Biotic Interactions in Plant Communities presentation Speech or

Biotic Interactions in Plant Communities - Speech or Presentation Example EXTINCTION ESTIMATES MADE IN THE 1990s  Due to Deforestation (Karkee, 2004). Estimate and Method of estimation % Global Loss per decade 10 million sp. Annual Loss 30 million sp. Annual Loss Source 0.2-0.3% annually based on tropical deforestation rate of 1% annually 2-3% 20,000-30,000 60,000-90,000 Wilson (1989, 1993) 2-13% loss between 1990 and 2015 using species area curve and increasing deforestation rates 0.8-5.2% 8,000-52,000 24,000-156,000 Reid (1992) Loss of half the species in the area likely to be deforested by 2015 8.3% 83,000 250,000 Raven (1988) Fitting exponential extinction functions based on IUCN red data books 0.6-5% 6,000-50,000 18,000-150,000 Mace (1994) Colombia and the Amazon Basin is a good example of deforestation and the impacts are evident as per the effects described below. One of the regions that have been greatly influenced by deforestation is the Amazon Basin. Tree felling in the Amazon is much greater compared to any other region of the world. The Amazo n tropical forest, which approximately account for 2,488,642 square miles, lost fifteen percent of its forest cover in1970 alone (Naik, 2010). For example, Brazil, which is a residence to about one-thirds of the tropical forests of the world, has been incurring an average loss of 21,536 square miles of forest cover yearly, over the last few years (Olsen, 2009). Deforestation and the consequences on biodiversity interactions In areas of intense deforestation, there exists alterations in microclimate and change in plant reproduction, biological structure and animal distribution, among many other aspects of the forest. Climate change due to overexploitation of forests and plant communities results into loss of biodiversity both the flora and fauna. Climate change causes rise in temperature and low moisture availability in the affected regions and even spreads out (Eade, 2011). Due to the change in climate, there emerges simultaneous increase in the occurrence of fires which actively de stroy the plant communities. Forests assist to uphold the temperature at a low level and avert it from rising. In the deficiency of forest, the earth surface radiates all the heat that the atmosphere does not absorb but instead hit the earth’s surface. Such heat combined with an increase in the concentration of carbon dioxide leads to an increase in the atmospheric temperature (Haldar, 2011). Average species lost compared to deforestation rates (Eade, 2011). Climate change emanates into harsh conditions that can easily results into extinction of some animal and epiphytes community. A good example is the scenario whereby, Mycchorizal fungal interactions between plants and the fungi are affected. These two have a symbiotic relationship. In sustaining base level of supply of food, rain forests depend on the microbe’s action of decaying and rotting. In the event that forest cover is reduced, the fungi have less survival rates since they depend on trees for both habitat and food (Haldar, 2011). The impact of deforestation leads to changes in aquatic systems through excessive evaporations. The salinity level increases and the temperature becomes unbearable hence, habitat of the aquatic flora and fauna compromised. Excessive carbon IV oxide due to deforestation also chokes the flora and fauna that are found in the aquatic ecosystem hence reduction of the species that are not best suited for this environment for example, algae

Photosynthesis (Chemical change) Essay Example for Free

Photosynthesis (Chemical change) Essay Description: Photosynthesis is the process by which plants, some bacteria, and some protistans use the energy from sunlight to produce sugar, which cellular respiration converts into ATP, the fuel used by all living things. Plants are able to make their own food. Plants produce chlorophyll, a pigment usually found on leaves. It gives the plant its green color while being a key component in making food for itself. How can the change affect the health, environment or industry? Plants use the energy from sunlight to produce sugar. The energy and oxygen created by plants from photosynthesis keeps life sustainable on Earth. It is one of the many ways our world uses the sun as a source for energy. Scientists for years have been studying the blueprint of photosynthesis in hopes of duplicating its process. They are continually making strides toward unlocking the keys to reproducing this cycle. How can I maximize the benefits / minimize the harmful effect of the change? Photosynthesis is one of the most important biological processes on Earth. Life is sustainable on Earth because of this process. Agencies may form laws to protect the environment, and recycling reuses materials made from natural resources. http://www.ehow.com/about_5171907_effects-photosynthesis.html#ixzz2HNgzrqG3 Burning Plastic Bags (Physical Change) Description: Burning plastic bags has been advocated by some environmental campaigners as a greener alternative to burying them in landfill sites, as it is thought that they are not biodegradable because they have existed for less than a generation, there is not yet a definitive answer to the question of biodegradability. How can the change affect the health, environment or industry? It can  increase the risk of heart disease and cause rashes, nausea, or headaches. It can damage the nervous system, kidney or liver, in the reproductive and development system. It can also affect the central nervous system, causing headaches, fatigue, weakness, and depression. Burning plastic bags releases toxins into the atmosphere, creating pollution. Not only these people who are burning the trash are exposed to these pollutants, but also their neighbors, children and families. How can I maximize the benefits / minimize the harmful effect of the change? Separate plastic waste from other waste. Do not burn any plastics in your yard or house. Reduce wastes by buying products that can be reused or refilled. We can also recycle papers, glass and metals. http://www.wecf.eu/cms/download/2004-2005/homeburning_plastics.pdf Deforestation (Physical Change) Description: Deforestation refers to the cutting, clearing, and removal of rainforest or related ecosystems into less bio-diverse ecosystems such as pasture, cropland, or plantations. How can the change affect the health, environment or industry? Trees are necessary for rain. Tree cutting can lead to flood and deforestation, a transformation of an area from forest to terrain with little vegetation. Plants create oxygen and absorb greenhouse gases. The destruction of trees may, therefore, encourage global warming. Cutting trees can result in the loss of habitat for animal species, which can harm ecosystems. How can I maximize the benefits / minimize the harmful effect of the change? We should tell the citizens about the actual side effects of cutting down trees. To find the alternative means other than the use of tree for usual  activities like cooking, building and for furniture; Instead we are to use plastic and iron material for furniture and building purposes and also the use of gases for cooking. We can also create strict laws against cutting of trees and improper use of tree products. http://kids.mongabay.com/lesson_plans/lisa_algee/deforestation.html

Absence of Absolute Good or Absolute Evil in Hawthornes Young Goodman

Absence of Absolute Good or Absolute Evil in Young Goodman Brown   Ã‚  Ã‚   "'Lo! There ye stand, my children,' said the figure, in a deep and solemn tone, almost sad, with its despairing awfulness, as if his once angelis nature could yet mourn for our miserable race. "Depending on one another's hearts, ye had still hoped, that virtue were not all a dream. Now ye are undeceived! Evil is the nature of mankind. Evil must be your only happiness. Welcome, again, my children, to the communion of your race!'" The above quotation from Hawthorne's Young Goodman Brown is of central importance in analyzing the attitudes and ideas present throughout the story, though in a curious way. The quotation (and the story itself), on first reading, seem superficially to portray a central character's loss of faith and the spiritual tragedy contained therein. Rereading, however, reveals a more complex set of ideas, ones which neither fully condemn nor condone the strictly constructed dichotomy of good and evil that Hawthorne employs again and again over the course of Goodman Brown's journey. I think Hawthorne had much more in mind than a mere outline of good and evil. His primary struggle in Young Goodman Brown seems to be less with faith vs. the faithless void than with the points in between these states. The story seems more about the journey through between two rigidly defined states than about good and evil. By describing good and evil through heavy-handed metaphors and symbols, such as his wife's name and the satanic communion he finds himself at in the forest, and then describing goodman Brown's inability to adapt his self-image to the hypocrisy he finds, Hawthorne comments on the ultimate failure of such a rigidly proscribed formula for... ... these two states than it is about a definitive statement on outlining a definition of "proper" human behavior. Works Cited Capps,   Jack L.   "Hawthorne's Young Goodman Brown", Explicator, Washington D.C., 1982 Spring,   40:3, 25. Easterly, Joan Elizabeth.   "Lachrymal Imagery in Hawthorne's Young Goodman Brown", Studies in Short Fiction, Newberry, S.C.,   1991 Summer,   28:3, 339-43. Hawthorne, Nathaniel.   "Young Goodmam Brown", The Story and Its Writer, 4th ed. Ed. Ann Charters. Boston: Bedford Books of St. Martin's Press, 1995, 595-604. Shear, Walter.   "Cultural Fate and Social Freedom in Three American Short Stories",   Studies in Short Fiction, Newberry, S.C.,   1992 Fall, 29:4, 543-549. Tritt, Michael.   "Young Goodman Brown and the Psychology of Projection",   Studies in Short Fiction, Newberry, S.C., 1986 Winter, 23:1, 113-117.         

Trainspotting: A Novel By Irvine Welsh Essay -- essays research papers

Trainspotting: A Novel By Irvine Welsh Trainspotting is a captivating story of the random events that occur during a critical time in a group of Scottish junkies' lives. Irvine Welsh illustrates the confusion, anger and turmoil many heroin addicts are subjected to and what happens once they try to quit. The story is centered around Mark Renton, an ordinary twenty-two year old who was raised by a loving mother and father. He has two brothers: one was catatonic and the other was an overachiever. Through court-mandated therapy he was told he envied his parents and resented his older brother. This was what contributed to Rents (what his friends call him) starting to use heroin. Bit by bit the reader is introduced to Rents' friends, cousins, friends' of friends, parents, friends' parents, the list goes on. Anyone with relevance to the life of Mark Renton, the reader meets sooner or later. Everyone in Rents' life is messed up or gets that way somehow. His friend Begbie, for example, is an unhappy little man. He feels he has to make himself seem tough by surrounding himself with "friends" who do nothing but boost his ego by letting Begbie put them down. Aside from being on and off heroin, his good friend Danny Murphy, or Spud (as everyone calls him) is a habitual thief. His friend Simone is nicknamed Sick Boy for good reasons. When he is high he hears voices in his head willing him to do evil things. He likes t...

