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Behind the counter proposal for cigarettes

Shopkeepers could be banned from displaying cigarettes under Government plans.

The Department of Health said it was launching a consultation to look at ways to stop children smoking.

In a bid to cut the number of smokers and prevent children taking up the habit, ministers have drawn up proposals including a bar on displaying tobacco products and the removal of pub vending machines.

Measures making it easier to sell nicotine replacement gums and patches are also on the table.

The proposals follow on the July introduction of the ban on smoking in public places.

According to the Department of Health, the strategy - coupled with wider smokefree legislation - will save hundreds of lives. Someone who starts smoking at 15 is three times more likely to die of cancer due to smoking than someone who starts in their late twenties, the department said.

Public Health Minister Dawn Primarolo said: "Children who smoke are putting their lives at risk and are more likely to die of cancer than people who start smoking later. It's vital we get across the message to children smoking is bad. If that means stripping out vending machines or removing cigarettes from behind the counter, I'm willing to do that."

According to the latest figures from the Office for National Statistics, the proportion of adults who smoke has dropped by two per cent from 24 to 22 per cent. About 165,000 smokers quit between April and September - an increase of 28 per cent compared with the same period the previous year.

The Government has set a target of reducing the proportion of smokers in England to 21 per cent by 2010. In this year's Budget, Chancellor Alistair Darling increased the duty on tobacco, adding 11p to the price of a packet of 20 cigarettes and 4p to five cigars. He said the Government was continuing the five per cent reduced rate of VAT on smoking cessation products beyond June 30.

Mark Littlewood, communications director of liberal think tank Progressive Vision, said: "Cigarettes are a product for adults and steps need to be taken to prevent youngsters buying them. But banning the display of cigarettes would be petty, pointless and patronising."

Health

Widower criticises West Midlands Ambulance Service for lack of apology over wife's death

A Midland widower whose wife died after alleged delays by paramedics in getting her to hospital has criticised the ambulance service for not apologising four years after her death.Roger Bereza, who lives in Coventry, spoke out after West Midlands Ambulance Service (WMAS) paid an undisclosed six-figure-sum in an out of court settlement earlier this month.His 41-year-old wife Tracey had suffered asthma since childhood but on April 11, 2004 she had an acute attack and her condition continued to worsen, so Mr Bereza dialled 999 for an ambulance.As well as complaints about the way the ambulance crew treated his wife at the scene, he said they had to ask him for directions to the nearest hospital and went the wrong way.A crew of two paramedics arrived at the family home at just after 9.20pm but, he said, it took more than 75 minutes to take his wife to hospital during which time she went into respiratory arrest.Mr Bereza, a 47-year-old RAC patrolman, claimed there was a series of shortcomings in the way his wife’s care was handled and once in the ambulance she suffered a respiratory arrest.He said he could only watch as his wife vomited blood, turned blue and arrested in front of him, as his three daughters looked on from the house.“By now I knew I had to do something, so I started doing chest compressions on Tracey’s chest while one of the paramedics tried to get the defibrilator to work. Monitors were showing her pulse was at zero, and we were still on the driveway. I couldn’t give up on her, even though I realised it was the beginning of the end.”They arrived at Coventry & Warwickshire A&E at 10.35pm. Mrs Bereza never regained consciousness and died four days later after her family took the difficult decision to turn off her life support machine.The couple, who had three daughters aged 20, 19 and nine, were due to celebrate their 21st wedding anniversary in June 2004.Despite the pay-out from WMAS, the family said they had yet to receive a formal apology or admission of liability.A trust spokesman said: “WMAS first became involved in the treatment of Mrs Bereza on the evening April 11, 2004 when her husband called for an ambulance. Mrs Bereza had suffered an asthma attack after inhaling polish fumes.“The trust wrote to Mr Bereza on July 22, 2008 in regard to his claims about the level of care given to his wife and expressed its ‘sincere regret’.“WMAS is always learning from its experiences and strives constantly to find ways of improving patient care.“In light of this case, further inquiries into the trust’s protocols were undertaken to ensure that the training and actions of staff are appropriate at all times.”Mr Bereza added: “I am still extremely angry. This tragedy should never have happened.“Although Tracey had suffered from asthma since childhood, it was controlled most of the time. We knew that if she had a severe attack we had to get her to hospital as soon as possible. Even though we live just 10 minutes from the nearest A&E, I had always been told to call an ambulance and not to attempt to drive there myself in case we got stuck in traffic or Tracey required emergency oxygen for her nebuliser.“I wish I’d ignored this advice and taken Tracey to hospital myself.”Lindsay Gibb, a medical negligence expert with Birmingham-based law firm Irwin Mitchell, said: “This is a hollow victory for the family because despite agreeing to pay a significant sum by way of compensation, the trust has not apologised to the family or accepted that its paramedics were negligent in any way.“The relevant guidelines state that: …’in a life threatening or acute severe asthma attack - do not delay transportation. Load and go to nearest suitable receiving hospital and provide nebulisation en route’.“This clearly was not the case on this occasion and the evidence suggests these delays were responsible for the fatal outcome.”Mr Bereza now intends to refer his case to the Health Professionals Council. Read

Hospitals fail to halve MRSA cases

Pledges to cut MRSA infections in half have been broken at six West Midlands hospital trusts, including those responsible for Heartlands, Good Hope and the Queen Elizabeth Hospitals in Birmingham. Read