“The government has passed this legislation despite being unable to demonstrate that it will be effective at reducing smoking and has ignored the widespread concerns raised in Australia and internationally regarding the serious legal issues associated with plain packaging.” Under the ground-breaking law, all tobacco products sold in Australia will need to be in plain packaging from December1, 2012. Cigarettes will be sold in drab, olive-brown packets with large, graphic health warnings.

The government hailed the passage of the law as “one of the most momentous public health measures in Australia’s history” and called on the big tobacco companies to accept the will of parliament. Hong Kong-based PMA said it was seeking to suspend the law and wanted substantial compensation for the loss of the company’s trademarks and investments in Australia under a bilateral investment treaty with Hong Kong.

The company expects damages to amount to billions of dollars and that the legal process will take two to three years. “We are confident that our legal arguments are very strong and that we will ultimately win this case,” Edwards said. PMA’s Australian affiliate Philip Morris Limited (PML) also intends to pursue claims under domestic law before the High Court of Australia.

The proposal to remove all logos and to print company names in the same font has angered tobacco firms, who say it will cut profits and lead to fake products flooding the market because plain packaging is easier to reproduce. Another large tobacco company, British American Tobacco Australia, said earlier this month it would launch a challenge in the High Court as soon as the laws were granted royal assent.

It will argue it is unconstitutional for the government to remove its trademarks and other intellectual property without compensation. Health Minister Nicola Roxon has said the government is prepared for legal challenges to the law, which is designed to reduce smoking rates in the country in which government officials say 15,000 people die from smoking-related illness each year.

“Plain packaging means that the glamour is gone from smoking and cigarettes are now exposed for what they are: killer products that destroy thousands of Australian families,” Roxon said after the passage of the law. “We know that packaging remains one of the last powerful marketing tools for tobacco companies to recruit new smokers to their deadly products. “In the future, cigarette packets will serve only as a stark reminder of the devastating health effects of smoking.” Roxon said tobacco firms were fighting the reform because they knew plain packaging would work to cut smoking rates.

“The World Health Organization has recognised Australia’s lead in tobacco control, singling out our plain packaging legislation as an example for the world to follow,” she said. Earlier this month a judge in the United States blocked a government attempt to place graphic warning labels on cigarette packets, saying big tobacco was likely to succeed in arguing it was a violation of free speech. The full-colour warning labels, including diseased lungs and a cancerous mouth lesion, would serve as “mini billboards” for the US government’s “obvious anti-smoking agenda”, said the ruling by US District Judge Richard Leon.

The number of smokers in Australia has been declining steadily for years, but Canberra says tobacco use costs the country more than Aus$30 billion (US$30 billion) a year in healthcare and lost productivity.

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The idea was that having women make more doctor visits could help in catching any ill effects. But even now that those concerns have been eased, the restriction on Pill prescriptions remains. And studies suggest that it’s a barrier to women continuing with birth control pills; researchers have found that “running out of pills” is one of the most common reasons women cite for giving up the Pill.

So for the new study, researchers randomly assigned 661 girls and women at a New York City family-planning clinic to receive either 3-month or 7-month supplies of birth control pills. They found that of women in the latter group, 51 percent were still using their pills 6 months later. That compared with only 35 percent of women receiving 3 months’ worth of pills at a time, the researchers report in the journal Obstetrics & Gynecology.

It may not sound surprising that a longer-lasting pill supply would improve adherence. “It does make sense,” said lead researcher Dr. Katharine O’Connell White, of Tufts University School of Medicine and Baystate Medical Center in Springfield, Massachusetts.

“But you need to do the research to confirm it,” White added — especially, she noted, if health insurers are going to change their coverage policies. If longer-lasting Pill supplies boost women’s adherence, the hope is that it would translate into fewer unintended pregnancies. This study did not look at that.

But a study published earlier this year suggested such a benefit. (See Reuters Health story, March 9, 2011.) Researchers found that of low-income women in California’s “Medi-Cal” program, those given a year’s supply of birth control pills were less likely to have an unplanned pregnancy. For every 1,000 women in the study, 10 in the year-supply group became pregnant within a year, versus 30 in the group of women who got 1- to 3-month supplies.

White acknowledged that the 51-percent adherence rate in this study still falls short. “The supply of pills is not the only factor in whether women continue,” she said. But the effects of the longer-term supply are still meaningful, according to White.