Middlemarch

One of the central themes that runs through Middlemarch is that of marriage. Indeed, it has been argued that Middlemarch can be construed as a treatise in favor of divorce. I do not think that this is the case, although there are a number of obviously unsuitable marriages. If it had been Elliot's intention to write about such a controversial subject, I believe she would not have resorted to veiling it in a novel.She illustrates the different stages of relationships that her characters undergo, from courtship through to marriage, George Eliot had pondered enough about the position nd the portrayal of women in Victorian society, and the various responses different types of women elicit. Probably this had enabled Eliot to sketch and embed in her novel, charming characters such as Dorothea and Rosamond, two very different women who reflected in them the different tunes of the times. Their ideas would be echoed and supported in the works of other writers in this era.Up until this time, ma rriage had been thought and been written about to be a method for men to control women and allow them to be dependent and subservient rather than to search for love. To highlight the cause of women, Eliot made a rather calculated move and brought in marriage as a very important theme in Middlemarch. Marriage, central to the lives of women in Victorian society becomes the canvas on which her two characters bloom. Thus, she illustrates the different stages of relationships that her characters undergo, from courtship through to marriage.A fellow mortal with whose nature you are acquainted with solely through the brief entrances and exits of a few imaginative weeks called courtship, may, when seen in the continuity of married companionship, be disclosed as something better or worse han what you have preconceived, but will certainly not appear altogether the same. (Eliot, 193) She not only includes the new couples (Fred and Mary, Celia and Chettam), but also the older ones (the Garths an d the Cadwalladers and the Bulstrodes), as well as widowhood (Dorothea).But because of the strength, depth and diversity in Dorothea and Rosamond, they remain brightest even as the story unfolds a nuptial kaleidoscope through various couples. The marriage that would seem most in need of a divorce was that between Dorothea and Casaubon- which ironically, is the ne that would last the longest if divorce had been available. Dorothea would not, indeed could not divorce Casaubon because of her honesty and the strength of her idealism. Despite the fact that Casaubon is clearly unsuitable, she still goes ahead with the marriage.It can be said that Dorothea represents the antithesis of Casaubon, where he his cold and severe, she is warm and friendly. Indeed, they are portrayed in clearly different ways: Dorothea represents light and life, while Casaubon is darkness and death. To Mr. Brooke, Casaubon is â€Å"buried in books,† to Sir James he seems a â€Å"mummy' who has â€Å"not a drop of red blood in him (Eliot, 447). † The very thought that Dorothea has come to be engaged to him causes Celia to start to grieve.Everything about Casaubon issues from this basic metaphor. His appearance – a pa id complexion, deep eye sockets, iron-grey hair, makes his head look like a skull. Indeed, his proposal to Dorothea, in which his affection is introduced in parenthesis, shows that he is emotionally dead. Eliot could not have been precise on such matters, but he may be sexually impotent, for Dorothea is found â€Å"sobbing bitterly' on her oneymoon in Rome, and it may not simply be his deficiencies as a scholar that account for her disappointment.It is not love that attracts Dorothea to the corpse-like Casaubon, but rather her sense of duty; her desire to be like one of Milton's daughters. Dorothea, orphaned at a young age, would seem to long for a husband who can fill the role of the father she lost. In this era, there was a lot of pressure for women to ac t in order to please the father of the family. In this case Dorothea shares this desire to obey what she believes her father's wishes would be in order to be a good daughter.Just as Eliot is stating a satirical example on the concept of pleasing patriarchal fgures, this idea was touched upon in Mary Wollstonecraft's Vindication of the Rights of Women in which Wollstonecraft wrote, â€Å"obeying a parent only on account of his being a parent, shackles the mind, and prepares it for a slavish submission to any power but reason (153). † In this segment, Mary is trying to emphasize that teaching children to obey without question will cause a blindness as they reach adulthood that will prevent them from making decisions that are better off for their happiness in life.This can be seen in Dorothea's choice in marrying Casaubon. Casaubon's age is no deterrence; indeed she would rather marry a teacher / father fgure than a romantic person at the beginning of the novel. She learns, thou gh, that this is a bad idea, and so finds herself attracted to Ladislaw. She is so possessed with the idea of contributing to the good of humanity through the assistance she can offer Casaubon, she does not even notice how patronizing and self-centered he is. Middlemarch One of the central themes that runs through Middlemarch is that of marriage. Indeed, it has been argued that Middlemarch can be construed as a treatise in favor of divorce. I do not think that this is the case, although there are a number of obviously unsuitable marriages. If it had been Elliot's intention to write about such a controversial subject, I believe she would not have resorted to veiling it in a novel.She illustrates the different stages of relationships that her characters undergo, from courtship through to marriage, George Eliot had pondered enough about the position nd the portrayal of women in Victorian society, and the various responses different types of women elicit. Probably this had enabled Eliot to sketch and embed in her novel, charming characters such as Dorothea and Rosamond, two very different women who reflected in them the different tunes of the times. Their ideas would be echoed and supported in the works of other writers in this era.Up until this time, ma rriage had been thought and been written about to be a method for men to control women and allow them to be dependent and subservient rather than to search for love. To highlight the cause of women, Eliot made a rather calculated move and brought in marriage as a very important theme in Middlemarch. Marriage, central to the lives of women in Victorian society becomes the canvas on which her two characters bloom. Thus, she illustrates the different stages of relationships that her characters undergo, from courtship through to marriage.A fellow mortal with whose nature you are acquainted with solely through the brief entrances and exits of a few imaginative weeks called courtship, may, when seen in the continuity of married companionship, be disclosed as something better or worse han what you have preconceived, but will certainly not appear altogether the same. (Eliot, 193) She not only includes the new couples (Fred and Mary, Celia and Chettam), but also the older ones (the Garths an d the Cadwalladers and the Bulstrodes), as well as widowhood (Dorothea).But because of the strength, depth and diversity in Dorothea and Rosamond, they remain brightest even as the story unfolds a nuptial kaleidoscope through various couples. The marriage that would seem most in need of a divorce was that between Dorothea and Casaubon- which ironically, is the ne that would last the longest if divorce had been available. Dorothea would not, indeed could not divorce Casaubon because of her honesty and the strength of her idealism. Despite the fact that Casaubon is clearly unsuitable, she still goes ahead with the marriage.It can be said that Dorothea represents the antithesis of Casaubon, where he his cold and severe, she is warm and friendly. Indeed, they are portrayed in clearly different ways: Dorothea represents light and life, while Casaubon is darkness and death. To Mr. Brooke, Casaubon is â€Å"buried in books,† to Sir James he seems a â€Å"mummy' who has â€Å"not a drop of red blood in him (Eliot, 447). † The very thought that Dorothea has come to be engaged to him causes Celia to start to grieve.Everything about Casaubon issues from this basic metaphor. His appearance – a pa id complexion, deep eye sockets, iron-grey hair, makes his head look like a skull. Indeed, his proposal to Dorothea, in which his affection is introduced in parenthesis, shows that he is emotionally dead. Eliot could not have been precise on such matters, but he may be sexually impotent, for Dorothea is found â€Å"sobbing bitterly' on her oneymoon in Rome, and it may not simply be his deficiencies as a scholar that account for her disappointment.It is not love that attracts Dorothea to the corpse-like Casaubon, but rather her sense of duty; her desire to be like one of Milton's daughters. Dorothea, orphaned at a young age, would seem to long for a husband who can fill the role of the father she lost. In this era, there was a lot of pressure for women to ac t in order to please the father of the family. In this case Dorothea shares this desire to obey what she believes her father's wishes would be in order to be a good daughter.Just as Eliot is stating a satirical example on the concept of pleasing patriarchal fgures, this idea was touched upon in Mary Wollstonecraft's Vindication of the Rights of Women in which Wollstonecraft wrote, â€Å"obeying a parent only on account of his being a parent, shackles the mind, and prepares it for a slavish submission to any power but reason (153). † In this segment, Mary is trying to emphasize that teaching children to obey without question will cause a blindness as they reach adulthood that will prevent them from making decisions that are better off for their happiness in life.This can be seen in Dorothea's choice in marrying Casaubon. Casaubon's age is no deterrence; indeed she would rather marry a teacher / father fgure than a romantic person at the beginning of the novel. She learns, thou gh, that this is a bad idea, and so finds herself attracted to Ladislaw. She is so possessed with the idea of contributing to the good of humanity through the assistance she can offer Casaubon, she does not even notice how patronizing and self-centered he is.

Singapore Market and its Issues

Singapore Market and its Issues The Geo-demographics To understand the Geo-demographic factors of the Singaporean market, age, education level, household structure, population, and income distribution of its consumers should be analyzed. According to the current demographic studies, the population of Singapore is approximately 5.9 million. The native population is 3.84 million, whereas the immigrant population is 1.56 million (Wilson, 2011).Advertising We will write a custom report sample on Singapore Market and its Issues specifically for you for only $16.05 $11/page Learn More Globally, the nation is among the top ten countries with the highest percentage of millionaires. It is estimated that the ratio of millionaires to every household is one to six. Severe poverty is very rare in Singapore. Despite its economic success, the nation is considered to be one of the leading countries with the highest income disparities. The measure of income inequality is calculated based on individual hous ehold earnings. The lowest income earner is paid $1000 or less per month. The top income earners are paid 10 to 20 times of this amount. After government taxation, Singapore has a Gini coefficient of around 0.478, which confirms that there is a huge market-income inequality. The transfer of cash, social security, and income taxes has contributed to the increased income inequality in the Singaporean markets. The most discriminated part of the population in terms of employment is the elderly people, the youth, women, and the migrants. This part of population is vulnerable to exploitation. They earn lower wages because the government policies do not specify the minimum wage rates. This low wage and an increased unemployment rate among representatives of this marginalised population have enhanced income inequality. Many Singaporeans are educated. It is estimated that about 65% of the population are literate. The varying age and education of the population have led to varied needs and de mands, thus marketers should monitor these factors closely. Socio-economic characteristics of consumers The decisions of consumers are influenced by several factors. Socioeconomic factors dictate what one chooses, purchases, as well as what products and services to consume. Social factors, which include friends, role models, living standards, and reference groups, influence the buyer’s decisions.Advertising Looking for report on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More The Singaporean living standards have been improved, and this has changed their income expenditures from consumer to branded luxury products and services (Pacek, 2012). Unlike before, the number of Singaporean consumers travelling abroad during the holidays has increased. Over the last few decades, the Singaporean government has played a great role in education of its citizens, thus translating to well-paying jobs. This has led to im proved living standards. Currently, a number of its citizens are able to afford decent housing and sophisticated products and services. Psycho-behavioural characteristics Psychological and behavioural factors influence the consumer purchasing decision in a number of ways. Purchasing can be done either individually or in a group. Factors such as family, friends, and society or peer groups have a great influence on the consumers of certain products. Motivation is one of the factors that psychologically influence Singaporean consumers. There is a need for selective brands and prestige among the consumers in Singapore. This is fostered by the fact that most of the consumers in this country have toured many places around the world. This has tremendously changed the buying behaviours of the consumers in the country. Perception also plays an important role in the consumer buying behaviour. Consumers in Singapore have different perceptions about products and services they consume. It is obv ious that not all consumers have the same tastes and preferences. Therefore, marketers should study the psychological factors to promote their branded products. Notably, the Singaporean consumers are keen when choosing their brands and prestige. They are sophisticated buyers. The western culture has distorted the beliefs and attitudes of consumers. This influence is predominant among the Singaporean youth consumers. They have embraced the western values and beliefs. This has influenced their buying behaviours. Equally, the Singaporean consumers prefer shopping on self-service supermarkets. Consumption patterns of consumers Due to improved living standards of the people of Singapore, the consumer expenditure has changed greatly over the last few decades. Research has shown that from around 1978, Singaporean households spend a great percentage of their income on consumable goods and services. A larger portion of this percentage is spent on communication and transportation services.Adv ertising We will write a custom report sample on Singapore Market and its Issues specifically for you for only $16.05 $11/page Learn More Actually, about two-thirds of the household expenditure are spent on buying and fuelling of cars. The health and education sectors in the last few years have risen by around 68%, thus improving the living standards of Singaporeans. They are increasingly spending only on luxury goods compared to consumer goods. This had a great influence on the market needs of the Singaporeans. In the recent past, the western culture has interfered with their traditional values and believes influencing what they purchase and consume. The changes in the lifestyles have also changed the consumer patterns. The Singaporean consumers have become more selective in terms of both prestige and brand of the product. The sophistication in purchasing has been enhanced by the increased education level and media exposure of the Singaporean consumers. Th is has consequently led to high income and high purchasing power of the population. Currently, more families in Singapore have embraced holidays and leisure abroad as part of their lifestyle. Consumer savings The influence of western and eastern cultures among the Singaporeans has created sophisticated purchasing behaviours and made a number of their consumers spend much of their income. Consumers spend a large portion of their income on products such as fashion clothes, advanced gadgets, travels and leisure, skin and beauty related products. A lot of spending by consumers means that less money is available for savings. Only the educated and rich Singaporeans are able to save. Major trends Singapore population has encountered both social and economic changes. These have had great impacts on the markets. The female population has increased its literacy level and their percentage in the labour force. The government policies with respect to family planning have led to a total change in the age distribution structure of the population. This has led to diversified needs among people. The marketers should analyze this trend since it has a great effect in the marketing field. Due to increased levels of education, the Singaporeans are able to secure well-paying jobs and attain a higher consumer purchasing power in their markets. This has actually led to a rise in their real income. The economy in Singapore has experienced great extent of urbanization.Advertising Looking for report on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More People have moved to flats and stopped living in their sine-roofed residents. Currently, shopping malls are shifting to the estates from the CBDs. Similarly, there is a declined in private means of transport compared to the public means. Lastly, enhanced Singaporean living standards are progressively changing their income expenditures from consumer to branded luxury products and services. References Pacek, N. (2012). The Future of Business in Emerging Markets The success factors for market growth in the 21st century.. Singapore: Marshall Cavendish. Wilson, P. (2011). Challenges for the Singapore economy after the global financial crisis. Singapore: World Scientific.

