..... .............. ........ ,X4 N-1 7 L BATCo document for Province of British Columbia 9 November 1999 .... . ..... . .. ......... . ...... ........ ..... ...... ........ .... ........ ................ ..... ............................ . .. . . ...... . . . . ......... . ....................... ..... ...... .. .... ...... . ......... . ........ ......... .... .......... How many cigarettes are sold annually in the Approx i match. 63 30 billion cigarettes were purchased in 19S0. an increase of 17 percent in the last decade. Government surveys indicate the average smoker smokCS about a pack a day. men averaging a little k more than women. ANNT DUFFIN Vice President & Director of Publ ications 2. How many people smoke? THE TOBACCO INSTITUTE 2021457-4874 800/424-9876 Nmriv 60 million Americ2ns-about one tNrd of the aault population. ear Reader: Are ore women and teenagers smoking 3 . todav- "On Tobacco" attempts to answer the questions we Because of population growth. the nUMher Of adult are frequently asked about American women who choose to smoke is apparentiv ' larger tha n ever. but the incidence of smoking 2mon 9 the tobacco industry. You women - the rate or percentage- is lower. The 1980 may want to share it with Surgeon Gener2l's report said the proportion of ot1hers. More copies are women smokers peaked between 1963 and 1976, and available . Call (free) estimated that 2S.2 percent of the adult fen'121C POP- 800/424-9876 and ask for 1112tion were smokers in 1979. the Production Services Smoking has declined among teenagers. According office to the American Cancer Society. smoking is down . a third to the lowest level since 1964. In young women. the smoking rate has decreased 17 percent eE. since 1974. r 4 n . Are s okers different from nonsmokers? Mk - Some researchers conclude that smokers, in general, have behavior patterns different from nonsmokers. Thev report that smokers tend to be more corn- municative. creative. energetic and assertive; They are also said to marrv more often, move more often, more often change jabs. prefer spicier and saltier foods and participate more in sports. As children they were more likely to have been independent. As adults they tend to Se more outgoing- living. so BATCo document for Province of BritiSh Columbia 9 November 1999 to speak. in -o% erdrive.- more a%v2rc of %vhat t%vo ph, sician researchers have called 2 _p3UCit7V Of time iL,e,lf. Did the 1964 Surgeon Geneml's report 0. establish that smoking causes cancer and other diseases? No. The report - actually that of the Advisory Committee to the Surgeon General on Smoking and Hc2lth-did not establish cause- and -effect relationships between cigarette smoking and any disease or condition. Its conclusions. the committee said. were a - matter of judgment." Essentially a srudy of numbers. the 1964 report was a selective review of population studies comparing disease rates among smokers. nonsmokers and ex-smokers. It -,ated clearlv that -statistical methods cannot estab- ih proof oi a causal relationship in an association. N%Iiat are some of the questions left 6. unanswered bi the 1964 report and others issued since~ No,.,-. as in 1964. there are rcpo,Led statistical relationships benveen smoking and certain health problems. and a number of suggestions about cause- and-effect. but no definitive and final answers in the smoking controversy. Why. for example. do non- kers develop heart disease. lung cancerand *mO other diseases frequencky ~-5062ted with smokine If it is true that cigarette smoking is the major cause ng cancer. 'vhv do the vast majority of -heavy- l u - lop the dise2se~ Why haven't tol n , er dc% 'ers , t scientists been 2bleeto prove that any one or any combination ~f the thousands of comp-onents as found in cigarette smoke causes human diseasa~ But in light of other evidence, how can 79 anvone insist that a causal connection has not been proven in lung cancer? Because at least three factors raise seriods que stions -bout anv such conclusion. Reported lung cancer mortality rates can't be satisfactorily explained by 'garette consumption L patterns. here or in other countries. i 1 -%long with changes in diagnostic C3p2b111 4 and international rumor classifications have come reports of an incrmsing proportion Of 2 kind of lung cancer not traditionally associated with cigarette smoking. Science has been unable in more than 40 years of research to produce human ty . pe lung cancer in laboratory animals with tobacco smoke inhalation. 8 . What about heart disease? In early 198 1. a past president of the American Heart Association said it best --hen he told 2 NC%V- York reporter. -%N'e have yet to uncover %,-hat causes atherosclerosis, responsible for heart attack and " F-E stroke. The admission came oniv months after 2 Harvard researcher %vrote in Ainm~an Heart Jounial that there is no established proof that cigarette smoking is causally related to coronary heart disease (CHD). Man%- scientists consider cig2rerte smoking to be a CHD risk factor. that is. an element or characteristic found in common. singly or in combination with other variables. in persons developing CHD. Holv_ ever, most scientists do not assume that risk factors ric causZor do they believe that their elimination 7 ". Ii ec ril y prevent illness. The 1979 Surgeon General's report pointed out that mere association is not synonymous with causation. And the Harvard researcher. who noted -serious questions*' about interpretation of certain heart data. concluded that no consistent clinical or experimental data in animals or man clearly support wh2t he called 'the leap from association to enhancement.