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Tennessee Among 14 States With Varying Bans On Smoking

If the trend of enacting smoke-free legislation continues at the same rate, all U.S. states will be smoke-free by 2020.

That's the prediction of the national Centers for Disease Control and Prevention, which released a report this week giving an overview of smoking cigarettes laws states have enacted over the past decade.

From 2000 to 2010, the CDC said, 25 states passed comprehensive smoking cigarettes laws, which prohibit smoking cigarettes inside all public restaurants and buildings where people work, including restaurants and bars - "an extraordinary public health achievement," the report said.

Tennessee's own laws, less strict, were passed in 2007. They prohibit smoking cigarettes in the workplace (except in the case of some small, family-owned businesses with few employees), and they give restaurants two choices: to ban smoking cigarettes at all times, in all areas; or to allow smoking cigarettes with the caveat that no patrons younger than 21 are allowed inside.

Those laws were a "compromise," said Michael Holtz, media advocacy director for the mid-South region of the American Cancer Society, one of the organizations that has long pushed for comprehensive smoking cigarettes laws nationwide. "In an ideal world, we'd like the strictest laws" banning smoking cigarettes in all public places.

But getting even that legislation in place was a "challenge" in a state where cigarettes is so entrenched, he said. In fact, the CDC said, no Southern state has a comprehensive smoke-free law in effect.

Florida, Louisiana and Nevada restrict smoking cigarettes in restaurants and on work sites, and North Carolina bans it in restaurants and bars. Fourteen states, including Tennessee, have varying degrees of laws on smoking cigarettes, including requiring ventilation or designated smoking cigarettes areas. But seven states - Indiana, Kentucky, Mississippi, South Carolina, Texas, West Virginia and Wyoming - have no smoking cigarettes restrictions at all.

It's anti-tobacco advocates in those states who probably have the toughest road toward reform, Holtz said, but he thinks once one enacts laws, others will follow quickly in a sort of domino effect.

The federal government's Healthy People 2020 objective calls for all states to pass laws that guarantee smoke-free indoor air in public places and at work sites. Now that 26 states have comprehensive smoke-free laws, the CDC said, almost half - 47.8 percent - of U.S. residents are protected by the laws.

But 88 million U.S. nonsmokers age 3 and older are still exposed to secondhand smoke, said the CDC, which said smoke-free laws substantially improve indoor air quality, reduce secondhand smoke cigarettes exposure and related health problems among nonsmokers.

Will Tennessee get comprehensive smoke-free laws in the near future? Holtz is optimistic, pointing to the "student-driven" ban of smoking cigarettes on the University of Tennessee campus. But he said he's also realistic, noting that a recent study showed when less-than-comprehensive laws are passed, it takes, on average, 17 years to strengthen the legislation. It also depends heavily on the political climate, he said; a more "hands-off" Senate and House are less likely to support what they might see as legislation of personal responsibility.

"But we know beyond a shadow of a doubt, from study after study after study, that smoke-free laws save lives," Holtz said. "They reduce the incidence of heart attacks. They lower the occurrence of lung cancer."

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