Free Essays on A Profile of WNEW-FM

WNEW-FM is one of New York City’s oldest and most storied FM radio stations. It began its broadcast history in October 1967 as a freeform station that let the DJ’s pick their own music. It quickly became one of the most influential radio stations in the country, inspiring copycat stations in markets all across the country. Many musicians who live in the New York metropolitan area, such as Billy Joel, Lou Reed, and Joey Ramone, have been quoted saying that the station was very influential in the development of their musical tastes. (WNEW R.I.P., Eric Boehlert, Rolling Stone 10/28/99, pp 33) The station also helped start the careers of many artists, including Elton John and Bruce Springsteen, by introducing them to a wide and varied audience. The station’s influence was so great that when declining ratings prompted a format change, Rolling Stone actually ran a story about the station, citing the station as â€Å"once rock radio's most influential station,† s tating that â€Å"WNEW also changed the way rock radio sounds.† (WNEW R.I.P., Eric Boehlert, Rolling Stone 10/28/99, pp 33) Today WNEW is an all-talk format station. The station is trying to build programming around their very successful afternoon drive team, Opie and Anthony. Greg â€Å"Opie† Hughes and Anthony Cumia were brought to WNEW in July of 1998 by then General Manager Scott Herman because â€Å"We noticed that classic rock in New York, as a pure format, isn't going to win in the long run.† (Local Media, Media Week, 07/27/98 pp14) They were well known for getting fired from Boston’s WAAF after an April Fools Day prank in which they falsely reported the death of Boston’s Mayor in a car accident. The show quickly became one of the top rated radio programs in its time slot. By the Spring of 1998, Opie and Anthony were number one with males 18-34. (Local Media, Media Week 7/30/2001 pp12) The Stations current weekday lineup is as follows: â€Å"The Sports Guys† from 5 to ... Free Essays on A Profile of WNEW-FM Free Essays on A Profile of WNEW-FM WNEW-FM is one of New York City’s oldest and most storied FM radio stations. It began its broadcast history in October 1967 as a freeform station that let the DJ’s pick their own music. It quickly became one of the most influential radio stations in the country, inspiring copycat stations in markets all across the country. Many musicians who live in the New York metropolitan area, such as Billy Joel, Lou Reed, and Joey Ramone, have been quoted saying that the station was very influential in the development of their musical tastes. (WNEW R.I.P., Eric Boehlert, Rolling Stone 10/28/99, pp 33) The station also helped start the careers of many artists, including Elton John and Bruce Springsteen, by introducing them to a wide and varied audience. The station’s influence was so great that when declining ratings prompted a format change, Rolling Stone actually ran a story about the station, citing the station as â€Å"once rock radio's most influential station,† s tating that â€Å"WNEW also changed the way rock radio sounds.† (WNEW R.I.P., Eric Boehlert, Rolling Stone 10/28/99, pp 33) Today WNEW is an all-talk format station. The station is trying to build programming around their very successful afternoon drive team, Opie and Anthony. Greg â€Å"Opie† Hughes and Anthony Cumia were brought to WNEW in July of 1998 by then General Manager Scott Herman because â€Å"We noticed that classic rock in New York, as a pure format, isn't going to win in the long run.† (Local Media, Media Week, 07/27/98 pp14) They were well known for getting fired from Boston’s WAAF after an April Fools Day prank in which they falsely reported the death of Boston’s Mayor in a car accident. The show quickly became one of the top rated radio programs in its time slot. By the Spring of 1998, Opie and Anthony were number one with males 18-34. (Local Media, Media Week 7/30/2001 pp12) The Stations current weekday lineup is as follows: â€Å"The Sports Guys† from 5 to ...

Polvoron Essays

Polvoron Essays Polvoron Paper Polvoron Paper I. Executive Summary The researchers Nikki Y Pulumbarit and Jessa P Alberto are both graduates with degrees in Hospitality Management at Mariano Quinto Alarilla Polytechnic College. The business plan entitled MILKYRON it is a variety of polvoron that has the mixture of fish and powdered milk. The product offer a healthful benefit to its clients through promoting consumption of fish specially fot the children who are not fond of eating fish. MILKYRON is very nutritious compared to the other polvoron offered int the market because it contain fish which is a good source of protein and also the milk which is rich in calcium. MILKYRON is very unique because of its flavor and its affordable price. The owners Nikki Y Pulumbarit and Jessa P Alberto are both financially capable on handling a business and the starting capital will be P 100, 000. 00. The mission of the business is to provide unique and healthful variety of polvoron and to consider foremost the satisfaction of the customer. The goals and objectives of MILKYRON is to start the business on April 25, 2013 and by gaining good customer feedback, to encourage other teenager to build their own business too even they are young. Also to expand our knowledge and capability on handling the business. MILKYRON will be beneficial to its customer because it has the mixture of fish which is good source of protein and milk which is a good source of calcium it is nutritious yet affordable. The future product will be Fishy Yummy Yema also it has the mixture of fish. The business is registered at Securities and Exchange Commission (SEC) under Sole- Proprietorship. Sole Proprietorship is a type of business enetity that is owned and run by a single person. MILKYRON is manage by Nikki Y Pulumbarit as the general manager and Jessa P Alberto as the Assistant Manager. Product manager will be Nikki Y Pulumbarit responsible for over-all running of the business and responsible for securing contracts, financial/ accounting and marketing purposes. Product Assistant Manager will be Jessa P Alberto responsible for securing employees compensation and responsible for customer service. The product MILKYRON will be marketable based on the data collected through survey answered by the respondents. According to the Age between 12-20 years old want to buy our product. In terms of Gender women are more likely interested on our product, the question â€Å"will you buy MILKYRON? most of the respondents answered that they will buy our product while the other are undecided. The survey also ask them that â€Å"what will be the best drink that will complement on our product? † most of them answered that water is the best complementary drink in MILKYRON. The business will located at Mc Arthur Highway Meycauayan Bulacan because most of the respondents answered t hat the perfect spot is on Commercial Area. MILKYRON has many competitors these are some, Goldilocks Polvoron, Sasmuan Polvoron who offered a natural kind of polvoron. This proves that our product is very unique because of the fish flavor itself. The price is very affordable it costs only P 5. 00 per piece. MILKYRON will be advertised through fliers, leaflets, tarpaulins and most of the time on social media sites like facebook and twitter. Organization / Person| Description| Purpose| JV Tarpaulin printing| Printing Services| Advertising| Globe Telecom| Mobile Phone Services| Customer Service and Advertising| Savemore Supermarket| Supply Shop| Ingredient Supplier| Engr. Benjamin Moronia Jr. | Financial Advisor| Financial Inquiries andProduct Consultant| K. Dot Computer Services| Computer Service Provider| Computer services|

International services marketing Essay Example | Topics and Well Written Essays - 500 words

International services marketing - Essay Example Marketing services is different from marketing goods. As opposed to good, services are produced and consumed at the same time. This is because services have different characteristics from those associated with goods. Such characteristics include intangibility, inseparability, variability, and their lack of perishability. Therefore, the services are measured in terms of quality. Another difference between goods and services is the inseparability of services. This is because the services production cannot be alienated from the consumption process (Ahmadzadeh, et al., 2012). Services also tend to vary in aspects such as quality. These characteristics make marketing of services different from that of products. Therefore, success in marketing of services depends on relationship building. Service-based business rely on building trust, deliverability, the wants and needs, and the ability to convince customers that you are capable of driveling a service in time. However, marketing products i s different and mainly depends on factors such as price of the product and the quality of the product (Rao 2011). The marketing and trading of services across nations has been growing rapidly over the recent past. Export of services plays a critical role in trade balance, expansion of employment opportunities, and enhancing economic growth. However, the service economy is affected by factors such as export service capacity, limitation of resources required in service delivery. Such resource may include the human as well as financial capacity. Other factors affecting the service economy include behavioral and operative barriers. Moreover, language barrier affects intercultural service delivery due to poor interpretation of information (Fisk 1999). Export of services raises several issues. These issues include the privacy of the service consumers, the national security of the countries to which the services

Group Thinking Action Essay Example | Topics and Well Written Essays - 1500 words - 3

Group Thinking Action - Essay Example I have a friend who is an American, born and raised there. I remember after the planes crashed on 9/11 then the new word to figure out for word was, â€Å"Muslim† and â€Å"terrorist.† In America and in most parts of the world the word terrorist is negative and doesn’t mean that the person is part of a particular country’s armed services. I remember a few months ago when I was talking to my friend who believes in the Koran and thus in America and around the world labeled as a â€Å"Muslim†. We were writing back and forth about the Islamic faith and he replied in one mail not to send the mail to every one of my lists. He did not the government to be reading his mail. Now, why would my friend be terrified by the fact that he is American who happens to believe in the Islam faith? â€Å"Group Think† comes into play here. This type of thinking is dangerous and can only lead people and societies down dangerous paths. If all of Americans come to believe that Islam is some crazy cult and creates â€Å"terrorists† then my friends could become a threat in thinking and in the minds of many Americans. This thinking creates negative stereotypes of outsiders. These stereotypes may be totally false. This type of think places me versus you which can create divisions and ignorance in a particular society. If you add anger and vengeance as feelings that are attached to a type of thinking, then this becomes very dangerous.   This may sound silly to you but â€Å"Group Think† gets at the idea of delusions and illusions. If someone is severely delusional and illusional than psychologists might be called in to start treatment.

