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May, 2015:

Tax increase goes up in smoke

http://www.scmp.com/comment/insight-opinion/article/1801861/tax-increase-goes-smoke

The case for the mainland to do something about its smoking habit hardly needs restating. But we are prompted to do so by Beijing’s announcement of a derisory increase in the consumption tax on cigarettes which is highly likely to fail one of its justifications – to discourage smoking. The government has raised the wholesale tax on cigarettes from 5 per cent to 11 per cent. This may sound a lot, but it has had a featherweight impact on over-the-counter cigarette prices and sales, according to retailers in the capital. For example, a popular brand that used to cost 25 yuan (HK$32) a pack now costs 27 yuan. One retailer said his business had not suffered at all from the rise, indicating a zero deterrent effect.

The increase in the wholesale price is estimated to bring in an extra 20-billion-plus yuan in tax revenue this year compared with 2014, according to an informed source, although other experts put the figure much higher. In the absence of any significant deterrent effect on a dangerous habit that inflates national health-care costs, this is a socially questionable windfall for the state. There is an argument for socially “laundering” it by direct transfer to the national health budget. It would make even more sense, however, if the tax increase were also considerably larger. Since 2000, price inflation for cigarettes in the mainland has lagged rising incomes, and taxes account only for about 50 per cent of the retail price, compared with about 70 per cent in Hong Kong, up to 80 per cent in Europe and the World Health Organisation recommendation for China of at least 70 per cent.

The mainland has more than 300 million smokers. According to the WHO, about one million deaths a year can be attributed to tobacco use. In Hong Kong, a decade of regular tobacco-tax increases is credited with cutting the incidence of lung cancer after allowing for an ageing population.

That said, Beijing is to be commended for introducing, from next month, the nation’s toughest smoking bans yet since the first curbs on smoking in indoor venues in 2010. Weak enforcement has fostered defiance in eating places. Fines will now be 20 times higher at 200 yuan and the ban is being extended to schools, hospitals, and museums among other public places. A two-pronged approach of relentless enforcement of tougher penalties and higher tobacco taxes levied as contributions towards the future health-care costs would greatly enhance the deterrent effect.

Legislative Council Panel on Health Services – Progress of Tobacco Control Measures

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Phase II randomised controlled trial of an intervention to reduce time-to-consult with symptoms of lung cancer

http://bmjopen.bmj.com/content/5/5/e008046.full?g=w_tc_open_tab

Protocol for the CHEST Australia Trial: a phase II randomised controlled trial of an intervention to reduce time-to-consult with symptoms of lung cancer

Abstract

Introduction

Lung cancer is the most common cancer worldwide, with 1.3 million new cases diagnosed every year. It has one of the lowest survival outcomes of any cancer because over two-thirds of patients are diagnosed when curative treatment is not possible. International research has focused on screening and community interventions to promote earlier presentation to a healthcare provider to improve early lung cancer detection. This paper describes the protocol for a phase II, multisite, randomised controlled trial, for patients at increased risk of lung cancer in the primary care setting, to facilitate early presentation with symptoms of lung cancer.

Methods/analysis

The intervention is based on a previous Scottish CHEST Trial that comprised of a primary-care nurse consultation to discuss and implement a self-help manual, followed by self-monitoring reminders to improve symptom appraisal and encourage help-seeking in patients at increased risk of lung cancer. We aim to recruit 550 patients from two Australian states: Western Australia and Victoria. Patients will be randomised to the Intervention (a health consultation involving a self-help manual, monthly prompts and spirometry) or Control (spirometry followed by usual care). Eligible participants are long-term smokers with at least 20 pack years, aged 55 and over, including ex-smokers if their cessation date was less than 15 years ago. The primary outcome is consultation rate for respiratory symptoms.

Ethics and dissemination

Ethical approval has been obtained from The University of Western Australia’s Human Research Ethics Committee (RA/4/1/6018) and The University of Melbourne Human Research Committee (1 441 433). A summary of the results will be disseminated to participants and we plan to publish the main trial outcomes in a single paper. Further publications are anticipated after further data analysis. Findings will be presented at national and international conferences from late 2016.

Trial registration number Australian New Zealand Clinical Trial Registry ACTRN 1261300039 3752.

More must be done to stub out the scourge of tobacco use in Europe

https://www.theparliamentmagazine.eu/articles/opinion/more-must-be-done-stub-out-scourge-tobacco-use-europe

MEPs have a responsibility to reduce the EU’s 700,000 annual smoking-related deaths, argues Brian Hayes.

