MEETING WITH THE BMA DOCTORS 25 SEPTEMBER 1980, AT GR&DC, SOUTHAMPTON PRESENT: Sir John Stallworthy (Chairman Dr H M White Mr K C McKeown Professor T Oppe Dr J A Hicklin Dr P J Hoyte Professor P Quilliam Dr F 0 Wells Miss R L Weston (Secretary of Committee) Mr C H Stewart Lockhart Mr M J Leach Dr L C F Blackman Dr D G Felton Mr A L Heard Dr C I Ayres Dr R Binns Dr R E Thornton The meeting started with Dr Blackman explaining the role, scope and organisation of the BAT Southampton laboratories both generally in terms of technological support for the Group world-wide, and specifically in respect of the work orientated towards the much discussed health issue. The fundamental philosophy behind tobacco research is that a great many people wish to smoke - for reasons that are not fully quantified but which certainly include a diverse range of perceived pleasures and benefits - and the cigarette industry sees that its duty is to provide consumers with a wide range of products so that they may choose the products that they like. The cigarette industry worldwide began to undertake serious research around the 1950's, partly but by no means wholly, as a direct consequence of the beginnings of medical comment regarding the alleged health risks of smoking. It was self- evident that, irrespective of whether or not the alleged association of risk was proven, attempts should be made to reduce or eliminate those components in smoke that were alleged to be harmful. BATCo document for Province of BritiSh Columbia 5 November 1999 -2- Filters, which had first been introduced largely for cosmetic reasons, suggested the first practical approach. At a later stage, various means were developed to introduce air into the smoke to dilute the concentration of components such as tar, nicotine, carbon monoxide: the first stage was the use of paper of higher permeability and, much more recently, came the use of ventilation holes (or perforation) in the filter tipping . As a result, over the last 25 years or so, while the cigarette has changed very little from the visual point, the smoke deliveies, in both quantity and quality, have changed significantly. in view of the tremendous effort that has been necessary to bring about these changes, it is highly encouraging to note the increasing epidemiological evidence that lends support to the basic hypothesis, advanced by the medical/scientific opinion, that lower delivery cigarettes have a weaker association with those illnesses that have become to be associated with smoking. It would be wrong, of course, to suggest that the association of risk with cigarette delivery has been proven - and indeed, as referred to earlier, there continues to be a number of eminent scientists who contest the very basis of the alleged association. Nevertheless, BAT, and industry generally, have responded to the allegations by pursuing in a most serious way the reduction of smoke deliveries. To a significant degree the rate-determining factor is the choice of the consumer. In the more advanced countries, movement has already been marked; in other countries, especially developing countries, the move to date has been less marked but BAT is taking positive action to speed up the change. Although the reason is well understood why the cigarette industry worldwide has tended to say little on the subject of smoking and health, BAT certainly believes that there should be more communication of the facts regarding how the cigarette has changed and how the medical evidence is supporting that change. By definition, epidemiological evidence is a long- term exercise and the present encouraging signs relate mainly to the earlier change to filter cigarettes (1960's) rather than to the more recent move towards ventilated filter products. While it may take many years yet to have CD 4-- 4- BATCO document for Province of BritiSh COIUMbla 5 November 1999 -3- the expected evidence extremely encouraging further weakening of disease. L C F BLACKMAN related to the latter, the signs are that it will point to a significant the alleged association of smoking and ON BATCo document for Province of BrItiSh COIUMbia 5 November 1999