Sincere believes about the morality of divorce will not influence God Research Paper

Sincere believes about the morality of divorce will not influence God judgment of us as true believers - Research Paper Example Morals are rules or habits of conduct, especially sexual conduct, with reference to standards of right and wrong. They are concerned with the judgment of the goodness or badness of a human action, or the character of the individual in question. The issue arises from the fact that different people, and different organizations, have different definitions of what is right or wrong, good or bad, and the way that they interpret and act upon those definitions. Of the many great social issues in our time, one of the most often debated is the prevalence of divorce in society today; due to the immense influence of Christianity throughout history, with special reference into its heavy influences upon Western culture, this is doubly true, as the predominant views on the institution of marriage itself are due to the views provided in the Bible itself. The influences of Christianity on marriage may be seen in the vows themselves, as evidenced by the sample vows provided here: â€Å"With deepest joy I receive you into my life that together we may be one. As is Christ to His body, the church, so I will be to you a loving and faithful husband. Always will I perform my headship over you even as Christ does over me† (Bible.org,. 1995). ... So they are no longer two, but one. Therefore what God has joined together, let man not separate’† (New English Bible, 1963). Ephesians 5:22 states â€Å"Wives, submit to your husbands as to the Lord. For the husband is the head of the wife as Christ is the head of the church, his body, of which he is the Savior. Now as the church submits to Christ, so also wives should submit to their husbands in everything† (New English Bible, 1963). The concept of marriage is discussed so frequently, and so in depth in the Bible itself, that it is not surprising that in a country founded by Christians who were looking for an escape from religious persecution, the idea of divorce has become a hotly debated one. The traditional teachings of Christianity believed that divorce was wrong; according to the Catechism of the Catholic Church, â€Å"divorce is a grave offense against the natural law. It claims to break the contract, to which the spouses freely consented, to live with ea ch other till death. Divorce does injury to the covenant of salvation; of which sacramental marriage is the sign†¦divorce is immoral also because it introduces disorder into the family and into society† (Abbott, 2012). It was, and is, not just the Catholic Church that advocated for the immorality of divorce, for many Christians will also quote Matthew 19:9, which states â€Å"And I say to you: whoever divorces his wife, except for sexual immorality, and marries another, commits adultery† (New English Bible, 1963); another commonly quoted verse is Luke 16:18, â€Å"Everyone who divorces his wife and marries another commits adultery, and he who marries a woman divorced from her husband commits adultery† (New English Bible, 1963). While it is true that the teachings of Jesus allow for divorce under

Slavery and Western Expansion Essay Example | Topics and Well Written Essays - 1000 words

Slavery and Western Expansion - Essay Example In the article, the author explores the failures and triumphs of this period in American history and ends the article by citing fewer celebrations from the period and more disappointments. The author believes that land distribution was a missed opportunity and an egregious failure of this period, claiming that this should have been integral during the emancipation (Dubois 601). This oversight was compounded by injustices directed at the freed slaves concerning civil and labor rights such as black codes and sharecropping. Du Bois, despite the failings, describes the Reconstruction’s failure as splendid wedged between its shortcomings. It is the triumphs of the thirteenth, fourteenth, and fifteenth amendments, as well as education for African Americans. Overall, the reason that Reconstruction failed was due to the many defeats that outweighed the few successes. In the article, Du Bois emphasizes the issue of land distribution to the slaves who had been freed as one failure after the Reconstruction. General Sherman’s Field Order 15, given in 1865, gave hope for redistribution as he ordered the confiscation of plantation land and its division into sections of 40 acres, which would be given to the freed slaves. Unfortunately, they were removed from the land with the government failing to follow up on General Sherman’s order, as well as reneging on the pre-war declaration by Andrew Johnson regarding land redistribution’s necessity. The author has a Marxist view of the failing, claiming variously â€Å"Liberalism did not understand . . . revolution was economic and involved force. . . . It hoped with the high humanitarian of Charles Sumner eventually to induce the planter to surrender his economic power peacefully . . . that other Charles —   Karl Marx   Ã¢â‚¬â€Ã‚  had not yet published  Das Kapital to prove to men that economic power underlies politics† (Du Bois 591). The force and economics referred to by Du Bois are tenants of General Sherman’s Field Order 15, which involved the confiscation and redistribution of land to be put to use by freed slaves. This would allow for the assimilation of the former slaves into the South’s economic structure. The argument put across by Du Bois is not in violation of American principles present at the time. The Republican Government gave railroad corporations Southern land in the same period. Since these corporations were eligible for this, then the massive numbers of former slaves were too. Instead of economic independence via land redistribution, Southern landowners were free to implement tenant farming to control the former slaves. Dubois describes the system as serfdom that was established in territories, in the South. Serfdom gave a false impression of land distribution with landowners requiring that those who lived on their land gave them part of the crops that they harvested. They were also expected to get their equipment from the landown er at inflated prices that caused them to fall further into debt (Dubois 597). Tenant farming, in essence, is representative of an effort to bring back slavery to the furthest possible degree in the South after the war. Since chattel slavery was now illegal, they turned to binding former slaves to land via perpetual poverty and debt, creating legal and new forms of servitude. Black codes were another dehumanizing aspect faced by Southern freed slaves with legislation that limited and stripped their civil liberties and rights during this period. Passed in late 1865, the Black Code

Social Engineering ( Examining the latest scams) Essay

Social Engineering ( Examining the latest scams) - Essay Example They may be known as the authorized worker by having a number of types of urgent problem; social engineers frequently depend on the usual concern of people and on their faults. Appeal to egotism, request to power, and outdated questioning are classic social engineering methods (TechTarget, 2009; Allen, 2006). The concept of social engineering is the use of getting secret information through handling of legal users. A social engineer will usually utilize the Internet or phone to scam someone into disclosing secretes data as well as information or else acquiring them to perform any thing that is not lawful or against the normal rules. Through this technique, social engineers make use of the standard propensity of a person to keep faith on his or her word, relatively than making use of computer safety gaps. In addition, it is normally established on that â€Å"clients are the fragile link† in safety as well as this standard is what formulates social engineering practicable (TechT arget, 2009; Allen, 2006). This paper presents a comprehensive analysis of the idea of social engineering. In this scenario this research is aimed to assess some of the main web based scams those make security much harder to manage in proficient manner. This research is aimed to assess some of the prime and recent scams regarding social engineering paradigm. This paper will also assess main attacking areas along with possible counter techniques to secure the social engineering attacks. Social engineering is fundamentally the technique of taking admittance to the systems, networks, buildings or else data by making use of the human mental characteristics, before breaching in or in other words making use of the practical hacking methods. For instance, in place of attempting to find out software flaw, a social engineer might call a worker plus pretense like an IT support person, attempting to deceive the worker into

Slavery and Western Expansion Essay Example | Topics and Well Written Essays - 1000 words

Slavery and Western Expansion - Essay Example In the article, the author explores the failures and triumphs of this period in American history and ends the article by citing fewer celebrations from the period and more disappointments. The author believes that land distribution was a missed opportunity and an egregious failure of this period, claiming that this should have been integral during the emancipation (Dubois 601). This oversight was compounded by injustices directed at the freed slaves concerning civil and labor rights such as black codes and sharecropping. Du Bois, despite the failings, describes the Reconstruction’s failure as splendid wedged between its shortcomings. It is the triumphs of the thirteenth, fourteenth, and fifteenth amendments, as well as education for African Americans. Overall, the reason that Reconstruction failed was due to the many defeats that outweighed the few successes. In the article, Du Bois emphasizes the issue of land distribution to the slaves who had been freed as one failure after the Reconstruction. General Sherman’s Field Order 15, given in 1865, gave hope for redistribution as he ordered the confiscation of plantation land and its division into sections of 40 acres, which would be given to the freed slaves. Unfortunately, they were removed from the land with the government failing to follow up on General Sherman’s order, as well as reneging on the pre-war declaration by Andrew Johnson regarding land redistribution’s necessity. The author has a Marxist view of the failing, claiming variously â€Å"Liberalism did not understand . . . revolution was economic and involved force. . . . It hoped with the high humanitarian of Charles Sumner eventually to induce the planter to surrender his economic power peacefully . . . that other Charles —   Karl Marx   Ã¢â‚¬â€Ã‚  had not yet published  Das Kapital to prove to men that economic power underlies politics† (Du Bois 591). The force and economics referred to by Du Bois are tenants of General Sherman’s Field Order 15, which involved the confiscation and redistribution of land to be put to use by freed slaves. This would allow for the assimilation of the former slaves into the South’s economic structure. The argument put across by Du Bois is not in violation of American principles present at the time. The Republican Government gave railroad corporations Southern land in the same period. Since these corporations were eligible for this, then the massive numbers of former slaves were too. Instead of economic independence via land redistribution, Southern landowners were free to implement tenant farming to control the former slaves. Dubois describes the system as serfdom that was established in territories, in the South. Serfdom gave a false impression of land distribution with landowners requiring that those who lived on their land gave them part of the crops that they harvested. They were also expected to get their equipment from the landown er at inflated prices that caused them to fall further into debt (Dubois 597). Tenant farming, in essence, is representative of an effort to bring back slavery to the furthest possible degree in the South after the war. Since chattel slavery was now illegal, they turned to binding former slaves to land via perpetual poverty and debt, creating legal and new forms of servitude. Black codes were another dehumanizing aspect faced by Southern freed slaves with legislation that limited and stripped their civil liberties and rights during this period. Passed in late 1865, the Black Code

Money and Happiness Essay Example | Topics and Well Written Essays - 1500 words

Money and Happiness - Essay Example Material wealth influences happiness. This depends on the ability of such materials to satisfy the needs of an individual. The fact that more money gives one the freedom of acquiring material property implies that it can directly make one happier. Motivation psychologically helps define individuals. People have varied motivations in life, which in turn influences their definition of happiness. This explains the misconception that there is a relationship between earning more money and being happier in life. Happiness and satisfaction arise from achieving personal goals and ambitions. Money is most often a motivation in many people’s lives; people work hard in order to earn more money, thus making their lives comfortable. Money contributes to happiness but only as a motivation since people achieve some of their life aspirations through money earned. Whenever an individual achieves his or her objectives in life by earning more money or by setting up a successful business, the suc cess contributes to their happiness. However, the process of earning more money is likely to present more challenges and possibly lead to conflicts. This is the situation which affirms that money will not necessarily lead to happiness. Happiness is an emotional or mental state of feeling good about one’s self. This is normally characterized by joy, contentment, and pleasant emotions, among other similar psychological states. It is, therefore, a fundamental human attribute that influences physical and psychological well-being. The definition of happiness and the factors that lead to it are varied. This leads to the social discussion of the relationship between money and happiness.

