Manipulation:
The Story of Imperial
Tobacco
and its Cigarettes
Neil
E. Collishaw
November 1999
Foreword
Background
Sources of information
Bibliographical note
Manipulating tobacco, smoke and smokers: the structure
of tobacco industry research and marketing
Head office and happy
foot-soldiers: BAT, Imperial Tobacco and their employees
The marriage of research and
marketing:
Cigarette
engineering: the secret science
Building a research agenda through
gentle and not-so-gentle persuasion
The marketing challenge: selling
addictive poison
Phase 1, the 1950s, 1960s and 1970s:
better living through chemistry
Phase 2, the 1970s and 1980s: the tar
derby
Phase 3, the 1980s and 1990s: light, mild
and other deceits
Phase 4: Into the 1990s: in search of the
holy grail
FOREWORD
Background
On 8 May 1998, the State of Minnesota reached a historic settlement with the tobacco
industry. One of the many terms of the settlement which were favourable to
public health was the agreement extracted from the tobacco industry to place nearly all
the tobacco industry documents produced during the trial discovery proceedings on the
public record. This resulted in some 40 million pages of documents becoming public: 33
million at a document depository in Minnesota and another 7 million at a depository in
Guildford, England. The Guildford depository is in the offices of British-American Tobacco
(BAT) and is exclusively documents from the operations of BAT and its affiliates.
The flow of previously secret tobacco industry documents
into the public domain started as a trickle in 1989 and 1990 at a trial in Montreal. It
grew into a river during the 1990s as a result of both tobacco industry leaked documents
and documents disclosed through a series of liability actions in the United States during
the 1990s. With the Minnesota settlement, the flow of documents has turned into a flood.
The documents cited in this paper are but a teaspoonful of this flood, drawn from the
tea-cups worth of material accessed to date.
Sources of information
Information for this paper is drawn principally from
documents selected by Physicians for a Smoke-Free Canada from the Guildford depository in
March 1999. Imperial Tobacco Limited sells 70% of the cigarettes smoked in Canada and is
an affiliate company of British-American Tobacco. The Guildford depository therefore has
special relevance to tobacco control in Canada.
BAT has not made the 7 million pages of documents at
Guildford available electronically, but most of the approximately 10 000 pages selected in
March from the depository are now available on the World Wide Web, including all of the
Guildford documents referred to in this paper. These documents can be consulted at http://www.tobaccopapers.org.
Initially, most of the 33 million pages of documents in the
Minnesota depository could be accessed only at the depository site. However, the
settlement agreement stipulated that the documents were to be made readily available. To
comply with the agreement, tobacco companies have been making more and more of the
documents electronically available on tobacco company websites. The Brown and Williamson site has special relevance to
Canada. These tobacco company websites are also a valuable source of information for this
paper. Many of the documents are also available in readily accessible and searchable form
at a website managed by Michael Tacelofsky, http://www.tobaccodocuments.org.
In 1988, Canadian tobacco companies contested the
newly-adopted Tobacco Products Control Act. At the trial that followed in Montreal
in 1989 and 1990, many tobacco industry documents became public. Some of these will also
be referred to in this paper. While these documents are not on the World Wide Web, they
are publicly available at the Canadian National Clearinghouse on Tobacco and Health in
Ottawa.
Many other previously secret tobacco industry documents are
also publicly available. Most of these became available during the 1990s in the United
States and are of special relevance to that country. They became available through a
series of leaks from tobacco industry sources and various liability trials. While they are
not a major subject of this paper, they are a valuable source of supplementary
information, and most are available in electronic form on the World Wide Web. They are
spread across dozens of websites, but electronic references to all of these websites can
be found at a master tobacco website, the Tobacco Bulletin Board Service,
http://www.tobacco.org.
Bibliographical note
Most of the tobacco industry documents referred to in this
paper are internal letters, memos and other documents that were never intended for
publication. Most do not lend themselves to normal standards of scientific referencing.
Moreover, public access to most of the documents is available only at the depositories in
Minnesota and Guildford, and on the World Wide Web. Since most readers will not be able to
visit either Minnesota or Guildford, the World Wide Web will be the only way that
most readers will be able to access these documents. The reference system used in the
document is therefore constructed to provide ready electronic access to the documents
cited.
Readers of the World Wide Web version of this paper will
simply be able to click on a key word or phrase in the citation of a particular document,
which will take them directly to the document in question. Readers of the printed version
of this paper will find a short citation to each electronic document in footnotes. The
footnotes will show a World Wide Web address (URL) and an unambiguous reference to the
document cited. In most cases, this will be the Bates page number range of the document
cited, followed by the exact Bates page number of the citation. Bates page numbers are
sequential numbers assigned to the thousands or even millions of pages of documents
produced in a legal proceeding. If Bates numbers are not available, but the document is
electronically available on a website, the URL will be given, along with some other
unambiguous reference to the document.
