Clear The Air News Tobacco Blog Rotating Header Image

February, 2015:

Smoke’s up: Is doubling tobacco tax a wise move?

http://www.timeout.com.hk/big-smog/features/71165/smokes-up-is-doubling-tobacco-tax-a-wise-move.html

Ahead of this year’s budget speech on February 25, the Hong Kong Council on Smoking and Health has called on the Legislative Council for tobacco tax to be doubled in a bid to deter people from smoking. This would see the average price of a packet of cigarettes rise from $55 to a whopping $93, something that would be in line with countries like the UK. It’s certainly close to the average price of a packet in Australia, which is around $94. The proposed hike seems to be simply aimed at putting smokers off the habit by hitting them where it always hurts the most – right in the pocket. EDIT: On February 25 2015, a 20% per stick increase on cigarettes was announced as part of the 2015-16 Hong Kong Government Budget with immediate effect. As a result, the average retail price pack increased from an average of $50 to approximately $54.

Just over one in 10 of us smoke in Hong Kong – 10.7 percent to be precise. It even brought together Shawn Yue and Miriam Yeung in 2010 rom-com Love in a Puff. When compared to other developed countries, this figure seems low. The smoking prevalence rate in Australia, for instance, is 13.3 percent, versus 17.8 percent in the USA and, higher still, 19 percent in the UK. But, nevertheless, some of the powers that be reckon it’s still worth tackling here due to the health risks to that 10.7 percent alone. And, as the World Health Organisation highlights, ‘increasing the price of tobacco through higher taxes is the single most effective way to encourage tobacco users to quit and prevent children from starting to smoke’.

It comes as no surprise, then, that Hong Kong’s leading anti-tobacco campaigners – which include the Council on Smoking and Health (COSH), the Anti-Cancer Society and the Dental Association – have been ardently lobbying the government for an increase in tax. In an open letter addressed to financial secretary John Tsang at the start of February, local anti-tobacco organisations outlined the loss of more than 7,000 lives annually from smoking-related diseases. That means the taxpayer foots much of the high costs of medical expenses.

A study by COSH, released last month, found that increases in tobacco tax over the past three decades have correlated with drops in daily smoking prevalence. “When [smokers] find that the tobacco price has increased, then they will take action. It has an immediate effect,” says Vienna Lai, the council’s executive director. Lai thinks that if tobacco tax were to be doubled, ‘within one or two years the smoking preference in HK could be lowered down to single digits [under 10 percent]’.

We take to the streets to gauge retailers’ opinions on the proposed tobacco tax increase. “The government keeps increasing the tax anyway,” says Ms Lai, a street vendor in Wan Chai. “It’s no big deal. It doesn’t make much difference. If they already smoke, they’ll keep smoking.” The same scepticism is shown by Ms Ling, a sales assistant at an international chain of convenience stores. She says: “It’ll have an impact on sales but it won’t stop people from smoking.” Helen Chan Ching-han, centre supervisor at the Integrated Centre on Smoking Cessation, disagrees, though. She notes that over the past few decades, tobacco tax increases ‘always motivate smokers to quit and the demand [for services] increases suddenly’. The proposed tax increase, she says, ‘will really affect those with low incomes, as a packet of cigarettes may cost as much as a meal for the family’.

We also ask a handful of smokers how they foresee an increase in tobacco tax affecting their consumption. David Wong, a local 23-year-old, tells us: “I’ll either smoke less or I won’t smoke any more. Cigarettes are really expensive already. For people who smoke, it would have a big effect.” By contrast, though, 32-year-old expat Catherine Davies doesn’t think that the proposed increase in price would be enough for her to stop. “I think it’s good in terms of discouraging people from smoking,” she says. “I won’t cut down, though, because it’s really not that much.”

It all begs the question – just how much would it take to stop Hongkongers from smoking? COSH’s survey found that current smokers, on average, reckon that the price for a packet should be increased to $171 to effectively motivate them to quit, which suggests there’s still a long way for anti-tobacco lobbyists to go.

One issue that raising tobacco tax can’t deal with is the proliferation of illicit cigarettes. Figures show that the majority of illicit cigarettes seized by Customs and Excise are smuggled into Hong Kong from the Mainland and, in 2011, approximately 40 percent of them were counterfeits. In last year’s budget speech, the Financial Secretary announced plans to step up enforcement against this illegal cigarette trade.

