The other day I visited a couple whose baby had recently died suddenly and unexpectedly. This family stood out as unusual in that neither parent smoked. The vast majority of bereaved parents whom I have visited over the past years have been smokers, and it seems clear to me that this is one of the biggest modifiable risk factors for SIDS.
In our South West study of sudden infant death in 2003-6, we found that 59% of mothers of SIDS infants had smoked during pregnancy, compared to just 14% of mothers whose babies had not died, equating to a 13-fold increase in risk[1].
And this makes me angry.
Not at the mothers or fathers who expose their babies to such risks, but at the callous greed and indifference of those who continue to produce and market the cigarettes that are killing these babies.
Over the past few months, Lois and I have had the privilege of visiting a local family assessment unit as lay chaplains. The families placed here for assessment come from a range of backgrounds, but all have been treated harshly by life, and the odds seem stacked against them and their babies. Every Saturday night many of these parents come to the chapel with their babies for a bit of space: away from the constant scrutiny and surveillance. Here in this sacred space they can be themselves. We have a laugh together, share some of Lois’ home baking, and join in a simple liturgy of reflection. Many of them ask us to pray a simple prayer of blessing over their baby: they, like all parents, long for their babies to have a better life.
After our time together, almost without exception, these parents congregate outside the chapel, with their babies, in the outdoor smoking shelter. We sometimes stop and chat a bit longer before heading off. And I feel angry. There in that shelter, these parents are slowly poisoning themselves and their babies.
But the parents themselves are victims: victims of the aggressive marketing of the cigarette companies that got them addicted in the first place; victims of a society that alienates and marginalises them; victims of their background and culture that leaves them feeling powerless to change, so that often the only solace they can find is in that little fix of nicotine and tobacco.
And meanwhile, the tobacco companies continue to produce their poison.
In 2012, 5,800,000,000,000 cigarettes were smoked globally.[2]
The WHO estimates that one person dies from tobacco every 
6 seconds; 10% of these as a result of exposure to second-hand tobacco smoke.
Meanwhile, the tobacco giants continue to rake in their profits. Jonathan Gornall, writing in the BMJ, cited operating profits of 9.2 billion pounds for Philip Morris International, and £6.1 billion for British American Tobacco.
When I sit down with a parent whose baby has recently died and they ask me that deep, deep question, ‘Why?’ I am sometimes tempted to cry out in pain, ‘Because of the greed and indifference of the chief executives, the board members and the shareholders of the big tobacco companies who have made you and your baby victims! Don’t ask me why your baby died, go and ask them.’
But surely those people, too, must have a heart, somewhere, that beats?
Is it too much to hope that somehow those hearts could be changed?
In his book The Book of Forgiving, Archbishop Desmond Tutu, with his daughter, Mpho, reflect on their painful experiences through their lives in South Africa, and particularly the Archbishop’s involvement in the Truth and Reconciliation commission. Back in the 1980s it seemed impossible to hope that the perpetrators of apartheid and the unjust systems of that country could ever change. And yet, they have found that through the hard, long road of restorative justice, people have changed; truth has come to light; and reconciliation has occurred.
Do I dare to dream of the possibility that just one of these CEOs, or a board member of one of the tobacco companies could one day accompany me as I visit a bereaved family; that they, too, could hear their story; and maybe, just maybe, a glimmer of compassion could be awakened in their heart?
[1] Blair, P. S., et al. (2009). “Hazardous cosleeping environments and risk factors amenable to change: case-control study of SIDS in south west England.” BMJ 339: b3666.
[2] Gornall, J. (2015) Slaying the Dragon: how the tobacco industry refuses to die. BMJ 2015;350:h2052
Great read doc! Couldn’t agree more. Many of the families I’ve visited over the past 20 years often are in the blind when it comes to smoking and sudden infant death. They associate cigarettes with lung disease maybe heart disease but rarely infant death.