- Clearly. 2 good deal needs to be learned about CHD. Have scientists determined the cause 9* of emphysema? No. Emphysema is a form of lung damage typical1v found in older persons. Researchers in the area have pondered the possible role of such factors as smoking. air pollution. oLcupation2l exposures. lung structure abnormalities. childhood dis----, adult infections and genetic disorders. But that this is still just 3 C_ FE, CD BATCo document for Province of BritiSh Columbia 9 November 1999 I 4-.-nn; ation is demonstrated b% a Statement from the .7.nnrn- in~zirurert-_ponsible for lung research e do not know the C2U$C of pulmonary em- ho,,- :o stop its progress even if detected or ho,- to prevent heart disease caused bv "7 I.-I Z;" ::7 Cft'O.M to determine what causes emphysema. and researchers have exposed experimental anin'-; to 2nous substances. including tobacco 47 ncke. But as far as zob2CCO smoke goes. even the 7.-,- -ccent Surgeon Gener2l's report on smoking -raizh noted -hat -there are no published studies h3 : s:cem show in an animal model that the c;n c.:,pMent of errich serna is induced by cigarette y crnFnyse-12 I pooriv understood and s~)o-,:r it.: origins and development can only throu-7h '~_-,nhcr scientific research. 0. What are tar and nicotine? N:--C::nC. 2 co!oness substance found in tobacco and 4.-noke. ---, e!imin2ted from the blood RLKe2rch h2s shown that there is little cum- is a substance. minus water and u e eEecc. Ta, . -;ne. obtained bysuper-cooling and condensing n :c.. .lacco smoke under _%vcial laboratory conditions. -ne-hod ofcoflecdng tar bears little'rescmblance tc. Ene 12Y cigarettes am smoked. Are cigarettes -aith low tar and nicotine -safer D 11 he research that has been done over the yerv~ no one hi, demonstrated that milligram num- .n .-2ve any health significance. lanv varieties of low- tar-nicorine cigarettes are now on the market in restionse to consumer preference tr rids. In 19SO. th e sold in the C e average c1garen U.S. vielded less thin 14 mgs tar. a level generally c2 tegorued as low tar. Hasn't carbon monoxide (CO) in 12 cigarette smoke been implicated in . heart disease? 'plain the statistical Some do believe it might M ... ..... . association between cigarettes and CHID. A tasteless. w1mr- colorless. odorless gas produced b% Many narut-21 and man-M2de sources. it has been shown, in large . ........... ;. C#%__:~: - 4 b amounts. to decrease the supply of oxygen in the blood. However. it has never, in the levels found in cigarette smoke. been demonstrated to cause heart or any other human disease. Even the 19SI Surgeon General*s report pointed out that -judgments" on the role of CO in heart disease 'are based on sc-ann- information. . ........ Does tobacco smoke endanger 13. nonsmokers? EF., It can certainlv annov some people from time to rime. but there is no convincing evidence that tobacco smoke Causes disease in nonsmokers. In fact. the lq79 Surgeon General's report. the last to con- sider the subject. States explicitly. -Healthy non- mokers exposed to cigarette smoke have little or no It physiologic response to the smoke- and what response -chological factom - The does occur may be due to ps~ report funhersays. -The existence ofa tobacco smoke ' ns is unproven.- Studies on this allergy in huma r: question continue but have not confirmed that * ............ tobacco smoke presents disease risks for nonsmokers. i= - What is the tobacco industry doing to 14 . help resolve the smoking and health,,--',,*<- EL L; 5 C- -4 "'. 2 So far, the tobacco indusrrv has committed more E. than S91 million for independent research on smok- ing and health questions. In M2nV V industrv -MM awards exceeded that of any government depart- ment. Thev have alwavs fir exceeded the smoking and health research funding Of 211 volunt2ry health associations, which regularly spend more oif their donated funds for administration and public relations campaigns than for research. The tobacco industry remains committed to advancing scientific inquirv into the gaps in knowledge in the smoking concrov ersy. 5 WE C7 _'3 BATCo document for Province of British Columbia 9 November 1999 Do the tobacco companies control the 15 N lore than half of tobacco's contribution to tax . research they sponsor? co!lections results from ripple effects. as industry Z7 elliplo% ecs. their hOSSCS and major suppliers buy the Absolutch- not. Independent Scientific 2dvisors ~oocis and services of other. nontob2CCO. industries. e'aluate and fund research proposals by individU21S and institutions. A%1-2rds are made with no strings