China is the world’s largest producer and consumer of tobacco – earning it the appropriate nickname ‘the smoking dragon’. A packet of cigarettes in our closest neighbour costs an average of $17 and there are an estimated 300 million smokers throughout the country. Unsurprisingly, the tobacco industry is a lucrative source of revenue for the Chinese government. COSH works closely with tobacco control associations in China. However, it’s clear that the Chinese attitude to smoking is unlikely to change much in the near future, posing questions over whether a tax hike in our city would simply encourage more illegal trading.

A spokesperson from the Coalition on Tobacco Affairs, which is opposed to an increase in tax, tells us that ‘another steep tobacco tax increase would only fuel the already rampant illicit tobacco trade’. The group cites figures from an Asia-wide study conducted by Oxford Economics, which show that, in 2013, Hong Kong’s illicit cigarette consumption rate stood at more than 30 percent, costing the Government $3.2b in excise tax revenues. The coalition recommends, instead, ‘a long-term policy of moderate and regular excise tax [that] increases in line with inflation and can help to achieve the Government’s tobacco control objectives without driving smokers to the illicit market’. Predictably, anti-tobacco groups dispel these statistics, arguing that they are skewed by doubtful research methods and tobacco companies’ self-interest.

Whether tobacco tax should be frozen or increased is an age-old debate, encompassing all manner of questions. There’s scarcely room to mention allegations of corruption and cronyism, infringement of liberties and other control measures like advertising regulations and expansion of smoke-free areas. Recent speculation by the media, though, casts doubt on an increase in tax this coming year, with news that the Financial Secretary is still assessing the effect of last year’s tax. This is good news for those opposed to new tax hikes, like the Coalition on Tobacco Affairs.

However, Professor Lam Tai-hing, from Hong Kong University’s School of Public Health, asserts that ‘if an increase in tax is not imposed, the government is obviously not taking public health seriously enough’. He emphatically urges the Financial Secretary to ‘increase the amount that the government collects and put it into those services and resources that will incentivise smokers to stop. Use the money to benefit those who have given up and those who are giving up. Please increase tobacco tax’. And so the debate rages on…

The annual tobacco tax rate is announced in the Financial Secretary’s 2015-2016 Budget Speech on February 25. Any alterations are expected to be enacted with immediate effect.

EDIT: On February 25 2015, an immediate 20% per stick increase was announced as part of the 2015-16 Hong Kong Government Budget. As a result, the average retail price pack increased from an average of $50 to approximately $54. (oops, wrong year Ms Foster, it was 2014)

dddd

Philip Morris vs Oriental Republic of Uruguay

Download (PDF, 65KB)

Smoking is even MORE dangerous than we thought: Scientists link the habit to five extra diseases, bringing the total to 26

http://www.dailymail.co.uk/health/article-2955391/Smoking-dangerous-thought-Scientists-link-habit-five-extra-diseases-bringing-total-26.html

  • New study links smoking to 26 diseases – five more than thought in past
  • Link between cigarettes and lung disease, artery disease, heart attacks, stroke and some cancers is well documented
  • But scientists identified smokers are at double the risk of kidney failure, hypertensive heart disease, infections and extra respiratory problems
  • Also six times more likely to suffer rare condition caused by poor blood flow to the intestines
  • Estimated smoking kills 60,000 more Americans than thought each year
  • If five illnesses are included in smoking death toll, global figure could increase by hundreds of thousands, scientist’s findings suggest

Five diseases and health conditions not previously linked to smoking are now thought to be caused by the habit, scientists claim.

The link between cigarettes and lung disease, some cancers, artery disease, heart attacks and stroke is well documented.

But scientists at the Washington University School of Medicine have identified smoking is also linked to significantly increased risks of infection, kidney disease, intestinal disease caused by inadequate blood flow, and heart and lung illnesses not previously attributed to tobacco.

They studied health data from almost one million people, following them for 10 years.

Their findings suggest the number of people dying from smoking each year, across the world, is significantly underestimated.

In the US, health officials estimate smoking kills around 480,000 people each year.

Research has already established 21 diseases caused by smoking, including 12 types of cancer, six categories of cardiovascular disease, diabetes, chronic obstructive pulmonary disease [COPD], and pneumonia including influenza.

