Smoking

Those who write letters and send them by post are a dying breed. I was fortunate to have served as a newspaper columnist and received a great many. Often eloquent, sometimes humorous, their breadth and depth of experience was wonderful. With the exception of letters that were racist or completely mad, I tried to answer every one of them. If a reader took the trouble to write to me, it was the least I could do to send him or her a personal reply. There was the occasional correspondent from London, but most lived in the country or in provincial towns or cities. Most were Conservatives and many were lifelong readers of the Daily Telegraph.

Few people have heard of Hon Lik, which is a pity because he’s probably saved more lives already than anybody else I have met. Twelve years ago, he invented vaping — the idea of getting nicotine vapour from an electronic device rather than a miniature bonfire between your lips. Vaping is driving smoking out at an extraordinary rate, promising to achieve what decades of public health measures have largely failed to do. And it is doing so without official encouragement, indeed with some official resistance. Via an interpreter, and sucking on an electronic pipe, Mr Hon told me how it happened. And here is the key point, the one that panjandrums of public health still seem to miss. He invented vaping in order to stop smoking, and that’s what it’s used for today.

[audioplayer src="http://rss.acast.com/viewfrom22/thehighpriestsofhealth/media.mp3" title="Douglas Murray and Christopher Snowden discuss whether the NHS is too bossy" startat=35] Listen [/audioplayer] Like all failing projects, or popular cults, the NHS needs scapegoats. Britain’s health service is plagued by an endless stream of deviants who are a ‘burden’ on its resources. Otherwise known as patients, they are the drinkers, smokers and fatsos who, we are told, will bring the NHS to its knees unless lifestyles are regulated by the state. Smokers were a useful scapegoat for a while. Now it’s the obesity ‘time bomb’. As Simon Stevens, the chief executive of the NHS, recently put it, ‘The new smoking is obesity.

Every few years, Action on Smoking and Health draws up a wish list of all the policies it would introduce if it was king for the day. It then spends the next few years lobbying ferociously and watches with a satisfied smirk as every single one of their brainwaves becomes the law of the land. The manifesto of this tiny pressure group is, in effect, the manifesto of whichever party is in power. The only difference is that governments often ignore their own manifesto commitments (such as Labour’s 2005 pledge to exempt private members clubs from the smoking ban) whereas the ASH manifesto is always implemented to the letter.

This week, The Guardian informed us, a study revealed the ‘scale of the British public’s denial about weight problems’. Data collected by the Association for the Study of Obesity found that ‘more than a fifth of Britons who think their size is healthy or normal were in fact overweight’. This apparent delusion has been attributed to the normalisation of obesity in modern society. ‘We’ve almost become accustomed to people being bigger',  Prof David Kerrigan told The Guardian, ‘because they don’t stand out.’ Dare we offer an alternative explanation for why a minority of overweight people see themselves as normal and healthy? Could it be that they are normal and healthy?

Dr Derek Yach has done more than any man alive to eradicate smoking. A former professor of global health at Yale, he developed the World Health Organisation's Framework Convention on Tobacco Control, now in effect in almost 180 countries. He has relentlessly drawn attention to the slippery tactics of the tobacco industry, which promotes its products while ostensibly lending its support to anti-smoking campaigns. But his article in today's Spectator Health breaks ranks with former colleagues in the WHO, which disapproves of e-cigarettes and other vaping products. Their 'intransigence' threatens the lives of millions, he argues. As matters stand, a billion people will die from smoking-related diseases by 2100.

Basically nothing is as bad for you as smoking. Short of fairly obvious things like blunt-force trauma or falling out of buildings, anyway. That is a fact worth keeping in mind when you read newspaper headlines about health. On the front page of the Telegraph's print edition on Friday ran the headline: 'Lazy lifestyle can be as deadly as smoking'. The Mail runs the same story, saying: 'A lack of exercise is as dangerous as smoking.' Now, remember: Nothing that you do in your daily life, even if you are a lumberjack or an oil-rig diver or whatever, is as deadly as smoking. I pretty much promise you that. Serving with the British Army in Afghanistan is, on one admittedly superficial reading of the statistics, not as dangerous as smoking.

Home Checks began at British airports for passengers who might have come from west Africa with Ebola fever (even though there are no direct flights from the countries most affected). People who rang 111 with suspicious symptoms were to be asked whether they’d come from a high-risk country. Police arrested three men and three women from Portsmouth, Farnborough and Greenwich as part of an anti-terrorism operation. Of five men arrested the week before, two were released. The trial began before a jury at the Old Bailey of Erol Incedal on charges of preparing for acts of terrorism; parts of it will be held in secret.

Say what you like about the French Revolutionaries but at least they had a poetic imagination. When they wanted a new name for October, they anticipated Keats and named the season of mists and mellow fruitfulness ‘Brumaire’, meaning ‘foggy’. Which is a lot more evocative, I think we can agree, than its current incarnation under the new politically correct Terror: Stoptober. Stoptober. Geddit? That’s ‘-ober’, as in the second half of ‘October’, with the word ‘Stop’ cunningly positioned where the ‘Oct’ would normally be. And what marketing genius was responsible for this rebranding? Why, someone from an Orwellian body which you’d probably much prefer didn’t exist, let alone to have to fund with your taxes. Public Health England.

Earlier this year a research study revealed that people were more likely to quit smoking when confronted with the reasons why they should give up rather than being told how they should do it. With that in mind, here are some convincing grounds for stubbing out those cigarettes for good: Cigarettes contain poisons. Each one contains at least 4,500 chemicals, including arsenic, cyanide, formaldehyde and polonium 210, which caused the painful and lingering death of ex-Russian spy Alexander Litvinenko. Do you really fancy inhaling that lot? Cancer sticks really do cause cancer. A fifth of all cancer cases can be attributed to smoking. These include not just lung cancer but tumours of the mouth, lip, throat, bladder, kidney, pancreas, stomach, colon, breast, liver.

I have been, on and off, a lifelong smoker; but I gave up in January 2009 on the day of Barack Obama’s inauguration as President of the United States. It was out of feelings of solidarity with the poor man, who I assumed (incorrectly, as it turned out) would have to quit too when he took office; for Hillary Clinton, as First Lady, had ruled that there should never be any smoking in the White House. I myself remained primly smoke-free for five and a half years, but took up cigarettes again in June when I became editor of The Oldie. Before that I had edited four other magazines, including this one, and had always had a cigarette on the go for most of the time. I think I couldn’t imagine editing anything without one.

The NHS has long since been smoke free, banning smoking on-site for patients and staff alike back when I was a nursing student. Of course this is ignored pretty much universally by patients and visitors, and every time you enter a major hospital it is usually through a cloud of tobacco smoke whilst the poor nurses must change out of their uniform and leave the hospital site in their rest break. It was with great surprise then, whilst sipping my morning coffee recently and trying to recover from the hacking smokers cough acquired entering the building, that I noticed a patient nearby sat merrily smoking away. I was incredulous. Outraged. I stared open mouthed, and, being British, said absolutely nothing.