Adolescence & the human individual Essay Example for Free

Adolescence the human individual Essay During childhood, children basically accept parental authority (Smentana, 1989) and an equilibrium is established in which parents largely determine and control relationships with their children within a context of acceptance and availability (Steinberg and Silverberg, 1986). However, in the state of approaching adolescence and especially during puberty, parent-child relationships are transformed in a number of ways (Collins, 1990). These changes entail increased assertiveness by both parents and children, decreased perceptions of acceptance, inhibited communication, increased incidence of conflictive exchanges, decreased expressions of physical affection and positive feelings among family members, and adjustments in the amount and kind of influence that children exert in family decision making. Difficulties with communication derive in part from sensitivities and embarrassment associated with pubertal changes and this, combined with the adolescents socio-cognitive development and querying of the inequalities in the parent child relationship, often result in tensions and heated exchange (Hill, 1988). Most families, while they sustain close bonds during childrens teenage years, experience such an escalation of conflict, particularly during the early stages of adolescence. Although much of the conflict has been described as mild bickering, disagreements and conflicts over everyday issues and emotional stress during early adolescence (Smetana, 1988), its effects can be debilitating. The role of parents is made more difficult by the legal and status ambiguity of the adolescent period. In todays society, adolescence is an indeterminate period of transition with no rite of passage to mark the distinction between childhood and adulthood. It has been suggested that this has detracted from the capacity of some young people to function as successful adults (Campbell and Moyers, 1988). There is a lack of clarity in the status and legal rights of adolescents which sends confusing messages to parents and teenagers in their relationships with each other. However, several writers have suggested that these apparent perturbations in relationships may serve the positive function of facilitating adolescents independence and diminishing dependence on parents. Via conflicts, family members allow themselves to express distinctive and separate views (Grotevant and Cooper, 1986). It is true that during adolescence, a boy or girl must break, or at least loosen, the ties that bind him or her to home and parents. However, one should not assume that the complete break with, or indifference towards parents or open conflicts with them are a sign of maturity. Quite the contrary is true. Release from home authority is necessary, but revolt is probably not, although a proportion of each adolescent generation leaves home completely as a result of familial conflicts (Henricson and Roker, 2000). For the majority of youth, while once dependent upon their parents, adolescents begin to substitute their friends as the centre of their lives. The centrality of friends and friendship in the life of adolescents has been frequently stressed. It has been claimed that friendships are the most prominent features of the social landscape during adolescence and acceptance by peers generally, and especially having one or more close friends, may be of crucial importance in a young persons life (Coleman and Hardy, 1990). Friendship among adolescents fulfils important tasks, such as providing much of the social context that allows proper performance of actions which will be accepted and rewarded by the peer group, strengthening the self and reaffirming its worth and value. Adolescents use the peer group to express their divided feelings and incoherent images in accordance with their emotional needs and to reinforce their behaviour as they conform to peer norms and behaviour styles (Tatar, 1995). Adolescents perceive popularity and attainment of social status among peers as beneficial and positive, reflecting their desirability as a friend. Adolescents also form larger, more loosely organised groups called crowds. Unlike the more intimate clique, membership into the crowd is based on reputation and stereotype. Whereas the clique serves as the main context for direct interaction, the crowd grants the adolescent an identity within the larger social structure. Adolescents are very aware of the differential social status conferred upon different groups, and this knowledge can affect self-evaluation: categorisation of the self as a member of an unpopular or lower status group can be detrimental to feelings of self-worth and self-esteem (Denholm, Horniblow, and Smalley, 1992). Susceptibility to peer pressure is reported to peak between the ages of twelve to sixteen years (Tarrant, North, Edridge, Kirk, Smith, and Turner, 2001). Peer conformity is a complex process that varies with the adolescents age and need for social approval and with the situation. Adolescents reported that they felt greatest pressure to conform to the most obvious aspects of peer culture, such as, dressing and grooming like everyone else and participating in social activities. Although peer pressure toward misconduct peaked in early adolescence, it was relatively low compared with other areas (Brown, Lohr, McClenahan, 1986). Due to their greater concern with what their peers think of them, early adolescents are more likely than younger or older individuals to give in to peer pressure. Although, when parents and peers disagree, even young adolescents will not consistently rebel against their families. Instead, parents and peers differ in their spheres of greatest influence. Parents have more impact on adolescents basic life values and educational plans, while peers are more influential in short-term, day-today matters, such as type of dress, taste in music, and choice of friends (Berk, 2000).