In the UK that figure is around 100,000, while the World Health Organisation estimate the global figure stands at six million, when taking into account second-hand smoke.

However, the team of scientists at Washington University believe those figures could be considerably higher, when taking into account deaths from the five additional health problems, they now believe are closely linked to smoking.

Dr Eric Jacobs, co-author of the study, estimates smoking could be killing around 60,000 extra Americans each year – around 13 per cent of the 480,000 deaths currently attributed to the habit each year.

If applied to the world wide figure, their theory suggests an extra 780,000 across the world could be dying from the affects of smoking each year.

Dr Jacobs, said: ‘The number of additional deaths potentially linked to cigarette smoking is substantial.

‘In our study, many excess deaths among smokers were from disease categories that are not currently established as caused by smoking, and we believe there is strong evidence that many of these deaths may have been caused by smoking.

‘If the same is true nationwide, then cigarette smoking may be killing about 60,000 more Americans each year than previously estimated, a number greater than the total number who die each year of influenza or liver disease.’

Those taking part in the study were men and women, all aged 55 or older .

Over the course of the decade-long study, more than 180,000 of the participants died.

Researchers found current smokers, as predicted, had death rates almost three times higher than those who had never smoked.

Their findings show the majority of excess deaths in smokers were due to diseases that are established as being caused by smoking, including 12 types of cancer, coronary heart disease, stroke, diabetes and chronic obstructive pulmonary disease (COPD).

But they also found around 17 per cent of the excess deaths in smokers were due to diseases that have not yet officially been linked to smoking, by the US surgeon general.

It means these deaths would not be counted in estimates of the death toll from smoking.

The scientists noted, in particular, that smoking was found to at least double a person’s risk of death from several causes, including renal failure, intestinal ischemia, hypertensive heart disease, infections and various respiratory diseases, other than COPD.

Smokers were also six times more likely to die from a rare illness caused by insufficient blood flow to the intestines.

The risk of death from each of these diseases was found to decline after a person quit the habit.

The study authors note there is strong evidence that smoking is a cause of death from these five diseases, even though they are not currently included in estimates of deaths caused by smoking.

Smoking was also linked with smaller increases in risk of death from other causes not formally established as caused by smoking, including breast cancer, prostate cancer, and cancers of unknown site.

The authors conclude that a substantial portion of excess mortality among smokers may be due to diseases not formally established as caused by smoking.

They add, that if supported by future research, some of the diseases should be included in future estimates of the death toll from smoking.

DISEASES LINKED TO SMOKING

Past studies have already established a link between smoking and 21 different diseases, as recognised by the US surgeon general.

They are:

  • 12 types of cancer
  • six categories of cardiovascular disease, including coronary heart disease and stroke
  • diabetes
  • chronic obstructive pulmonary disease (COPD)
  • pneumonia including influenza

This new study, funded by the American Cancer Society, found strong links between five additional health problems and cigarettes.

They are:

  • kidney disease – renal failure
  • intestinal ischemia
  • hypertensive heart disease
  • infections
  • various respiratory diseases, other than COPD

Dr Brian Carter, an epidemiologist at the American Cancer Society, which funded the research, told the New York Times: ‘The smoking epidemic is still ongoing, and there is a need to evaluate how smoking is hurting us as a society, to support clinicians and policy making in public health.’

The study was an observational one, assessing people’s habits and noted statistical correlations between their behaviour and their health.

Correlation does not prove a cause-and-effect relationship.

As a result these studies are not deemed as strong as experiments where volunteers are given random treatments, with placebo groups included for comparison.

People cannot ethically be instructed to smoke for a study, so much of the data relating to cigarette’s effects on people has to come from observational studies, such as this.

The study was published in the New England Journal of Medicine.

http://www.dailymail.co.uk/health/article-2955391/Smoking-dangerous-thought-Scientists-link-habit-five-extra-diseases-bringing-total-26.html#v-3583777289001

The Islamic State has ultimately solved the smoking problem, by beheading a nicotine addict

http://sputniknews.com/middleeast/20150213/1018236120.html

Ekaterina Blinova — The Islamic State has found its own way of fighting tobacco addiction, severing the smoker’s head from his body.

Referring to strict Sharia norms, the Islamic State has imposed restrictions on tobacco, alcohol and marijuana use, labeling these acts as “sinful.” The ISIL Preaching Office reportedly qualified smoking as a “slow suicide,” adding that it results in both “financial and health damages.”