Still other documents referred to (principally those from
the 1989-90 trial in Montreal) will not be available on the World Wide Web, but will be
available at the National Clearinghouse on Tobacco and Health in Ottawa, or other
libraries and institutions. For these documents, full references will be supplied in
footnotes.
Manipulating tobacco,
smoke and smokers: the structure of tobacco industry research and marketing
Head office and happy foot-soldiers:
BAT, Imperial Tobacco and their employees
British-American Tobacco Company (BAT) is a global
corporation. While Philip Morris sells more cigarettes than BAT, BAT has more cigarette
brands and more manufacturing operations in more countries than any other tobacco company.
So, by these latter criteria, BAT is the largest cigarette company in the world. Its
Canadian affiliate, Imperial Tobacco Limited (ITL) is most certainly the largest in
Canada. ITL supplies 70% of the cigarettes sold in Canada: its two leading brands
(Players and du Maurier) dominate the market.
The operations of BAT and ITL are therefore of special
interest to Canadians. BAT also directs ITLs American cousin, Brown and Williamson.
Both Brown and Williamson and BAT were defendants in the Minnesota law-suit, and documents
from both operations were opened to the public by the Minnesota settlement agreement. The
veil of secrecy that previously shrouded the operations of BAT and ITL is slowly being
lifted.
What is being revealed is a fascinating story of just how
these companies manage to keep selling an addictive and dangerous product of questionable
purpose to millions of Canadians.
Selling cigarettes requires a powerful command of both
marketing and product research these are both complex undertakings, requiring
highly educated and highly skilled people. A first hurdle faced by corporate managers is
therefore how to attract such people, keep them, and keep them motivated to research and
market a product that most people with the required skills would regard one with no
redeeming social value. Policy laid down at BATs Chairmans Advisory Council
No. 2, held in Hot Springs, Australia in 1976 sets forth the general approach:
Because there is sensitivity in respect of our products
per se we should be particularly vigilant in ensuring that we remain beyond reproach with
respect to the ordinary duties both to consumer and to our workers. For example, we should
be particularly sensitive to industrial hygiene factors, environmental noise, ordinary
industrial toxic hazards, etc.
In general we should maintain our companies in the
public mind as socially useful and responsible as suppliers, as buyers, as
employers, etc.
[citation at page 110069867]
In the research and marketing departments, this general
policy translated into more specific action to encourage and reward creativity, just as
long as this creativity was directed to the challenging problem of selling more
cigarettes. A select group of researchers and marketers from affiliate companies,
including ITL, were invited to The Montague Arms, in Beaulieu, Hampshire, England to a
joint R&D/marketing conference in 1984. Instructions to participants from the BAT
Group Research and Development Centre (GRDC) included the following:
You should feel free to be as creatively free-ranging
as possible in your product type proposals. Technical constraints usually apply to the
realisation of any innovative notion, but they should be regarded as open for discussion
and not as existing and binding.
[citation at page 100601679]
Such openness was only within the confines of the company.
It was recognized that employees might be quizzed about their work at social gatherings.
As early as 1962, BAT issued explicit instructions for Heads of Departments to pass on to
employees about what to say, and what not to say about the tobacco business to friends,
acquaintances and the press.
It is thought desirable that responsible members of the
staff should be provided with a short list of points on the smoking and lung cancer
question as a guide to them when the matter arises in private conversation. I enclose a
copy of the note prepared for this purpose numbered 19.
As you will see, the note does not set out to refute
the causal hypothesis but does raise a number of points which call for further research.
It is not intended that the staff should use the note to initiate conversations on the
subject but they should have sufficient information to enable them to deal with the matter
in a reasonably informed and responsible manner should it crop up. If the press approach
any member of the staff on this subject the questioner should, as in the past, be referred
to me as official spokesman of the Company.
We do not wish the note to fall into outside hands and
it is therefore being given a restricted distribution to Heads of Departments. You are
asked to pass on the points contained in the note to such members of your staff as you
consider should have the information. This should be done either verbally or by
circulating the note and ensuring its return to you.
[citation at page 100427855]
There followed three closely written pages of the
now-familiar tobacco industry party line.
Subsequently, Mr. McCormick, the British author of the
above memorandum, commended the Canadian tobacco industry for applying the "party
line" in a public forum in 1963.
The Canadian Minister of Health called a Conference in
Ottawa on November 25th and 26th to consider the whole smoking and
health question and, prior to the Conference the Canadian Tobacco Industry submitted a
brief which sets out very well the scientific evidence that contradicts or does not
support the anti-smoking charges.