Smoking and Coronary Heart Disease Impact

Smoking and Coronary Heart Disease Impact Introduction Medical innovations and rapidly evolving technology has led to a decrease in the rate of mortality from diseases. However, the fast and constantly changing hectic lifestyle of today has led to the introduction of new diseases, unhealthy lifestyle and early, premature deaths. Todays technology has provided us with the benefits of early detection and preventive treatments and answers to some of the previously incurable diseases. But it has brought in increased stress and unhealthy eating and other habits that have in some ways caused more harm than benefit. This report titled Smoking: The Heart Breaker is a look at the current situation of coronary heart diseases caused by smoking, relevant legislations, policies and practices, strategies to deal with the situation and future of the disease at local, national and global levels. The report will start by discussing the smoking and coronary heart disease as a public health issue and the reasons for concern. It will provide a background to help better understand the present situation along with an epidemiology of the disease and its causes, with special reference to smoking. It will then go on to report about the legislative policies and strategies that are being currently undertaken in the region of Burnley, East Lancashire to counter this particular health issue. The report will also discuss the policies and initiatives and the status of the health issue at national and global level, so as to provide a complete and holistic picture of the seriousness of the health issue. Finally the report will discuss the current strategies being employed by the government as well as non-government agencies to tackle the health issue. Recommendations will also be made to help make an improvement in the current situation. Public Health Issue: Coronary Heart Disease due to Smoking The term Coronary heart disease is used to describe a condition of blockage or interruption of blood supply to the heart due to build-up of fatty substances in the coronary arteries (NHS, 2009). This build-up (called atheroma) can lead to insufficient supply of blood to the heart causing pain in the chest known as angina. A completely blocked artery can lead to a heart attack (called myocardial infarction) (NHS, 2009). There are various mild to critical impacts of this condition that even result in death. According to the British Heart Foundation Statistics (2009), diseases related to the heart and circulatory issues are the biggest cause of deaths in the UK, resulting in over 90,000 deaths in the UK in a year. This has resulted in not only raised concerns about the disease but also growing efforts to increase the awareness about the disease, its causes, and preventive as well as precautionary measures that can help to avoid the disease. The situation isn t any brighter in other par ts of the world. According to the World Health Organisation (WHO), the majority of countries around the world are affected by coronary heart disease and the disease is a major killer, especially in developing and transitional countries of the world. In a WHO report, cardiovascular diseases including coronary heart disease is considered to be the leading cause of death and is projected to increase from 17.1 million in 2004 to 23.4 million in 2030 (WHO, 2004). Among the various causes of coronary heart disease, smoking is regarded to be one of the primary causes. According to the WHO report, tobacco-related deaths are expected to rise from 5.4 million in 2004 to 8.3 million in 2030, representing 10% of all global deaths; and smoking has been associated to cardiovascular diseases and subsequent deaths (WHO, 2004). According to a study conducted in 2008, smoking is the leading cause of cardiovascular diseases including coronary heart disease (Bullen, 2008). Though increasing age has been thought as a cau se of coronary heart disease, two studies have found that improper lifestyle, stress, etc are increasing the mortality rates due to coronary heart disease among the young population in the UK, USA and Australia (Nemetz, Roger Ransom, 2008) (Ford Capewell, 2007). Therefore, the growing concern for this disease and its preventable yet common cause is the choice of topic for this report. Background and Epidemiology Cardiovascular diseases including coronary heart disease have been found to be an unbiased killer that can create havoc in any society irrespective of its economic, political, cultural, religious, regional or racial identity. Similarly, tobacco smoking (either active or passive) is known to be a major cause of many diseases including the coronary heart disease. Given the stressful lifestyle in today s world, many people take up smoking to tackle the stress levels and in the process get addicted. They not only harm themselves but also people around them. The region of Burnley in East Lancashire, is no exception to this trend. Being witness to many friends and family members taking up smoking in the name of relieving stress and then getting addicted and finally ending up suffering from diseases, especially coronary heart disease inspired the choice of topic for this report. There are several causes that can result in coronary heart disease. The NHS lists smoking as the major cause of the disease (NHS, 2009). The various other causes of coronary heart disease have been listed as high blood pressure, high level of cholesterol in blood, presence of thrombosis and / or diabetes unhealthy lifestyle with no regular exercise, obesity and a family history of angina and / or heart attack (which are hereditary) (Nemetz et al, 2008). The risk factors associated with coronary heart diseases which cannot be treated, modified or changed include age, gender and heredity (or race). Increasing age increases the risks of coronary heart disease and fatality from it. Men are found to be at a greater risk of suffering from coronary heart disease in comparison to women (Wells, 1999). Heredity of coronary disease or its causes such as diabetes, high blood pressure, and cholesterol are also known to create risks of coronary heart conditions. The causes such as smoking, high le vel of cholesterol in blood, high blood pressure, physical inactivity, being overweight and / or obesity and diabetes (diabetes mellitus) are some of the risk factors of coronary heart disease that can be modified, changed and controlled by taking medication and / or by adopting a healthy lifestyle. Other risk factors and causes of the disease include stress and alcohol addiction and can in certain circumstances prove to be fatal causes of the coronary heart disease (Ewles Simnet, 2003). Comparative data of the effects of coronary heart disease in different countries do not provide a very positive picture (see appendix 1). According to a World Health Organisation survey report, the mortality from cardiovascular diseases in 2002 for the developed nations like the United Kingdom and the United States was higher than many other developing nations like China, India, even Nigeria (WHO, 2002). It is clear from the data, that developing countries have a much higher mortality rate from cardiovascular and consequently coronary heart diseases in the developed countries like UK, USA, Germany; and an important fact to notice is that the death rate is higher in the European region in comparison to other regions of the world. This most probably can be attributed to the excessive use of tobacco, alcohol, improper lifestyle that increases stress levels, improper eating habits that leads to blood sugar and cholesterol in the blood. The tobacco usage in different countries around the world also points towards the grimness and enormity of the situation, through which one can appreciate the risk of tobacco causing further deaths due to coronary heart disease (WHO, 2008). The WHO report on tobacco consumption in different countries show that despite government initiatives and regulations, the tobacco consumption has mostly increased and has led to increased mortality especially in the age groups between 25-45 years. Though coronary heart disease is of global nature without any kind of boundary, various specific groups of people are in greater risk of having the disease in comparison to others. The affinity to having coronary heart disease is dependent on factors such as geography, heredity, age and gender. Men are at an increased risk of suffering from coronary heart conditions as compared to women (Wells, 1999). Increase in age increases the chances of suffering from coronary heart disease (DoH, 2004). Coronary heart conditions are also known to be prevalent among Mexican Americans, some Asian Americans, American Indians, and Native Hawaiians (American Heart Association, 2010). England is one of the most vulnerable nations in Europe when it comes to coronary heart diseases (NHS, 2009). Populations in developing and underdeveloped nations of the world too are at a higher risk of suffering from coronary heart disease and related fatalities (American Heart Association, 2010). Smokers, obese people and people with high blood cholesterol are also included in the high risk group for coronary heart disease. Female smokers are more susceptible to the disease especially with increased age since females are more susceptible to the dangers of smoking in comparison to men (WHO, 2002). With increased impact of aggressive and unhealthy lifestyle and stress, the young population across the developed nations of the world too are increasingly coming under the risk of coronary heart disease (NHS, 2008). Therefore, these risk factors result in the coronary heart disease taking on a pandemic nature if certain precautionary and preventive measures are not taken to control the risk factors that can be influenced. Strategies, Policies and Initiatives Given the growing concern about coronary heart diseases, deaths due to the disease and the impact on the younger population, government agencies around the world are taking steps to combat the growing menace. Non-governmental and private agencies too are joining the efforts to promote a healthy lifestyle and awareness about preventive techniques that can help to bring down the risks associated with the disease and the rising cases of fatalities. This section of the report looks at the strategies, agenda, policies, that are being undertaken at the local (NHS East Lancashire, 2010), national and global levels to combat coronary heart disease. Local Public Health In East Lancashire, several workshops and other programmes have been undertaken to increase awareness, educate and help the residents of the area give up smoking and adopt a healthy lifestyle that will help prevent and fight coronary heart disease. The MPs in the region are encouraging antismoking legislations and policies being adopted by the authorities. The NHS has introduced the concept of smoke free zones. The SMYL programme is promoting healthy lifestyle and eating habits (NHS East Lancashire, 2010). Another campaign called Could it be you was also started in 2008 to help people fight coronary heart disease and adopt healthy and preventive lifestyle (Chime Communications Plc, 2008). The authorities in East Lancashire have also collaborated with different agencies to start networks that can promote anti tobacco campaign and raise awareness on coronary heart disease (NHS Networks, 2010). This involvement of the government as well as non-government agencies in the area, one can b e hopeful that headway will be made into the matter. However, it is important that the public realise the criticality of the situation and take advantages of the programmes being undertaken to have a long, healthy and disease free life. Implications at the National Level The National Heart Forum (2006) indicated that heart diseases cost the UK around  £29 billion per year and was termed as economic burden . There are several programmes that have been taken up by the health care authorities and the government in collaboration with non-government agencies to promote anti smoking habits in the country. Several regional programmes such as Bolsover Teenage Smoking Programme, Corby Smoking Cessation Programme, Halton Smoke-Free Programme, London Borough of Tower Hamlets Tobacco Control Alliance, Pendle Smoke-free Council, Heartbeat Awards, the GO Smokefree Campaign, etc have been launched in an earnest to curb the growing effect of smoking in the country (IDeA, 2009). Several governmental legislations have also been put into place (IDeA, 2007). The Department of Health has also started programmes such as Start4Life, 5 A Day, National Support Teams and Let s Get Moving to promote healthy lifestyle that can help to prevent coronary heart disease (DoH, 201 0). Therefore the various government and nongovernment agencies in UK are making effort to control smoking habit and improve lifestyle of the citizens of the country thereby ensuring a brighter future free from smoking and coronary heart disease. Global Health The fight against smoking and coronary heart disease has taken enormous proportions with the growing realisation that these are two of the most important killers in the world today. Especially, the understanding that smoking causes diseases such as the coronary heart disease not only in the smoker but also in non-smokers who have been in the presence of smokers, has led major organisations and developed nations of the world to taking a stand against smoking. The Work with Heart project by WHO is helping to spread the message of preventive actions that can help in prohibiting coronary heart disease and other cardiovascular diseases (WHO, 2010a). WHO has also taken up research and global partnership initiatives to help the developing countries of the world fight cardiovascular diseases (WHO, 2010b). Furthermore, WHO has aligned with several countries in the world to promote regional activities under the global strategy to counter cardiovascular diseases which includes America, Eastern Mediterranean, Africa, South-East Asia, European region and Western Pacific (WHO, 2010c). To help fight the smoking addiction growing among countries, WHO has set up the Global Tobacco Surveillance System (GTSS) (WHO, 2010d) and is also collaborating with different international organisations such as the United Nations and the governments of various countries to help campaign against sale and use of tobacco among different nations (WHO, 2010e). Recommendations and Conclusion Upon analysing the current situation on a local, national and global basis, the following recommendations can be made: Initiatives to prevent coronary heart disease and promote anti smoking habits need to be undertaken at the grass root level, i.e. at local level. This will make the initiatives and campaigns more effective. The