services in the communities targeted most by tobacco companies. Partnering withECHO Minnesota provides an invaluable opportunity to protect the health of all Minnesotans.”

Secondhand Smoke in Our Communities is 20-30 minutes in length. It will air on tpt’s Minnesota Channel (Comcast Channel 202 or 243, depending on location) and is available any time for streaming at www.echominnesota.org. The broadcast schedule is as follows:

• Jan. 15 at 7 p.m. in English – Guests: Betsy Brock, Association for Nonsmokers, and Cathy Stephens, LAAMPP Fellow
• Jan. 15 at 7:30 p.m. in Spanish – Guest: Patricia Baker, LAAMPP Fellow
• Jan. 22 at 7 p.m. in Hmong – Guest: Thomas Yang, STEEP Project
• Jan. 22 at 7:20 p.m. in Somali – Guests: Mohamed Mohamud, Confederation of Somali Community in Minnesota, and Saeed Fahia, Executive Director of Confederation of Somali Community in Minnesota
• Jan. 22 at 7:40 p.m. in Karen – Guests: Rom Touy, Cambodian Health Educator, and Tonara Hing, St. Joseph’s Bethesda
• Jan. 29 at 7 p.m. in Vietnamese – Guests: Hien Nguyen, STEEP Project, and Tam Do, LAAMPP Fellow
• Jan. 29 at 7:20 p.m. in Lao – Guests: Monemany Daoheuang, STEEP Project, and Sunny Chanthanouvong, Executive Director of Lao Assistance Center of Minnesota
• Jan. 29 at 7:40 p.m. in Khmer – Guests: Misecal Htway, First Karen Baptist Church, and Saysay Eh, First Karen Baptist Church

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A study published Thursday December 15 by the American Journal of Public Health provides some of the strongest evidence yet that tobacco prevention and cessation programs not only reduce smoking and save lives, but also save money by reducing tobacco-related health care costs.

The study found that from 2000 to 2009, Washington state’s tobacco prevention and cessation program saved more than $5 for every $1 spent by reducing hospitalizations for heart disease, stroke, respiratory disease and cancer caused by tobacco use.  Over the 10-year period, the program prevented nearly 36,000 hospitalizations, saving $1.5 billion compared to $260 million spent on the program.  These are real savings in tobacco-related hospitalization costs from 2000 to 2009, not projected savings in future health care costs.

According to the study’s authors, the total savings are even greater when other tobacco-related health and productivity costs are included, in addition to the hospitalization costs. The study further found that Washington’s smoke-free workplace law and the state’s multiple cigarette tax increases also contributed to smoking declines and health care savings.

This study sends a powerful message to the nation’s elected officials that disease prevention initiatives, including programs that prevent kids from smoking and help smokers quit, are essential to improving health and reducing health care costs in the United States. It comes at a critical time as funding for such programs is under attack at both the federal and state levels.

The study shows why Congress should protect the Prevention and Public Health Fund created by the health care reform law rather than slash funding by as much as 68 percent, as some lawmakers have proposed. The prevention fund is a vital source of support for tobacco prevention and cessation efforts, including state and community grants, telephone quitlines to help smokers quit, and media campaigns to discourage kids from smoking and encourage smokers to quit.

The new Washington study provides concrete evidence that investing in prevention can pay tremendous dividends by reducing the very diseases that cost the most to treat. Cutting the prevention fund would be a fiscally irresponsible step backward that would increase health care costs.

This study also underscores how penny-wise and pound-foolish the states have been in shortchanging tobacco prevention and cessation programs. In the current budget year (Fiscal Year 2012), the states will collect $25.6 billion in revenue from the 1998 state tobacco settlement and tobacco taxes, but will spend only 1.8 percent of it – $456.7 million – on programs to prevent kids from smoking and help smokers quit, according to a recent report by the Campaign for Tobacco-Free Kids and other public health organizations.

Despite the growing evidence that these programs save lives and save money, states have cut tobacco prevention funding by 36 percent over the past four years and now provide just 12 percent of the funding recommended by the Centers for Disease Control and Prevention.  It is incomprehensible given Washington’s success that the state has virtually eliminated funding for its tobacco prevention and cessation program this year.

Tobacco use is the leading preventable cause of death in the United States, killing more than 400,000 people and costing the nation $193 billion a year in health care bills and lost productivity. The new Washington study confirms that tobacco prevention works to save lives and money.  It makes no sense for elected officials to shortchange programs that are proven to reduce health care costs and save money for taxpayers.

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