next steps for the regulation of cigarettes bill king and ron borland
TRANSCRIPT
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Next steps for the regulation of cigarettes
Bill King and Ron Borland
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Possibilities for regulating cigarettes
1. Regulate to attempt to reduce toxicity
– Emission limits.
2. Regulate to attempt to reduce addictiveness
– Nicotine limits.
3. Regulate to attempt to reduce attractiveness, especially illusions of reduced harmfulness.
– Restrict engineering and additives that help mask inherent signs of toxicity, and/or make the cigarettes taste better than they otherwise would
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Toxin reduction
• Responsibility of companies and regulators
• Combustion sets limits to possible amount
• Requires selective filtration
• If there were any easy solutions , the industry would have adopted them
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Reduction in addictiveness
• Phase out the nicotine– Prohibition by stealth, unless viable alternative
source– NRT and/or smokeless tobacco
• An agenda worth considering– But lots of research needed on viability
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Reinventing the “gasper”
• Cigarettes used to be little more than tobacco rolled in paper
• Large numbers of additives to enhance flavour, facilitate inhalation of smoke etc
• Filter ventilation key engineering feature that dilutes smoke, making it seem “lighter”
• All plausibly add to consumer appeal, and are unnecessary
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Low tar Australia
• Australia took the ‘low tar’ harm reduction strategy further than any other country
• The system of ‘tar bands’, with six prescribed categories, enabled the industry to produce a huge variety of ‘mild’ brands
• Six varieties for major brand families
• Most countries have only regular/ light/ ultra light for major brand families
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The Winfield brand family 2005
• Nominal tar: 1mg 2mg 4mg 6mg 8mg 12mg 16mg
• % ventilation: 81 73 62 45 34 18 3
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How do you get so much variety in tar yields and taste?
• Simple: filter ventilation
• Without filter ventilation you couldn’t produce more than 2 or 3 distinguishable varieties.
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Post ‘Lights’ Australia
• As of March 2006 Australian cigarette brands no longer have:– tar, nicotine and carbon monoxide figures on-pack
(replaced by qualitative warnings)– Mild or Light descriptors in brand names
• Labelling/ descriptions have changed – replaced by Smooth and Fine descriptors and
colour schemes– But, we assume, actual cigarettes remain the same
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Mild becomes rich and fine
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Old T/N/CO figures and new qualitative warning
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Nominal tar: 1mg 2mg 4mg 8mg 12mg 16mg
• % ventilation: 81 76 58 30 23 20
The PJ brand family in transition
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The Marlboro brand family gets a new addition
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UKAustraliaCanadaUSA
Mean level of endorsement of Light Benefit Scale
UK ban AUS ban
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The other member of the Marlboro family
• Menthol flavouring also creates illusions of reduced harmfulness
• Menthol vapour blocks irritation receptors and stimulates cold receptors
• Why allow that?
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Banning flavour additives
• There is no public health reason to allow flavour additives
• However, apart from menthol and ‘candy’ cigarettes, we don’t really understand the role of most additives
• We shouldn’t allow the industry to trade-off ceasing using flavour additives while being able to use engineering to manipulate flavour and harshness
• We do know that filter ventilation is being used to manipulate flavour and harshness
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The mechanism of the “Lights” fraud
• Filter ventilation not only fools smokers– It also fools the ISO testing regime
• Heavily vented cigarettes test as very low tar
• Yet, within limits, deliver equivalent tar to smokers– Smokers compensate by puffing more and harder– The dilution effect is reduced at higher puff intensities
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Conclusions
• While steps that have been taken to deal with the ‘low tar’ deception that may have reduced the problem, they have not ended it
• The deception is an ongoing cause of harm
• Banning filter ventilation is the most direct way to deal with the problem– This would effectively result in banning “lights”– Those that are genuinely low delivery would remain
• But few smoke them
• There is no reason to allow the current fraud to continue
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International Tobacco Control Policy Evaluation Project
http://www.itcproject.org
Major Research Support
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