attached and each researcher is free to publish study s wh lt h b 18 re u s. atever t ev mav e. . What is the tobacco subsidv? There is no tobacco rubsidr program. There is a What is the economic contribution of 16 tob2CCO price support program, which limits the . tobacco? amount of tobacco grown domesricaily and insures The tobacco industry contributes mightily to the farmers a fair return on their investments. Monev expended under the program isn*t a gift. It's a loan U.S. economv. Leaf is grown in 20 states on an f- m the federal government. repaid with intermt. fa estimated 276-000 rms. It is the sixth largest U.S. -';iMil2r programs exist for 12 other commodities h crop. The U.S. is also the leading exporter of o,,-n in this countn Z7 ,)bncco and the third largest tobacco importer. The result is a positive net contribution of more than Unlike most other agricultural price support :51.7 billion per year to the U.S. international vrograms. however. in most years the tobacco pro- balance of payments. Americans spent 521 billion :dram rep2yc the government more than the farmers for tobacco products in 1980. h3ve borrowed. In its 47 ve2rs of existence- 'vith ~ :cans totaling about $5 bi ilion-the program his produced 2 net loss to twxpavers of approximarely S().7 million. or about one tenth of one percent of NN-hat's the effect of tobacco taxes~ losses for 211 commodirv price support programs. Federal. state and IOC21 governments realize some losing the S37 million. the government has collected S72 billion in the cigarette tax alone. S6.; billion annU211V in direct taxes on tobacco products. helping to pay for such things as road building and school lunch programs. The U.S. cigarette advertising cause young IQ Does Treasurv collects 8 cents on every pack of cigarettes 5 . JL people to start smoking? sold. in8iv;dual states from 2 to - 1 cents and at IC= 369 municipalities from I to 10 cents. Since the As one knowledgeable government official has said. - " first federal tax on tobacco in 1862. nearly 5 138 Adverrising is certain]y not the culprit. Cigarette billion has bc4en collected bV 211 levels ofgovemment. 2dverrising is brand advertising. Its purpose and. Tobacco is the most heavflv taxed consumer More significantiv, its effect is to divide the 21reach- E-.7 prodtkct- existing market Sy promoting brand identification' and l l i d i id l h The rough1v 400.000 persons emploved in all phases oya v ty among ua s w n o are smokers. . f tobacco and their emplovers and essential sup- RIMC2rch on thr initiation of smoking 2MOngyoung pliers also pay taxes. --ople reveals complex psychological. cultural and According to a pioneering industrv studv bv- the Socioeconomic factors. No one favors smoking by young people. Smoking is in adult custom to b~ E Universirv of Pennsylvanias Miarton Applied aecided bV` adults based on 2 mature and informed ied Research Center in 1979. tobacco and its ripple individuaf freedom of choice. effects generate S22 billion a year in taxes. The federal share is more than S14 billion. paid in personal and corporate income, social security and other J taxes. Total state and municipal t xes, including 2' S21CS and property taxes. is more than S7 billion. 7 7". BATCo document for Province of BritiSh Columbia 9 November 1999 .. .. ... ..... . ..... ...... ......... . ...... ... ..... . ... ........ .. .. . ... ..... . . ... . . ... ..... ... ......................... .... ..... M .............. .... _w_ ........... . \T 20 i ? ... ............. . ... .. . .. ....... . .... . ... ....... .. . .............................. .... M~-.o~ ........ .................. ........... ........................ .................... w: . lat MOt %UeSanri-smoking groups D,-ite h~akh % amings that have appeared on all cigarc:tc p-ckages for many years. 2 small number of Evrons remain dedicated to prohibition of smok- . . ...... ;nc. In the !9z(js and 00s. their attack was against 2 tobacco P70dUCZ-Cig2rertes. No\v it is the users of -;'-c -~7oduc, ,,ho ae the targets as the anti-smokers arre-np: to 4oject them to public disapproval and The an- :-smoken -a SM211 minorim of the nonzmoke, -lobby for laws to restrict or prohibit :'-e u-c of zobacco. seeking to convert 2 custom MtO 2 crime. .kre the tobacco companies preparing 21 . to market marijuana if it's legalize& Nc' L,)-,-'c alone would demonstrate that cigarette akers. a'rca-', faced with -a controverw involving a I.-a! -r-c-&;c:. would not enter an area with z1 he lezal and e:*-ical %ensitivities of marijuana. De- ht contrary. Ehe companies do not c,n :an,-' on ,-:-Ich to gro, mariiuana. Nor have 7,"pizered any m 2 rijuana trade names. such as _Acapulco Gold.- The Tobacco Iristirute recorp.izes that there are dif- .......... . fer~nces of opinion concerning smoking and health. Th;~ booklet is presented in the belief that full. free and informed discussion of the smoking and health -roN the public interest. and in the con- c n- -e- must be resolved bv ,ic,ion that the contro% -ch. cientific rmea, .. .... ... ....... C, BATCo document for Province of British Columbia 9 November 1999