developing nations such as India, Brazil and China need to be targeted with confidence. Further researches into preventive and curative medicines and technologies for coronary heart diseases need to be promoted. Healthy lifestyle needs to be promoted at every level since preventive practices are more beneficial than curative ones. It is important to realise that despite several initiatives being taken by local, national and global agencies and governments, smoking trends are increasing around the world and has started to affect the young population. Coronary heart disease too has started to take its toll on the population around the world due to the hectic and unhealthy lifestyles that have come to permeate people s lives. It is highly essential that for the success of the initiatives and programmes, people must be involved in them and everyone across the globe has to realise that simple changes to their lifestyle, eating habits and anti smoking measures will help to fight and prevent coronary heart disease. The changes in lifestyle will also bring down coronary heart disease caused due to other factors such as stress, alcohol, blood sugar and cholesterol. To conclude, it can be stated that prevention is better than cure and quitting smoking and leading a healthy lifestyle can protect everyone from the silent killer, the coronary heart disease (Ewles Simnet, 2003). References American Heart Association (2010) Risk Factors and Coronary Heart Disease [Online] last accessed 2nd December 2009 at http://www.americanheart.org/presenter.jhtml?identifier=4726 ASH (2009) Ash facts at a glance: Implementation of the Smoke-free Law in England, Wales and Northern Ireland [Online] last accessed 2nd December 2009 at http://www.ash.org.uk/files/documents/ASH_594.pdf Ash (2007) Ash facts at a glance: Smoking and Diseases [Online] last accessed 2nd December 2009 at http://www.ash.org.uk/files/documents/ASH_94.pdf Ash (2010) Ash facts at a glance: Smoking Statistics [Online] last accessed 2nd December 2009 at http://www.ash.org.uk/files/documents/ASH_93.pdf Ash (2010) Ash facts at a glance: Tobacco Economics [Online] last accessed 2nd December 2009 at http://www.ash.org.uk/files/documents/ASH_95.pdf Ash (2009) Ash facts at a glance: Tobacco Regulations [Online] last accessed 2nd December 2009 at http://www.ash.org.uk/files/documents/ASH_96.pdf British Heart Foundation Statistics Website (2009) Mortality [Online] last accessed 2nd December 2009 at http://www.heartstats.org/topic.asp?id=17 Bullen, C. (July, 2008). Impact of Tobacco Smoking and Smoking Cessation on Cardiovascular Risk and Disease. Expert Review of Cardiovascular Therapy, Vol. 6, No. 6, pp. 883-895. Chime Communications Plc (2008) East Lancashire PCT Enlists BMT to Develop a Campaign to Tackle the Region s Biggest Killer [Online] last accessed 2nd December 2009 at http://www.chime.plc.uk/press-releases/bmt-launches-east-lancashire-pct-campaign-could-it-be-you Department of Health (DoH) (2010) Public Health [Online] last accessed 2nd December 2009 at http://www.dh.gov.uk/en/Publichealth/index.htm Department of Health (DoH) (2004) The National Service Framework for Coronary Heart Disease: Wining the War on Heart Disease [Online] last accessed 2nd December 2009 at http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4077154 Ewles L, Simnett I. (2003). Promoting Health: A Practical Guide. London: Balliere Tindall. Ford, E. S. Capewell, S. (2007) Coronary Heart Disease Mortality Among Young Adults in the U.S. from 1980 Through 2002. Concealed Levelling of Mortality Rates Journal of the American College of Cardiology Vol. 50, pp. 2128-2132. Improvement and Development Agency (IDeA) (2009) Smoking [Online] last accessed 2nd December 2009 at http://www.idea.gov.uk/idk/core/page.do?pageId=5889940 Improvement and Development Agency (IDeA) (2007) Smoke-free Legislation [Online] last accessed 2nd December 2009 at http://www.idea.gov.uk/idk/core/page.do?pageId=6166044 National Health Service (NHS) (2009) Health A-Z: Coronary Heart Disease [Online] last accessed 2nd December 2009 at http://www.nhs.uk/conditions/Coronary-heart-disease/Pages/Introduction.aspx National Health Service (NHS) (2008) Rates of Heart Disease in the Young [Online] last accessed 2nd December 2009 at http://www.nhs.uk/news/2007/January08/Pages/Ratesofheartdiseaseintheyoung.asp National Heart Forum (2006) Economic Cost of Heart Disease [Online] last accessed 2nd December 2009 at http://www.heartforum.org.uk/AboutCHD_Economicburden.aspx Nemetz, P. N., Roger, V. L., Ransom, J. E., Bailer, K. R., Edwards, W. D., Leibson, C. L. (2008) Recent Trends in the Prevalence of Coronary Disease: A Population-Based Autopsy Study of Non-natural Deaths Archival of Internal Medicine Vol. 168, No. 3, pp. 264-270. NHS East Lancashire (2010) SMYL If you want to live longer [Online] last accessed 2nd December 2009 at http://www.smyl.eastlancspct.nhs.uk/welcome/ NHS Networks (2010) East Lancashire Public Health Network [Online] last accessed 2nd December 2009 at http://www.networks.nhs.uk/networks.php?pid=727 Smoke Free (2007) Smoke-free Legislation Compliance Data [Online] last accessed 2nd December 2009 at http://www.smokefreeengland.co.uk/files/dhs01_03-smokefree_report_final.pdf Wells, A. J. (1999) Passive Smoking and Coronary Heart Disease New England Journal of Medicine Vol. 341, No. 9, pp.697-698. World Health Organisation (WHO) (2004) Causes of Death (part 2). The Global Burden of Disease: 2004 Update [Online] last accessed 2nd December 2009 at http://www.who.int/healthinfo/global_burden_disease/GBD_report_2004update_part2.pdf World Health Organisation (WHO) (2010a) Cardiovascular Diseases: Key messages to protect heart health [Online] last accessed 2nd December 2009 at http://www.who.int/cardiovascular_diseases/en/ World Health Organisation (WHO) (2002) Global Burden of Disease in 2002: Data Sources, Methods and Results [Online] last accessed 2nd December 2009 at https://apps.who.int/infobase/compare.aspx?dm=10countries=818%2c250%2c414%2c484%2c554%2c566%2c643%2c710%2c826%2c840year=2002sf1=mo.cg.059sex=all World Health Organisation (WHO) (2010d) Global Information System on Tobacco Control [Online] last accessed 2nd December 2009 at http://www.who.int/tobacco/global_data/en/index.html World Health Organisation (WHO) (2010e) Global Network [Online] last accessed 2nd December 2009 at http://www.who.int/tobacco/global_interaction/en/ World Health Organisation (WHO) (2010c) Regional Activities to the Global CVD Strategy [Online] last accessed 2nd December 2009 at http://www.who.int/cardiovascular_diseases/region/en/ World Health Organisation (WHO) (2010b) Research and Global Partnership Initiatives [Online] last accessed 2nd December 2009 at http://www.who.int/cardiovascular_diseases/research/en/ World Health Organisation (WHO) (2008) Tobacco Use: Infobase [Online] last accessed 2nd December 2009 at https://apps.who.int/infobase/report.aspx?rid=116dm=8 Bibliography American Heart Association (2010) Risk Factors and Coronary Heart Disease [Online] last accessed 2nd December 2009 at http://www.americanheart.org/presenter.jhtml?identifier=4726 Ash (2007) Ash facts at a glance: Smoking and Diseases [Online] last accessed 2nd December 2009 at http://www.ash.org.uk/files/documents/ASH_94.pdf ASH (2009) Ash facts at a glance: Implementation of the Smoke-free Law in England, Wales and Northern Ireland [Online] last accessed 2nd December 2009 at http://www.ash.org.uk/files/documents/ASH_594.pdf Ash (2009) Ash facts at a glance: Tobacco Regulations [Online] last accessed 2nd December 2009 at http://www.ash.org.uk/files/documents/ASH_96.pdf Ash (2010) Ash facts at a glance: Smoking Statistics [Online] last accessed 2nd December 2009 at http://www.ash.org.uk/files/documents/ASH_93.pdf Ash (2010) Ash facts at a glance: Tobacco Economics [Online] last accessed 2nd December 2009 at http://www.ash.org.uk/files/documents/ASH_95.pdf British Heart Foundation Statistics Website (2009) Mortality [Online] last accessed 2nd December 2009 at http://www.heartstats.org/topic.asp?id=17 Bullen, C. (July, 2008). Impact of Tobacco Smoking and Smoking Cessation on Cardiovascular Risk and Disease. Expert Review of Cardiovascular Therapy, Vol. 6, No. 6, pp. 883-895. Chime Communications Plc (2008) East Lancashire PCT Enlists BMT to Develop a Campaign to Tackle the Region s Biggest Killer [Online] last accessed 2nd December 2009 at http://www.chime.plc.uk/press-releases/bmt-launches-east-lancashire-pct-campaign-could-it-be-you Department of Health (DoH) (2004) The National Service Framework for Coronary Heart Disease: Wining the War on Heart Disease [Online] last accessed 2nd December 2009 at http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4077154 Department of Health (DoH) (2010) Public Health [Online] last accessed 2nd December 2009 at http://www.dh.gov.uk/en/Publichealth/index.htm Ewles L, Simnett I. (2003). Promoting Health: A Practical Guide. London: Balliere Tindall. Ford, E. S. Capewell, S. (2007) Coronary Heart Disease Mortality Among Young Adults in the U.S. from 1980 Through 2002. Concealed Levelling of Mortality Rates Journal of the American College of Cardiology Vol. 50, pp. 2128-2132. Hill, S. Blakely, T., Kawachi, I., Woodward, A. (2004) Mortality Among Never Smokers Living with Smokers: Two Cohort Studies British Medical Journal Vol. 328, No. 7446, pp. 988-989. Improvement and Development Agency (IDeA) (2007) Smoke-free Legislation [Online] last accessed 2nd December 2009 at http://www.idea.gov.uk/idk/core/page.do?pageId=6166044 Improvement and Development Agency (IDeA) (2009) Smoking [Online] last accessed 2nd December 2009 at http://www.idea.gov.uk/idk/core/page.do?pageId=5889940 Jiang, H.E., Vupputuri, S., Allen, K., Prerost, M. R., Hughes, J., Whelton, P. K. (1999) Passive Smoking and the Risk of Coronary Heart Disease A Meta Analysis of Epidemiological Studies New England Journal of Medicine Vol. 340, No. 12, pp. 920-926. Kaur, S., Cohen, A., Dolor, R., Coffman, C.J., Bastian, L.A. (2004) The Impact of Environmental Tobacco Smoke on Women s Risk of Dying from Heart Disease: A Meta Analysis Journal of Women s Health Vol. 13, No. 8, pp. 888-897. National Health Service (NHS) (2008) Rates of Heart Disease in the Young [Online] last accessed 2nd December 2009 at http://www.nhs.uk/news/2007/January08/Pages/Ratesofheartdiseaseintheyoung.asp National Health Service (NHS) (2009) Health A-Z: Coronary Heart Disease [Online] last accessed 2nd December 2009 at http://www.nhs.uk/conditions/Coronary-heart-disease/Pages/Introduction.aspx National Heart Forum (2006) Economic Cost of Heart Disease [Online] last accessed 2nd December 2009 at http://www.heartforum.org.uk/AboutCHD_Economicburden.aspx Nemetz, P. N., Roger, V. L., Ransom, J. E., Bailer, K. R., Edwards, W. D., Leibson, C. L. (2008) Recent Trends in the Prevalence of Coronary Disease: A Population-Based Autopsy Study of Non-natural Deaths Archival of Internal Medicine Vol. 168, No. 3, pp. 264-270. NHS East Lancashire (2010) SMYL If you want to live longer [Online] last accessed 2nd December 2009 at http://www.smyl.eastlancspct.nhs.uk/welcome/ NHS Networks (2010) East Lancashire Public Health Network [Online] last accessed 2nd December 2009 at http://www.networks.nhs.uk/networks.php?pid=727 Smoke Free (2007) Smoke-free Legislation Compliance Data [Online] last accessed 2nd December 2009 at http://www.smokefreeengland.co.uk/files/dhs01_03-smokefree_report_final.pdf Wells, A. J. (1999) Passive Smoking and Coronary Heart Disease New England Journal of Medicine Vol. 341, No. 9, pp.697-698. Whincup, P. H., Gilg, J. A., Emberson, J. R., Jarvis, M. J., Feyerabend, C., Bryant, A., Wakler, M., Cook, D. G. ( 2004) Passive Smoking and Risk of Coronary Disease and Stroke: Prospective Study with Cotinine Measurement British Medical Journal Vol. 329, No. 7459, pp. 200-205. World Health Organisation (WHO) (2002) Global Burden of Disease in 2002: Data Sources, Methods and Results [Online] last accessed 2nd December 2009 at https://apps.who.int/infobase/compare.aspx?dm=10countries=818%2c250%2c414%2c484%2c554%2c566%2c643%2c710%2c826%2c840year=2002sf1=mo.cg.059sex=all World Health Organisation (WHO) (2004) Causes of Death (part 2). The Global Burden of Disease: 2004 Update [Online] last accessed 2nd December 2009 at http://www.who.int/healthinfo/global_burden_disease/GBD_report_2004update_part2.pdf World Health Organisation (WHO) (2008)Tobacco Use: Infobase [Online] last accessed 2nd December 2009 at https://apps.who.int/infobase/report.aspx?rid=116dm=8 World Health Organisation (WHO) (2010a) Cardiovascular Diseases: Key messages to protect heart health [Online] last accessed 2nd December 2009 at http://www.who.int/cardiovascular_diseases/en/ World Health Organisation (WHO) (2010b) Research and Global Partnership Initiatives [Online] last accessed 2nd December 2009 at http://www.who.int/cardiovascular_diseases/research/en/ World Health Organisation (WHO) (2010c) Regional Activities to the Global CVD Strategy [Online] last accessed 2nd December 2009 at http://www.who.int/cardiovascular_diseases/region/en/ World Health Organisation (WHO) (2010d) Global Information System on Tobacco Control [Online] last accessed 2nd December 2009 at http://www.who.int/tobacco/global_data/en/index.html World Health Organisation (WHO) (2010e) Global Network [Online] last accessed 2nd December 2009 at http://www.who.int/tobacco/global_interaction/en/ Smoking and Coronary Heart Disease Impact Smoking and Coronary Heart Disease Impact Introduction Medical innovations and rapidly evolving technology has led to a decrease in the rate of mortality from diseases. However, the fast and constantly changing hectic lifestyle of today has led to the introduction of new diseases, unhealthy lifestyle and early, premature deaths. Todays technology has provided us with the benefits of early detection and preventive treatments and answers to some of the previously incurable diseases. But it has brought in increased stress and unhealthy eating and other habits that have in some ways caused more harm than benefit. This report titled Smoking: The Heart Breaker is a look at the current situation of coronary heart diseases caused by smoking, relevant legislations, policies and practices, strategies to deal with the situation and future of the disease at local, national and global levels. The report will start by discussing the smoking and coronary heart disease as a public health issue and the reasons for concern. It will provide a background to help better understand the present situation along with an epidemiology of the disease and its causes, with special reference to smoking. It will then go on to report about the legislative policies and strategies that are being currently undertaken in the region of Burnley, East Lancashire to counter this particular health issue. The report