Cancer is one of the biggest causes of death in Europe and lung cancer accounts for a significant number of those deaths. I believe that one of our responsibilities as legislators is to tackle the largest cause of lung cancer – smoking.

Smoking is the single biggest preventable cause of cancer in Europe, causing 90 per cent of lung cancers. Every year, more Europeans die from smoking than from the combined total of car accidents, fires, drug overdoses, murders and suicides. Around 700,000 Europeans will die from smoking this year.

The passing of the EU tobacco products directive does not mark the end of the scourge of tobacco use in Europe. Quite frankly I believe we need to do more. Some member states are exceeding their obligations which I very much welcome. Ireland, my own country, despite strong objections from the tobacco industry was the first member state to pass legislation to introduce plain packaging.

Now other countries including the United Kingdom and France are following suit. Yet, the implementation of such measures could potentially be delayed as the tobacco industry intends on taking these governments to court.

Tobacco is a unique case. It is the only legal product that will kill half of its long-term users. That is why I fully support the introduction of standardised packaging in Ireland and would like to see a situation where every EU member state adopts the same position.

Australia was the first country to introduce such legislation and the evidence is clear. Dozens of studies have concluded that standardised packaging reduces the attractiveness of cigarettes, lowers the ability of packaging to mislead consumers into believing that some products are less harmful and increases the noticeability and impact of health warning messages.

Official statistics show that Australia’s smoking rate has been significantly reduced and is continuing to fall. It is now at its lowest levels since records began.

Another area where I believe we could work to discourage smoking is on the price of tobacco. In Ireland, we have increased taxation on cigarettes to approximately €10 per pack of 20 – one of the highest rates in Europe.

Repeated studies show that price is a deterring factor for smokers. In Ireland, the largest single annual decline in smoking rates was nine per cent between June 2009 and June 2010. The origins of this can be traced back to the preceding year’s budget in which a €0.50 excise duty was added to a pack of cigarettes.

Many people will disagree with my opinion and I respect that. However, we must face reality – cancer is one the biggest causes of death across the 28 member states with lung cancer accounting for a significant amount of those deaths. If we are serious about reducing our cancer rates we need to tackle the causes.

Arguments will be made that we are overregulating the tobacco industry but if we sit back and do nothing the 700,000 Europeans that die in 2015 from smoking could be a significantly higher figure in 10 years’ time.

About the author
Brian Hayes (EPP, IE) is a member of MEPs against cancer

ITIC: A Foundation Directly Sponsored by Transnational Tobacco Companies

http://www.fctc.org/media-and-publications/fact-sheets/alternative-livelihoods-and-environment/1246-itic-a-foundation-directly-sponsored-by-transnational-tobacco-companies

The International Tax and Investment Center (ITIC) is a U.S.-based non-profit research and education organization headquartered in Washington, D.C. ITIC describes itself as an independent clearinghouse for best practices in taxation and investment policy that provides “its sponsors a seat at the policymaking table.”

ITIC’s main sponsors are large multinational corporations from the oil, alcohol and tobacco industries. ITIC’s sponsors include all of the leading transnational tobacco companies, and its Board of Directors includes representatives from BAT, PMI, JTI and Imperial Tobacco.

Internal tobacco industry documents made public through U.S.-based litigation settlements in 1998 disclose that ITIC has long played a role in facilitating the tobacco industry’s access to government officials. For example, a 1997 internal R.J. Reynolds memo describes ITIC’s role in assisting RJR and PMI in favourable tax reform in Russia.

ITIC provides advice to governments on tobacco tax issues. They hold workshops and meetings and provide technical advice through paid experts. They sponsor reports on illicit trade, producing illicit trade estimates with poorly defined methodology and often exaggerated rates of illicit trade. ITIC uses their workshops, contacts and research to push for tax systems and rates that benefit the industry over public health

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Tobacco industry misrepresenting illegal market to stop excise increase, expert says

http://www.abc.net.au/news/2015-05-18/tobacco-companies-to-launch-cheap-cigarettes-battle-black-market/6477278

An expert in tobacco control says claims that action is needed to curb illegal tobacco use in New South Wales are incorrect.

British American Tobacco Australia (BATA) said it commissioned research which found 14.5 per cent of tobacco consumed in Australia is illegal.

BATA is considering introducing make-your-owns, at $9 for a pack of 25 cigarettes, to curb the trend.

But Dr Becky Freeman from the University of Sydney said government surveys showed illegal tobacco use fell between 2007 and 2013, and has accused the tobacco industry of distorting figures.

“It’s clear that the use of illicit tobacco has actually decreased,” she said.