[citation at page 100427884]
Recognition of the importance of employees, and what they
might or might not say, continued well past the 1960s. Here is citation from a 1979
corporate marketing document.
Induction training with new recruits, and re-training
of existing staff should be expanded so as to include skills in publicity, so that they
may be effective ambassadors of the company, whenever necessary.
[citation at page 100427841]
The marriage of research and
marketing:
The close link between research and marketing was
well-recognized within BAT. It was clearly recognized that marketing should drive
research, and not the other way around. This was eloquently expressed on many occasions in
the documentation for the 1984 R&D/Marketing conference. A Canadian participant
observed:
Forcing new brand development into a premature marriage
with product technology will quickly see us selling what we can make instead of what
people want to buy.
[citation at page 100501841]
At a conference of the BAT Research Policy Group in
Montreal in 1989, one participant wryly observed:
Experience demonstrates that the meticulous engineering
of the market positioning of such innovation is as important as the care devoted to the
products physical design. In its absence invention becomes simply sort of a circus
trick a technically clever and often vivid demonstration of virtuosity, serving no
useful purpose.
[citation at page 401058424]
It was also recognized that in an environment where
marketing opportunities were becoming more and more circumscribed through bans and
restrictions on advertising, product characteristics would assume greater importance.
with the increasing loss of communications media
the product will have to support the brand more and more
[citation at page 100501728]
Accordingly, research and marketing will be examined
together in the remainder of this section.
Cigarette
engineering: the secret science
Tobacco product research and development is a complex
undertaking. Its leading practitioners hold advanced degrees in chemistry or related
sciences and have years of experience in their profession. Tobacco scientists, with very
few exceptions, work inside the tobacco industry, and little of their work is known
outside their companies.
Within BAT, however, research and development activities
are structured in order to foster and encourage global scientific debate, information
sharing and exchange among company scientists all around the world. Scientific exchange is
specifically encouraged through corporate policies and structures, formal and informal
meetings and other formal and informal means of communication.
A 1976 policy statement sought to maximize sharing of
information on research among all the affiliate companies.
Marketing and consumer research, manufacturing
improvements and product development techniques and methodology should be exchanged
freely. Although the bigger facilities in the operating companies might be expected to
make bigger inputs, the size of these facilities is in proportion to company sales,
weighted for market sophistication, and all companies will therefore benefit
appropriately.
[citation at page 110069882]
The structure of R&D within BAT is designed to further
reinforce the spirit of intra-company global teamwork. At the centre is the Global
Research Development Centre (GRDC) in Southampton, familiarly known within the company as
"the Centre". Affiliate companies in Canada, the United States, Brazil and
Germany also house substantial Research and Development Departments. In 1990, BAT employed
over 400 research and development professional staff world wide. [see page 401058541]
Group R&D
professional staff numbers |
| |
1989 |
1990 |
| U.K. |
101 |
101 |
| U.S.A. |
91 |
99 |
| Germany |
51 |
51 |
| Brazil |
106 |
107 |
| Canada |
45 |
45 |
Senior representatives of each of these
five departments met regularly as the Research Policy Group. One notable meeting of this
group took place in Vancouver in 1989. [see page 401058290-425]. A
favourite form of communication was research meetings of various descriptions. These took
place frequently and covered many subjects. In a period of eight months in 1989 and 1990
nine technical and specialist meetings were planned. [see page 401096831]
Future
Technical and Specialists meetings will be organized according to the following schedule: |
| 1. |
Product Testing |
Southampton |
Dec 89 |
| 2. |
ETS External Programme |
Canada |
Nov 89 |
| 3. |
Flavour |
Germany |
4 Q 90 |
| 4. |
Product development incl. Ammonia
technology, filters, sidestream, etc |
U.S.A. |
Mid 90 |
| 5. |
Tobacco Biotech |
Europe |
4 Q 90 |
| 6. |
SRG |
Copenhagen |
Oct 89 |
| 7. |
SRG |
Canada |
Apr 90 |
| 8. |
Fundamental Research Review
(incl. CORESTA position) |
Southampton |
Mar 90 |
| 9. |
RPG |
Germany |
Jun 90 |
In keeping with the policy of information sharing within
the global company, each of the five R&D divisions shared its internal research papers
on request with all the others. Each of the five divisions also prepared a summary of its
activities and shared these reports with the others on a regular basis. ITL in Montreal
produced progress reports semi-annually, including the one for July December 1993. [see page 402415168-217]
The Canadian research and development department was
regarded as exemplary within BAT. The head of GRDC wrote this in a 1983 trip report.
