aaz--23zz-=, MD 2153=1 :~Ea~ ar- A, azra-2=2nt: am=nq :n:,E:t =f -:!~C: ~7 cz.;r-=catta advarz-~semanz d~-ssemLnatad i:-.- 2 --4-;S=L=SUr-2 of z:-.a ram,-Z. 7- . . I LISaa in :nese ::zainaa in S.710K:n~, tne z--=ac=c: ::==;2nLes app:-,ac: =Y --:Le F~--~eral 7ra---- T~zE believaz 7n3--.- =z -c7 uz., e rs Dver zae past fal-, vears. public an-~ and ct~:ers have questionec z:ne use-Fulness ::ftese ratings and ftav,~: suggested than ttey Mav =Islaad ccns.-7ars .;iz:I respect to ~ha ralaz1ve risks of conz--nuizq tz s=cKe a--- of S--IDk-~ng :1 ;araztes with varicus levels cf c-zr ana razinq5. --ne untersmants cn -7 , '-e n r a,.:-.-.3 M , C~- tna SUbCC=--,'MtGe an cf the '-z=mizzee ant Cc::n-arce, z1ae "lazional Cancer :nSzI.:,IMa to "S=zMS=r nia~l wou-It and make cn the acz-.~raz,: ant .;prn;r:.a,:aness of cna Fe,-4ara-' Trace metnod fof Zamar=-;n--'na tie relative 'tar' and cz:7zenz: cf zaze7:-:aS-" We also unzerszanz t~iat yc--: -taxman letter of June 193- =-4 NZ--:s to s-:cnsc7 su=n a =cnzerenca. The Corm-;3sLor. be!-;eves tftaz Mnare! -s 2--=Stanz-al overlap zezween zae issues idenzi---ed by Chair-~a-. and issues zhar- ~'.-.e C:z;==`ssicn has been examining and tha-z i,: sasks to exDlore ~--ztnar. W4th this in mend, the Co-mmissi::r :,a--ues7:s that KC: ==nvsne a z=nfarence in t~-.e ==nsensus ccnfarance =Or-naz~ to study and- re=crt on specific issues per-taining to zne cz=:nLssion's =-~qaret--e testing metnodolcay and ratin; sysze=. Sua-h a z=nfaren=e would provicie a comprenensi-12 cf the s=-,ent--f--z evidence on issues reiamina zz Lz,.;-zar and ultra low- -:az o--;arat:.as, as ueLl as data rea==tnzizic:%s on behavioral C:) as:=e=s of these issues- The Cz=xission find su::h data and C:) CD CN -1 PU03 .2~ 1-0 BATCo document for Province of BritiSh Columbia 3 November 1999 17 -~an-e in assesz.:.ng ;CS~L~' or -'-a present system cf rar-~n;s and ellra-_Ia~i:iz :m::er a%--lazle oot-;=ns f::z' addraszi:-:z -:ar and c-;zazs,:ta adverz-s-'n= --n-- tne Coam-'Ssi~~nls me=adol~;'. nas oea:~ "ad for more Lhar. 25 years. 'z'ne Camm-ssion is aware of c3ncerns thaz Ilave been raised azou= -'-'=izations of the Me7:!7ZC-d~lngy. A= loam= So=e Of those result :=o= the --act z:~az whils -:::e machines u~ad in ta=sa =asmz s=o~ce everv =-iga~aM=-z :n a unif:=-i manner, people often vary =21:eIr smok-ng cec'-n~aues and do nc:~: necessarily s=c.!:a -iq Z-he Sa=e way as :-a ces':: mac"'naz. Cons-=eration or possible to, 27 mod-~:-iczz':--ns of, ::ia presan= riming syste= razu-;=e an eval~:ar-i=n sf var-4cus scLmnmific and ;ubl-'c Issues. 7-e decisicn-making wculi benefit fi-=-n t:-~e assis=anca and or i==-nr=Iz! indiv-;duals traine= in =ie:;a a=e-zs. :n -i--: -:he nrcpased conference is ccn-jened, one foresaea---le scenarz.