Dr Freeman said 3.6 per cent of smokers admitted to using illicit tobacco.

But British American Tobacco insists its figures are correct.

“Our particular figure, we stand by it,” British American Tobacco Australia’s Scott McIntyre said.

“That’s backed up by us going out there and going to all different locations across the country with ex-detectives doing undercover purchases.”

Dr Freeman accused the tobacco industry of distorting illegal tobacco use to offset the impact of the rises in excise.

“The primary motivation to say that there has been an increase in illicit tobacco use is to prevent the Government from further increasing taxes and that hurts the tobacco industry,” she said.

“This is completely an industry beat up. I find that the notion that legal cigarettes have passed some sort of safety standards completely laughable.

Dr Becky Freeman

“The Government should continue on with its taxation policy of increasing the price.”

The tobacco industry has warned that proceeds from illegal tobacco and cigarettes were being funnelled to criminal gangs and that profits should be going to government.

“The excise system is just not having the desired effect,” Mr McIntyre said. “It’s shocking people into changing their behaviour and looking for cheaper alternatives.

“We’re not encouraging people to take up the habit. “We’re just saying if you’re already a smoker and you’re smoking an illegal product, we would rather them smoke ours and that way at least the consumer knows that they’re smoking a product that has been through the right laws and standards and the Government is getting their fair share in tax.”

Mr McIntyre said consumers also have greater assurances over what substances are used in legal tobacco products. But Dr Freeman said that simply was not true.

“I find that the notion that legal cigarettes have passed some sort of safety standards completely laughable,” Dr Freeman said.

“The cigarettes that are sold legally in shops, we actually have no idea what’s in them either.

“The tobacco industry isn’t required to declare what’s in them.”

Tobacco industry threatens to launch super-cheap ciggies as officials want more power to seize illicit tobacco

http://www.smh.com.au/nsw/tobacco-industry-threatens-to-launch-supercheap-ciggies-as-officials-want-more-power-to-seize-illicit-tobacco-20150517-ggzip5.html

The tobacco industry has threatened to launch super-cheap cigarettes costing just A$9 a pack in response to a growing black market in cheap, illegal tobacco, which health officials claim they are powerless to seize.

The NSW Cancer Council has slammed the move by the tobacco industry as a desperate attempt to attract new smokers. NSW Labor says the government must “get serious” about tackling smuggled tobacco, after a rise in illegal sales at retailers throughout Sydney.

NSW Health has told a review of tobacco laws that its inspectors have detected increased sales of illicit tobacco, which is packaged without health warnings and is sometimes blatantly labelled “illegal tobacco”.

Over the past two years, illegal sales were detected 28 times at retailers throughout Sydney, including at Haymarket, Glebe, Marrickville, Earlwood, Ashfield, Harris Park, Auburn, Wakeley, Strathfield, Punchbowl and Canterbury. Of those, 13 have not yet been successfully prosecuted.

Despite the emerging problem, the health department’s powers extend only to photographing and taking samples of illegal tobacco, and inspectors are unable to seize the products. It called for laws to be strengthened.

Contraband tobacco is typically sold cheaply, undercutting the price of legal products. It is usually imported from overseas and avoids quarantine, health checks, taxes and plain packaging warning people of the danger of smoking. It can also contain noxious chemicals and mould.

Health inspectors say retailers caught with illegal tobacco frequently claim it is not for sale, despite possessing large quantities beyond that which could reasonably be considered for personal use.

British American Tobacco Australia has suggested its own fix to the growing market for illegal “chop chop”, or unbranded loose tobacco, saying it will consider launching a cheap “make your own” cigarette brand to compete for market share.

It would involve selling “very cheap” loose tobacco, rolled by smokers at home using a high-tech cigarette-making machine. The company says the product could equate to $9 for 25 cigarettes. At present, the cheapest such pack is about $15.

Cancer Council NSW tobacco control manager Scott Walsberger said the plan was a “desperate attempt by the industry to recruit and retain smokers”. Data showed the use of illicit tobacco had declined in recent years, he said.

But NSW Labor’s health spokesman Walt Secord said international research showed illicit tobacco consumption is expected to surpass legal tobacco worldwide within five years. He offered bi-partisan support for “sensible and tough proposals” such as tougher laws and community education, adding “it is time the Baird government got serious about tackling the problem of dodgy smokes”.

Health Minister Jillian Skinner said the government was “committed to strengthening measures which will stop the sale of illegal tobacco”. She did not detail the timetable for reform.

A NSW Health spokeswoman said the department was seeking to have quantities of illegal tobacco deemed to be for retail sale and to extend the power of inspectors to seize the product.