“We have not found a lot of things that work” as far as women’s adherence to birth control pills, she said. “This actually has the potential for a big impact.” As for the other reasons that women stop using the Pill, side effects appear to be a key one.

Of the 287 women in this study who stopped taking the Pill and could be questioned about it, 83 said they stopped because of side effects. Another 58 women said they stopped because they ran out of pills, and 54 said they were no longer sexually active.

White suggested that if a woman has symptoms she thinks are attributable to the Pill, she talk with her health provider. For one, White noted, the problem may not actually be a Pill side effect. And if it is likely to be a side effect, such as bleeding between periods, then it may be manageable — by changing the dose, for instance.

Other potential side effects of the Pill include headache, breast tenderness and nausea — all of which often go away after a few months of use, according to the American College of Obstetricians and Gynecologists. As for costs, a month’s supply of birth control pills runs anywhere from $15 to $50. Paying for a year’s supply would obviously be a bigger initial cost, and some women may not use their whole year’s worth. But those costs, White noted, are much lower than the cost of a pregnancy.

Federal officials are aware of at least 65 accidents related to the gel products, including two deaths from a product previously recalled, and 34 hospitalizations. Victims suffered second and third degree burns to the face, chest, hands, arms, and legs, according to the CPSC.

“The injuries are actually greater than the number of incidents because loved ones and friends are trying to come to the rescue of the victim, who is on fire, and then they themselves are set on fire,” said CPSC spokesman Scott Wolfson. The material make-up of the gel makes the fires stubbornly difficult to extinguish on skin, Wolfson said.

“It is sometimes hard to judge when the fire is fully extinguished,” Wolfson said, adding that the flames are hard to see in daylight or when they burn low. “All pourable gel fuel, regardless of manufacturer, poses flash fire hazards,” the CPSC said in a statement.

There have been two deaths linked to fuel gel products made by Napa Home & Garden of Duluth, Georgia, which recalled its products in June 2011. The new recall targets two million units of pourable gel packets sold since 2008. They come in one-quart sized plastic bottles and one-gallon plastic jugs. They are marketed in both scented and unscented formulas.

The packets retail for between $5 and $20 dollars per bottle. “There have been several dozen accidents involving gel fuels made by these nine companies,” Wolfson said.

The nine manufacturers agreeing to the voluntary recall are: Bird Brain Inc., of Ypsilanti, Michigan; Bond Manufacturing of Antioch, California; Sunjel Company of Milwaukee, Wisconsin; Fuel Barons Inc. of Lake Tahoe, Nevada; Lamplight Farms Inc. of Menomonee Falls, Wisconsin; Luminosities Inc. of St. Paul, Minnesota; Pacific Decor Ltd. of Woodinwille, Washington; Real Flame of Racine, Wisconsin; and Smart Solar Inc. of Oldsmar, Florida.

But the actual amount would depend on the yield of the virus grown in the egg — disappointingly low for H1N1 — and how much adjuvant — which stretches the active ingredient — is used in pandemic vaccine, experts said.

“The estimate is by 2015, if all projects that are currently going on get to successful implementation, we would have something around 1.7 billion doses of seasonal vaccine,” WHO assistant director-general Marie-Paule Kieny told a briefing after experts held three-day talks.

“In making pandemic vaccine you have a multiplication by a factor of three.”

The WHO came under fire during the H1N1 pandemic in 2009-2010, the world’s first pandemic in 40 years, for slow distribution of vaccines in poor countries and allegations of drug industry influence on its decision-making. “What we are continuing to do is to make sure that not only will there be more pandemic vaccine if need be, but also that the sites where these vaccines will be produced will be more diverse geographically and more populations of the world will have earlier access to pandemic vaccine,” Kieny said.

An independent review panel which issued a report earlier this year on WHO’s handling of the emergency said that the world remained ill-prepared for a major pandemic. “We do not currently have the capacity to produce in a timely way sufficient vaccine to protect the world’s population in the face of a global, severe influenza pandemic,” Dr. Harvey Fineberg, an American heading that panel, said on Thursday.

GlaxoSmithKline and Sanofi are among major producers of influenza vaccines.

“We have to take influenza vaccine as a tool to combat influenza pandemic, not just a tool to maximize profit,” said Dr. Pathom Sawanpanyalert, Thailand’s chair of the WHO’s Global Action Plan for Influenza Vaccines, the experts group that met.