will also discuss the policies and initiatives and the status of the health issue at national and global level, so as to provide a complete and holistic picture of the seriousness of the health issue. Finally the report will discuss the current strategies being employed by the government as well as non-government agencies to tackle the health issue. Recommendations will also be made to help make an improvement in the current situation. Public Health Issue: Coronary Heart Disease due to Smoking The term Coronary heart disease is used to describe a condition of blockage or interruption of blood supply to the heart due to build-up of fatty substances in the coronary arteries (NHS, 2009). This build-up (called atheroma) can lead to insufficient supply of blood to the heart causing pain in the chest known as angina. A completely blocked artery can lead to a heart attack (called myocardial infarction) (NHS, 2009). There are various mild to critical impacts of this condition that even result in death. According to the British Heart Foundation Statistics (2009), diseases related to the heart and circulatory issues are the biggest cause of deaths in the UK, resulting in over 90,000 deaths in the UK in a year. This has resulted in not only raised concerns about the disease but also growing efforts to increase the awareness about the disease, its causes, and preventive as well as precautionary measures that can help to avoid the disease. The situation isn t any brighter in other par ts of the world. According to the World Health Organisation (WHO), the majority of countries around the world are affected by coronary heart disease and the disease is a major killer, especially in developing and transitional countries of the world. In a WHO report, cardiovascular diseases including coronary heart disease is considered to be the leading cause of death and is projected to increase from 17.1 million in 2004 to 23.4 million in 2030 (WHO, 2004). Among the various causes of coronary heart disease, smoking is regarded to be one of the primary causes. According to the WHO report, tobacco-related deaths are expected to rise from 5.4 million in 2004 to 8.3 million in 2030, representing 10% of all global deaths; and smoking has been associated to cardiovascular diseases and subsequent deaths (WHO, 2004). According to a study conducted in 2008, smoking is the leading cause of cardiovascular diseases including coronary heart disease (Bullen, 2008). Though increasing age has been thought as a cau se of coronary heart disease, two studies have found that improper lifestyle, stress, etc are increasing the mortality rates due to coronary heart disease among the young population in the UK, USA and Australia (Nemetz, Roger Ransom, 2008) (Ford Capewell, 2007). Therefore, the growing concern for this disease and its preventable yet common cause is the choice of topic for this report. Background and Epidemiology Cardiovascular diseases including coronary heart disease have been found to be an unbiased killer that can create havoc in any society irrespective of its economic, political, cultural, religious, regional or racial identity. Similarly, tobacco smoking (either active or passive) is known to be a major cause of many diseases including the coronary heart disease. Given the stressful lifestyle in today s world, many people take up smoking to tackle the stress levels and in the process get addicted. They not only harm themselves but also people around them. The region of Burnley in East Lancashire, is no exception to this trend. Being witness to many friends and family members taking up smoking in the name of relieving stress and then getting addicted and finally ending up suffering from diseases, especially coronary heart disease inspired the choice of topic for this report. There are several causes that can result in coronary heart disease. The NHS lists smoking as the major cause of the disease (NHS, 2009). The various other causes of coronary heart disease have been listed as high blood pressure, high level of cholesterol in blood, presence of thrombosis and / or diabetes unhealthy lifestyle with no regular exercise, obesity and a family history of angina and / or heart attack (which are hereditary) (Nemetz et al, 2008). The risk factors associated with coronary heart diseases which cannot be treated, modified or changed include age, gender and heredity (or race). Increasing age increases the risks of coronary heart disease and fatality from it. Men are found to be at a greater risk of suffering from coronary heart disease in comparison to women (Wells, 1999). Heredity of coronary disease or its causes such as diabetes, high blood pressure, and cholesterol are also known to create risks of coronary heart conditions. The causes such as smoking, high le vel of cholesterol in blood, high blood pressure, physical inactivity, being overweight and / or obesity and diabetes (diabetes mellitus) are some of the risk factors of coronary heart disease that can be modified, changed and controlled by taking medication and / or by adopting a healthy lifestyle. Other risk factors and causes of the disease include stress and alcohol addiction and can in certain circumstances prove to be fatal causes of the coronary heart disease (Ewles Simnet, 2003). Comparative data of the effects of coronary heart disease in different countries do not provide a very positive picture (see appendix 1). According to a World Health Organisation survey report, the mortality from cardiovascular diseases in 2002 for the developed nations like the United Kingdom and the United States was higher than many other developing nations like China, India, even Nigeria (WHO, 2002). It is clear from the data, that developing countries have a much higher mortality rate from cardiovascular and consequently coronary heart diseases in the developed countries like UK, USA, Germany; and an important fact to notice is that the death rate is higher in the European region in comparison to other regions of the world. This most probably can be attributed to the excessive use of tobacco, alcohol, improper lifestyle that increases stress levels, improper eating habits that leads to blood sugar and cholesterol in the blood. The tobacco usage in different countries around the world also points towards the grimness and enormity of the situation, through which one can appreciate the risk of tobacco causing further deaths due to coronary heart disease (WHO, 2008). The WHO report on tobacco consumption in different countries show that despite government initiatives and regulations, the tobacco consumption has mostly increased and has led to increased mortality especially in the age groups between 25-45 years. Though coronary heart disease is of global nature without any kind of boundary, various specific groups of people are in greater risk of having the disease in comparison to others. The affinity to having coronary heart disease is dependent on factors such as geography, heredity, age and gender. Men are at an increased risk of suffering from coronary heart conditions as compared to women (Wells, 1999). Increase in age increases the chances of suffering from coronary heart disease (DoH, 2004). Coronary heart conditions are also known to be prevalent among Mexican Americans, some Asian Americans, American Indians, and Native Hawaiians (American Heart Association, 2010). England is one of the most vulnerable nations in Europe when it comes to coronary heart diseases (NHS, 2009). Populations in developing and underdeveloped nations of the world too are at a higher risk of suffering from coronary heart disease and related fatalities (American Heart Association, 2010). Smokers, obese people and people with high blood cholesterol are also included in the high risk group for coronary heart disease. Female smokers are more susceptible to the disease especially with increased age since females are more susceptible to the dangers of smoking in comparison to men (WHO, 2002). With increased impact of aggressive and unhealthy lifestyle and stress, the young population across the developed nations of the world too are increasingly coming under the risk of coronary heart disease (NHS, 2008). Therefore, these risk factors result in the coronary heart disease taking on a pandemic nature if certain precautionary and preventive measures are not taken to control the risk factors that can be influenced. Strategies, Policies and Initiatives Given the growing concern about coronary heart diseases, deaths due to the disease and the impact on the younger population, government agencies around the world are taking steps to combat the growing menace. Non-governmental and private agencies too are joining the efforts to promote a healthy lifestyle and awareness about preventive techniques that can help to bring down the risks associated with the disease and the rising cases of fatalities. This section of the report looks at the strategies, agenda, policies, that are being undertaken at the local (NHS East Lancashire, 2010), national and global levels to combat coronary heart disease. Local Public Health In East Lancashire, several workshops and other programmes have been undertaken to increase awareness, educate and help the residents of the area give up smoking and adopt a healthy lifestyle that will help prevent and fight coronary heart disease. The MPs in the region are encouraging antismoking legislations and policies being adopted by the authorities. The NHS has introduced the concept of smoke free zones. The SMYL programme is promoting healthy lifestyle and eating habits (NHS East Lancashire, 2010). Another campaign called Could it be you was also started in 2008 to help people fight coronary heart disease and adopt healthy and preventive lifestyle (Chime Communications Plc, 2008). The authorities in East Lancashire have also collaborated with different agencies to start networks that can promote anti tobacco campaign and raise awareness on coronary heart disease (NHS Networks, 2010). This involvement of the government as well as non-government agencies in the area, one can b e hopeful that headway will be made into the matter. However, it is important that the public realise the criticality of the situation and take advantages of the programmes being undertaken to have a long, healthy and disease free life. Implications at the National Level The National Heart Forum (2006) indicated that heart diseases cost the UK around  £29 billion per year and was termed as economic burden . There are several programmes that have been taken up by the health care authorities and the government in collaboration with non-government agencies to promote anti smoking habits in the country. Several regional programmes such as Bolsover Teenage Smoking Programme, Corby Smoking Cessation Programme, Halton Smoke-Free Programme, London Borough of Tower Hamlets Tobacco Control Alliance, Pendle Smoke-free Council, Heartbeat Awards, the GO Smokefree Campaign, etc have been launched in an earnest to curb the growing effect of smoking in the country (IDeA, 2009). Several governmental legislations have also been put into place (IDeA, 2007). The Department of Health has also started programmes such as Start4Life, 5 A Day, National Support Teams and Let s Get Moving to promote healthy lifestyle that can help to prevent coronary heart disease (DoH, 201 0). Therefore the various government and nongovernment agencies in UK are making effort to control smoking habit and improve lifestyle of the citizens of the country thereby ensuring a brighter future free from smoking and coronary heart disease. Global Health The fight against smoking and coronary heart disease has taken enormous proportions with the growing realisation that these are two of the most important killers in the world today. Especially, the understanding that smoking causes diseases such as the coronary heart disease not only in the smoker but also in non-smokers who have been in the presence of smokers, has led major organisations and developed nations of the world to taking a stand against smoking. The Work with Heart project by WHO is helping to spread the message of preventive actions that can help in prohibiting coronary heart disease and other cardiovascular diseases (WHO, 2010a). WHO has also taken up research and global partnership initiatives to help the developing countries of the world fight cardiovascular diseases (WHO, 2010b). Furthermore, WHO has aligned with several countries in the world to promote regional activities under the global strategy to counter cardiovascular diseases which includes America, Eastern Mediterranean, Africa, South-East Asia, European region and Western Pacific (WHO, 2010c). To help fight the smoking addiction growing among countries, WHO has set up the Global Tobacco Surveillance System (GTSS) (WHO, 2010d) and is also collaborating with different international organisations such as the United Nations and the governments of various countries to help campaign against sale and use of tobacco among different nations (WHO, 2010e). Recommendations and Conclusion Upon analysing the current situation on a local, national and global basis, the following recommendations can be made: Initiatives to prevent coronary heart disease and promote anti smoking habits need to be undertaken at the grass root level, i.e. at local level. This will make the initiatives and campaigns more effective. The developing nations such as India, Brazil and China need to be targeted with confidence. Further researches into preventive and curative medicines and technologies for coronary heart diseases need to be promoted. Healthy lifestyle needs to be promoted at every level since preventive practices are more beneficial than curative ones. It is important to realise that despite several initiatives being taken by local, national and global agencies and governments, smoking trends are increasing around the world and has started to affect the young population. Coronary heart disease too has started to take its toll on the population around the world due to the hectic and unhealthy lifestyles that have come to permeate people s lives. It is highly essential that for the success of the initiatives and programmes, people must be involved in them and everyone across the globe has to realise that simple changes to their lifestyle, eating habits and anti smoking measures will help to fight and prevent coronary heart disease. The changes in lifestyle will also bring down coronary heart disease caused due to other factors such as stress, alcohol, blood sugar and cholesterol. To conclude, it can be stated that prevention is better than cure and quitting smoking and leading a healthy lifestyle can protect everyone from the silent killer, the coronary heart disease (Ewles Simnet, 2003). 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