[Intl-tobacco] Finland No Longer Passive About Secondhand Smoke (fwd)

[Robert Weissman]

Finland No Longer Passive About Secondhand Smoke
Europe: Some hail the ban on cigarettes in most public places; others see r=
ules=20
as interference.
by CAROL J. WILLIAMS / Times Staff Writer
Source: Los Angeles Times, Tuesday, 7/25/00

 =A0=A0=A0=A0=A0HELSINKI, Finland--American travelers seldom get as far as =
the
baggage claim area when arriving on a visit to just about any city in
Europe before being struck by what may be the continent's biggest culture
clash with the United States: smoking.


While most U.S. public buildings and all its airliners have been
smoke-free for years, it remains customary--and seldom commented upon--for
European smokers to tumble off an overseas flight with cigarettes and
lighters at the ready.


But Finland, frightened by dismal health statistics and freed up by a
booming economy that allowed more investment in health care, has broken
with the live-and-let-live attitude toward smoking that prevails on the
continent. It recently became the first European country to classify
passive smoke as a carcinogen and oblige employers in this heavily
unionized society to protect their workers from the inherent risk of
cancer.


New measures introduced this spring that prohibit smoking in most public
facilities and require bars and restaurants to limit smoking to
well-ventilated areas would hardly be considered revolutionary in
California. But they're making waves in normally unflappable Finland
because some see the changes as the work of government busybodies trying
to impose a dictatorship of clean living.


"I think the authorities are trying to stigmatize smoking, and it doesn't
feel good," said Anne Frey, manager of the Cantina West restaurant here,
which now has to commit a third of its 550 seats to nonsmoking areas, even
though demand is less than 15%. "It makes me feel uncomfortable to smoke
now, but that doesn't make me want to quit. It just makes me a little bit
angry."


Health and trade union officials, however, contend that they have a
responsibility to disabuse society of its bad habits.


"Secondhand smoke can cause cancer, and employers must protect their
workers from this danger like any other hazard in the workplace," said
Anna-Liisa Sundquist, an advisor with the Department for Occupational
Safety and Health.


Dozens of nonsmoking Finns become ill each year with lung cancer or heart
disease blamed on their exposure to the cigarette smoke of others, she
said.  The government has stepped in to toughen laws to protect the
public's health from smoking's well-documented dangers and private
businesses from the lawsuits that could be expected from sick employees if
no regulatory action was taken, Sundquist said.


Smoking in offices and in buses, taxis and other transport was restricted
in 1994, but only with the changes imposed in March is the practice banned
in airports, ferry terminals and large public buildings. The new laws also
prohibit smoking at restaurant and pub bar counters, to reduce the toxic
fumes wafting over the bar help.


"It's a lot easier to be at work now that there isn't smoke pouring over
me all night," said bartender Hinni-Riikka Heiskanen, a 23-year-old smoker
who nonetheless said she appreciates the restrictions. "I would get up in
the morning and feel like I had a hangover even if I didn't drink or smoke
myself."


Unlike many of their fellow smokers in Europe, Finns have long exhibited
more politeness in their puffing since some restrictions were imposed six
years ago.


"No one would ever just light up in your home. People go outside to smoke,
even in the winter," said Jorma Kallio, president of the Hotel and
Restaurant Workers Union, who smokes but still strongly supports the
crackdown aimed at making smoking more difficult, if not outright
unpleasant.


"Quitting is difficult for a lot of people, and they need more incentive
to try," said the union boss, who represents 48,500 members. "I consider
it a proper role for myself and other social leaders to push this. Labor
unions have a responsibility to protect their members' health."


Kallio's union represents 80% of Finnish restaurant workers and 85% of its
members are women, he noted. Because the new laws also prohibit assigning
pregnant women to work in areas where smoking is allowed, the changes were
accompanied by expanded state maternity leave benefits for workers whose
employers cannot provide a smoke-free environment.


Sundquist noted that backing the restrictions with more public assistance
helps secure public support for what is effectively a state campaign
against smoking.  But she and others note that change has to be executed
with caution, or the government's noble goal will lose the liberty-minded
mainstream.


"We have to do this step by step if we want to keep the public with us,"
said Tapani Melkas, director of health promotion and disease prevention at
the Ministry of Social Affairs and Health. "Finns are very law-abiding
people. If there is a law, they think it should be followed, and if there
is an area designated as smoke-free, they will respect that. But we have
to be patient and careful not to alienate people."


He pointed to the admirable drop in adult male smoking achieved since the
1960s, when 60% of Finnish men smoked. Today, the figure is 27%, and most
of the reduction has occurred since the government began taking a more
aggressive stance against smoking six years ago.


Smoking among women has risen during the same period, to about 25%, Melkas
said. There is also little or no change in the number of teenage smokers
despite costly public education programs to make youths aware of cancer
and heart disease risks. Nearly 30% of 18-year-olds embrace the habit.


"We've seen encouraging decreases in lung cancer and coronary disease in
line with the decline in adult male smoking," Melkas said, explaining that
Finland had the highest risk of heart disease in Europe two decades ago
but now has the lowest. "But people are very worried about young smokers.
Like kids everywhere, ours see smoking as a sign of independence and
rejection of old people's advice."


But he and others steering Finland away from the smoking lifestyle believe
that the recent changes are creating enough inconvenience that smokers
will at least light up less and may eventually be compelled to quit.


And for the long-silent majority of Finns who don't smoke, the
restrictions are making their time spent in public places more enjoyable,
even if nothing approaching the concept of nonsmokers' rights has yet
emerged here.


"I'm all for it. I find that I am getting more sensitive to external
substances as I get older," said Eva Vamer, a middle-aged diner enjoying
the lakeside view and fresh air at the Toeoeloenranta restaurant here,
where smokers now tend to take their cigarettes outside. "I would never
ask someone not to smoke. As a Finn, I think people should be able to live
freely, however they want. But it's nice that smokers have become more
sensitive nowadays."