= s that a conse-nsus mav '--a =aached by t=e panel that 7:-e aurrenz ra:ing system 'Is SU::IC-antLV flawed as tc 0 ~' tha racings. :-, har evens Dose haz,= Z. =:Znsumers -.;r0 rely the Commis-z:.zn may cznsiter for--%ally Or Publ-ic-'i impr;.=atur fzom =~e ra=j:!; sys=am. Following such Commissicn action, the agency =ty need to ccnzider whether c:-~=aretzz adver-:isinq znat ccnmInues to make use of t-'"e (h,.--c=hat-Jcal-',.-' d;scradimed ratings ;s I.Lkely = mislead reascnal:Ie consumers rega=~-irq r-a health: '-zzarcis associatad vith smo:cin; cigara=~:as. A the exiszing scientific evidence on the iSsues deszr-:-'-ad --=uld gra3zly an-" enhance -:nese af:for--s. ~:z7-7-:.ss-on z-;=aE--s nna~: YCI- cnnsi--;sr -::-.a raz=ec.: t:: C==nansa=40n e4feam=: z: e:zment a.--a t::,e tar and ni=mt-ne =i=ings Of cicarat':es prc;:!uca-4 -",/ th; cuzzenm zesm-ing Protocol predictive cf h.')W much C-4 mn=ze subszances smokers a=z.,:aL:v a-a= wnar s=zk--nq cigarettes? -~-- s=okers of lower tar enaace -;n czmpensaticn tehavior? are c~:e comcensazL=n mec-aniz=s z=zke =ore ci=arettes, inhale daecer, bL:ck aerat-;zn holas)" Is t:ie overall rriagn-;~ude of =:e z==Fen5Mt-zn effec-:7 PJ04 2:S L I CD L14 C:) CD C:) BATCo document for Province of British Columbia 3 November 1999 7 of =-a effacz ;s --~a do -::~e estimazas of mne c==arsation vax*., ;-c=z:=d-4:,(; to tl~e reseaz=:~ =am~iod usad :o meas.~za the=' -'f S3, I:: wham wav? does z:te magni=uce or ex--smance of the con=ensaz.io~ effecm vary signi--canti.-i 3 C===`--4nq to the tar/nlcotlne levels of 1--wer tar cizar2=aS CLS Mq. or la=s)? - the na=uz-a of any sucn varlar-,=n-, .jtia:: ~ s is z:::e:-e any ev'dence on =he a~Dility of s=okers to modi=y r-ne-,r smckinq technique after =~ie effects of cc=nensazor,., smoxinz Ere po-~Mte-~ ouz to Mtem? rp-.S=Zcz ~:c Cne C~garet'zz ':esting e zurrent cigare,:-:a taszing protocn! Z r z needs o be revised, car. ic be modified -:z --flacz actual s=ok-'-i(7 more accurately 7- (including tle effects of =o==erusatory smoking behavior)? if si, what could ba x3ade7 if =c~~cat;ons are not ~e3s~ble, ;s th2ra anc r, bet7:ar test thaz could be suts-:------:ed fzr the curran-: mathodology? 2- Wit-I reszac': to tae hea17:h benefits cf lo-er tar c-garetres: ass-u=-'nq_no c=mpenza-rory z.=k-;ng nehavicr, is there a cose ras;onsa relatLonship bet*.:een FTC tar =atings and either specific relaze~- diseases or overall smoking-relatad morbid-'7v and mortalimvl 1-f so, does ths relationship differ for the other principal components of cigaret-:e s==ke car--cn mono:zide and niczmine)- do cc=ensation effect3 rediuce or elimina-:e any health risk reducmion benef-'tz from 1:,,jer zar cizare-:ites? If 7:hare Ls anv remainLnz .ieal,:- =--'sk redu=-:=n, -:s it significanml L.N C) (Z) BATCo document for Province of BritiSh Columbia 3 November 1999 ,,7 ma. or ess of tar) less dangerou= --.:i cigararzes (tMcse ra=ad at mcra =ta:-. Lf _-q. of tar) an4, ~f sz: what: is i:~_e a: