St. Louis Globe-Democrat
People with MS benefit from St. Louis County smoking cessation grant
Wednesday, April 28, 2010

To The Editor:

Smoking is a well-established public health issue, which produces shortness of breath, susceptibility to lung infection, and heartbeat irregularities. Smoking can cause cancer and, according to the World Health Organization, is the leading preventable cause of death in the United States.

Despite the increasing awareness of the risks of smoking, the additional health complications for people with multiple sclerosis (MS) are not as well known.

Several recent studies have explored the relationship between cigarette smoke and MS. A Norwegian study published in Neurology in 2003 reported the risk of MS as significantly higher among smokers than among those who had never developed the habit. A 2005 study published in Brain supported the earlier study’s findings and found that MS disability progressed more quickly in smokers, with differences of disease activity being noted in MRI scans.

Simply put: the findings support the notion that by smoking, one increases the likelihood of developing MS. Similarly, someone with MS may be altering the course of his or her disease by smoking.

Without a cure for MS, people rely largely upon disease-modifying therapies to slow the course of the disease and medications to manage their symptoms. These are crucial tools in making a world free of MS and are the results of intensive, long-term research. However, with cigarettes counteracting these expensive disease modifiers, the full potential of therapies and medication seem to—pardon the expression—go up in smoke.

Fortunately, studies have also noted that people with MS who quit smoking may delay disease progression. This is why the recently secured $7.5 million grant for tobacco education and smoking cessation in St. Louis County is an especially welcome piece of news for the county’s 1,900 residents with MS.

The grant was awarded through the Centers for Disease Control and Prevention (CDC), and the funds are to be spent over the next two years. The exact application of the grant funds is still in the planning stages, but the county health department will team with community organizations to educate people about tobacco issues and to assist residents with smoking cessation efforts.

The U.S. Department of Health and Human Services has set forth recommendations for treating tobacco use and dependence, and those guidelines are found in the 2008 Quick Reference Guide for Clinicians in Treating Tobacco Use and Dependence.

This grant is a genuine opportunity to see lower rates of smoking, related illnesses, and healthier residents. Congratulations, St. Louis County.

Blake Fuhler
Manager, Missouri Public Policy National MS Society

Kirkwood smoking ban doesn't hurt as much as some expected

By Margaret Gillerman
ST. LOUIS POST-DISPATCH
03/10/2010

KIRKWOOD — The Geyer Inn has been welcoming a hard-core group of fun-loving pool players, drinkers, talkers and smokers for decades now. Dense clouds of cigarette smoke regularly greeted visitors.

But on Jan. 2, the day that Kirkwood's voter-approved smoking ban went into effect, visitors were greeted by a hand-made no-smoking sign taped above the ornate wooden bar counter.

Now, 10 weeks into the smoking ban, most of that crowd has remained loyal to the Geyer Inn. And they still smoke — stepping outside into the chill winter night to light up.

The ban "hasn't really affected us that much at all," bartender Jacque Rafferty said. The bar operates an open-air patio that contains one table, one ashtray and couple of bar stools. "People step outside into the 'Smoking Garden' if they want to smoke," she said. "It'll be fine in the spring."

While other Kirkwood establishments are reporting some dips in business — Graham's Grill and Bayou Bar in particular — most are also saying the smoking ban has not been a terrible burden.

"It's not bad," said veteran bar and restaurant entrepreneur Paul Cartier, owner of The Jefferson Grill and PJ's Tavern in downtown Kirkwood. "It hasn't really adversely affected us as much as I'd thought it would.

"Obviously you lose some customers on the smoking end, but since we're family oriented, it actually has helped in a lot of ways. We're getting a lot of comments about how clean and nice it is and families with kids don't mind waiting. People from Webster who don't like smoking are coming in."

Some late night-bar patrons who smoke have departed, Cartier said. At first, "it was a little bit of a shocker, but I think smokers are getting over it. And when the weather changes, and we have a few nice days, they'll be back."

(PJ's has a patio area, and outdoor smoking is allowed under the Kirkwood ordinance.)

About two-thirds of Kirkwood voters in November favored the ban. Next Jan. 2, the city of St. Louis and St. Louis County will begin enforcement of their smoke-free ordinances.

Both city and county bans have exemptions. For instance, the county exempts bars that serve little food. The city exempts small bars based on square footage.

Kirkwood's ban has no such exemptions.

TAX REVENUE IS UP

Sales tax revenue rose in Kirkwood in January over the same period last year.

John Adams, Kirkwood's finance director, said it was difficult to draw any connection between the smoking ban and tax revenue. That's because bars and restaurants are only one part of Kirkwood's overall retail base.

Following are the totals for sales tax revenue distributed by the state of Missouri for Kirkwood and surrounding communities. (The numbers do not include the sizable January sales tax revenue that St. Louis County will distribute to communities in the next few weeks.)

Kirkwood — $293,160 in 2010, up from $272,579 in 2009.

Des Peres — $572,833 in 2010, down from $609,311 in 2009.

Webster Groves — $153,834 in 2010, up from $148,160 in 2009.

Sunset Hills — $140,315 in 2010, down from $148,937 in 2009.

Some had expected Webster Groves bars to siphon off some Kirkwood smokers until Jan. 2, 2011, when the Webster bars also go smoke-free.

Llywelyn's in Webster Groves has seen a slight change, at most.

"Our sales this year at this time are a little higher," said Scott Ballard, a manager at the restaurant and bar. "I know we've had some people in here from Kirkwood who went to (a bar) in Kirkwood, but only a handful. They're not coming in droves.

"And next year at this time everyone around here is going to be non-smoking."

'A LOT OF HEALTH NUTS'

Bar Louie, a large Kirkwood Road bar and restaurant that attracts crowds of young people, many who smoke, was jammed on a recent weekday night.

Employee Cory Suchara said he enjoyed "not reeking of smoke. I can breathe better. There are a lot of health nuts in Kirkwood and people around here seem to like it."

Justin McKay, Bar Louie manager, said business was "down a little bit, but it's not killing us. It's mainly affecting our late night. It's pretty packed on most nights."

McKay said business would pick up when the large outdoor patio opens at the end of this month.

Over at Graham's Grill and Bayou Bar, Devin Graham, manager and bartender, said that the restaurant side of the business had increased a little, but that bar sales were definitely down.

From Jan. 1 through Feb. 28, business was down 12 percent over the same period last year, he said.

"Late night is when we're seeing a big downfall," Graham said. "We're taking a hit, absolutely."

The financial drain isn't only from lower drink sales but also in snacks, the jukebox, bowling machine and darts.

"The restaurant is the main thing keeping us afloat," Graham said.

Steve and Sheri Nowatski and Christina and Rick Roberts were on their regular Thursday night date to hear their favorite band at Graham's.

"I hope that the people of Kirkwood will come out and support their local businesses, " Sheri Nowatski said.

Back at The Geyer Inn, patron Brandon Rosenberg still carried his Camel 99s, but didn't smoke inside.

"I said we loved the place and we'd still be here," he said.

Bartender Rafferty, a smoker, said she'd only had trouble with one loud complaining customer.

Rafferty said: "I told him, 'Go on down to City Hall and smoke inside there and see how far you'll get.'"