CTA Letter – World Customs Organization / ITIC active participation and co-operation

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Country Laws Regulating E-cigarettes: A Policy Scan

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Former UK tax chief under fire for joining smoking lobbyists

http://www.theguardian.com/business/2015/may/16/uk-tax-chief-smoking-health-dave-hartnett-tobacco-hmrc

Health campaigners are furious that Dave Hartnett joined Washington group that opposes tobacco taxation a year after leaving HMRC

Health campaigners are furious that the former head of HM Revenue and Customs has taken a role with a powerful lobbying organisation that campaigns against tobacco taxation. Dave Hartnett, who stepped down as permanent secretary of tax at HMRC in 2012, became a director of the International Tax and Investment Center (Itic), a Washington-based organisation that is accused of promoting the interests of “big tobacco”, in 2013.

Clear the Air, a Hong Kong pressure group, said Harnett should have declared the role. The advisory committee on business appointments (Acoba) has confirmed that he did not seek its permission, as would normally happen when a senior civil servant takes a prominent role within two years of leaving Whitehall. Hartnett insists that he did not need permission for the unpaid role as nominal director. “I do not believe there was anything here to report to Acoba and it follows that I do not believe that I have offended the letter or spirit of the Acoba rules,” he said in a statement.

Documents show Hartnett chaired meetings for Itic in October 2013. He has also given talks and is due to speak at one of its conferences next month.

Itic boasts that its sponsors have the opportunity to “gain special access to partner country policy-makers and legislators”, but it is regularly accused of undermining health legislation. According to TobaccoTactics.org, it is funded by multinational corporations, including industry leaders Philip Morris, Japan Tobacco International, British American Tobacco and Imperial Tobacco. All four companies have representatives on Itic’s board of directors.

Internal documents obtained by The Observer show how PMI intended to use Itic to lobby against the UK’s plan for plain packaging for cigarettes, seen by health campaigners as a major weapon in the fight to stop young people taking up smoking.

“Itic is paid by the tobacco industry to lobby governments against policies to cut smoking,” said Deborah Arnott, chief executive of health charity ASH. “I’m shocked that Mr Hartnett seems to be happy to allow his status as a former permanent secretary to be used by a tobacco industry front group that promotes addiction, disease and premature death.”

Daniel Witt, president of Itic, defended his organisation, saying it provides a “neutral forum for discussions on tax and investment policy”. Supporters of Itic deny claims that it is in the pocket of big tobacco.

However major health organisations are critical of the way it operates.

The UK is a signatory to the World Health Organisation’s framework convention on tobacco control, which was established to check the influence of tobacco companies and their front organisations. In an unusual move, the organisation has openly called for governments to distance themselves from Itic.

“Itic has published extensively in favour of the tobacco industry’s false positions on excise taxation, investment and illicit trade in tobacco products,” said Dr Douglas Bettcher, director of prevention of noncommunicable diseases for the WHO. “Itic have used their international conferences, such as in Moscow in 2014 and in New Delhi earlier this month, to lobby government officials against tobacco taxation. This is despite tobacco taxation being the most effective and efficient measure to reduce demand for tobacco products. Parties to the WHO framework convention on tobacco control are obliged to protect their public health policies from interference by the tobacco industry and its allies. In this light, WHO urges all countries to follow a non-engagement policy with Itic.”

Hartnett attracted controversy after negotiating tax deals with major corporations such as Vodafone and Goldman Sachs. Critics said the deals were generous to the companies, a claim rejected by HMRC. Since stepping down from the civil service, he has come under fire for his advisory work with HSBC.

Concerns about Itic recently prompted the World Bank to pull out of a tax conference that was funded by several of its transnational tobacco company supporters. “For over two decades Itic has promoted tobacco-friendly fiscal policies in developing countries that have helped fuel the global tobacco epidemic, but governments and international organizations like the World Bank are increasingly realising that Itic is nothing more than a secret mouthpiece for big tobacco companies,” said Matt Myers, president of the Campaign for Tobacco-Free Kids.

In a statement to the Observer, Hartnett explained that he was, along with around 50 other “leading figures in taxation”, a nominal director of Itic.

“I am not paid for that role,” Hartnett said. “I am not an executive director and do not in any way direct the strategy or business of Itic. I know Itic as a not-for-profit research and education organisation which supports the development of tax systems in less developed countries.”

Sheila Duffy, chief executive of ASH Scotland, called on the government to confirm whether any rules had been breached.

“I’d also like to see HMRC and other government departments ensure that no current public official confers any appearance of legitimacy on Itic.”