“Every smoker should be aware that with every cigarette he smokes in a state of trance and vanity is disobeying God,” the statement said.

Open Letter to Hong Kong Financial Secretary: Raising Tobacco Tax Substantially to Lower Smoking Prevalence

Download (PDF, 2.06MB)

Download (PDF, 2.18MB)

Northern Ireland backs plain tobacco packet plan

02 February 2015

Northern Ireland’s health minister has backed plans to introduce standardised cigarette packaging.

Jim Wells said the region would be included in the UK Government’s proposals for plain tobacco product packets, which is set to be voted on by MPs in Westminster before the General Election.

Wales has already backed the potential UK-wide law change, with Scottish ministers also signalling their support for the measure.

If backed by MPs, plain packaging could be introduced by May 2016.

Some Conservative MPs have voiced opposition to the plans.

Announcing that he was giving consent for Northern Ireland to be included in the proposed legislation, Mr Wells said: “Smoking remains the single greatest cause of preventable illness and premature death in Northern Ireland. Half of all smokers will be killed by their use of tobacco products.

“Branding on cigarette packets provides one of the last opportunities for tobacco companies to promote their products. Evidence shows that young people are more receptive to this type of advertising than adults. I believe that standardised packaging has the potential to contribute to a further reduction in child and adult smoking prevalence and look forward to this measure being introduced in Northern Ireland.”

Standardised packaging will require all cigarettes and hand rolling tobacco for retail sale to meet certain conditions including:

:: Standard colour (dull brown on the outside and white on the inside)

:: All text on the packaging, including brand name and variant, to be in a standard typeface

:: No branding, advertising or promotion on the pack (except the use of the brand name)
advertisement

All tobacco products will continue to carry health warnings.

http://www.belfasttelegraph.co.uk/news/local-national/northern-ireland/ni-backs-plain-tobacco-packet-plan-30957507.html

[AUS] Liberals gain $70,000 from tobacco firms

February 02, 2015

THE Liberal Party received $70,000 in donations from tobacco firm Philip Morris in the past financial year, with one contribution dated after a ban was imposed.

PRIOR to the September 2013 federal election the Liberal-National coalition faced pressure from Labor and the Greens to rule out accepting money from cigarette makers.

The then opposition leader Tony Abbott, a former health minister, declared on August 21 of that year tobacco industry funding was no longer welcome in his party.

Until that point, the Liberals had received more than $2.1 million over a decade from the two major tobacco companies.

But the Australian Electoral Commission, which on Monday published released the 2013/14 list of donations to political parties, revealed the Victorian branch of the Liberal Party accepted a $5000 donation from Philip Morris on August 23.

The donation was made via a Liberal fundraising body known as the Menzies 200 Club.

The Nationals accepted donations of $3300 and $20,000 from Philip Morris in February 2014.

The tobacco firm also turned its attention to the Liberal Democrats, providing $20,000 in September 2013 and $15,000 in March 2014.

Labor stopped receiving tobacco firm donations 11 years ago while the Greens have never accepted them.

Comment is being sought from the prime minister’s office.

http://www.heraldsun.com.au/news/breaking-news/liberals-gain-70000-from-tobacco-firms/story-fni0xqi4-1227204843363?nk=7db83c73e5e4c4d497daf5061baed246

THE WCO TOOL IN THE FIGHT AGAINST COUNTERFEITING

Download (PDF, 10.52MB)

Exposure to Electronic Cigarettes Impairs Pulmonary Anti-Bacterial and Anti-Viral Defenses in a Mouse Model

Download (PDF, 1.2MB)

Use and abuse of statistics in tobacco industry-funded research on standardised packaging

http://www.ncbi.nlm.nih.gov/pubmed/25650186

Abstract

In this commentary we consider the validity of tobacco industry-funded research on the effects of standardised packaging in Australia. As the first country to introduce standardised packs, Australia is closely watched, and Philip Morris International has recently funded two studies into the impact of the measure on smoking prevalence. Both of these papers are flawed in conception as well as design but have nonetheless been widely publicised as cautionary tales against standardised pack legislation. Specifically, we focus on the low statistical significance of the analytical methods used and the assumption that standardised packaging should have an immediate large impact on smoking prevalence.