I found that striking changes have occurred in the last
eighteen months under the new Vice President, Dr. P J Dunn aided very significantly
by the secondment from GR&DC of Dr. S R Massey as Research Manager.
We have, in fact, just received Canadas Work
Programme for 1984-86 which runs to 185 pages. Hopefully, this document will inspire
B&W and Australia to produce the equivalent which would then mean that the five
CAC Companies and GR&DC would all have a fully documented and circulated Programme.
[citation at page 109874673
Building a research agenda through
gentle and not-so-gentle persuasion
Formal communication, through correspondence, trip reports
and other means, was also regularly exchanged between "the Centre" and the
affiliate companies. Sometimes it bore an approving tone, like this 1976 letter from BAT
CEO P. Macadam to ITL CEO Paul Paré.
As we discussed at Chelwood , I quite
accept the conclusions of your further deliberations after Hot Springs.
There is no point in pursuing the matter
if you cannot see a positive result.
[citation at page 110069892]
Sometimes the tone was more disapproving as in the views of
A.L. Heard, a senior BAT UK scientist, expressed in a 1990 trip report on Ames tests being
carried in the Montreal laboratories.
By contrast the work on biological activity currently
confined to Ames test is without foundation (other than as a simple screen).
[citation at page 401103338]
Demonstrating consensus among the principals in the
operating companies was also an important team-building strategy, as demonstrated by these
extracts from a 1981 memorandum addressed from one BAT UK scientist (Dr. M. Oldman) to
another (Mr. A.L. Heard).
The content has been checked out with Erhart Kohn
[Germany] and Pat Dunn [Canada] and their comments incorporated.
I am sure that we can count on Bob Gibbs [Canada]
general approval
On this occasion I am convinced of the commitment of
the principals (Kohn, Dunn and myself) to achieve a genuine international integration of
effort.
[citation at page 105399670-671]
The closed nature of the tobacco science community and the
frequent international meetings also spawned informal communication and friendship which
also probably served to improve working relationships as well.
We thoroughly enjoyed every minute in every place, but
our vote for the best of all is the area around Lynton, and we are most grateful to you
for pointing us in that direction.
Please dont fail to give us a call whenever
youre in Montreal. Well enjoy seeing you.
[citation at page 102687045]
BATs internal tobacco science research community also
had a need for a de facto in-house university. A 1979 document entitled "What ITL
expects from GRDC" stated:
An important and needed contribution from GRDC as it
exercises this role, is to serve as a sort of Group tobacco science university, i.e. the
source of scientific information peculiar to the tobacco industry which is not obtainable
from educational systems or other readily available sources.
[citation at page 109841963]
While publication of some of the company scientists
work was allowed and even encouraged, much of it stayed within the confines of the
company. For example, a Canadian-based researcher requested permission from GRDC to
publish 5 papers. This was the decision:
The paper on depth of insertion for various cigarettes
seems to confirm the Kozlowski type ideas for low delivery products and could be
problematic. I think it is unwise to publish any findings of our studies on smoking
behaviour on any smoking products.
In summary, I recommend publishing only papers 1, 2 and
3. Will amplify if necessary next week in Montreal.
[citation at page 109874611]
The marketing challenge: selling
addictive poison
Skills in tobacco marketing, unlike skills in tobacco
chemistry, are transferable into and out of the tobacco industry. So the world of tobacco
marketers is not as closed as that of tobacco chemists. But it is still far from an open
discipline, with most of its strategies, research and techniques remaining within the
walls of each company, including BAT. And tobacco marketers faced challenges peculiar to
the tobacco industry. In a structured creativity conference held in 1984 participants were
handed a list of prime product issues and constraints that they would have to deal with in
devising product development and marketing strategies. Among these were:
Only 15% of the tobacco available in a cigarette is
actually used (as drawn and inhaled smoke) by the smoker.
Cigarettes produce a large amount of debris and smell.
[citation at page 100501682]
Moreover, the companies own scientists concluded that
tobacco created dependence:
The majority of smokers are to some extent dependent on
smoking but that behavioural, social and psychological factors may be as important as
those of a pharmacological nature.
[citation at page
6500155115]
In trying to sell cigarettes, marketers faced further
adversity. They would have to contend with the views of Dr. S.J. Green, a leading
scientist within the company, expressed in 1976:
In view of the known toxicity and the strong
association of smoking and disease I believe that any attempt to increase the smoking
habit is irresponsible.
[citation at page 110067845]
To compound the fact that the product was wasteful, dirty,
smelly, addictive and poisonous, marketing restrictions were multiplying around the world,
removing many of the tools of the marketer's trade.
An overview of the progressive trends in restrictions
on advertising up to 1990, derived from the predictions of Marketing Advisers, concludes
that the prospects are poor for the following reasons. It is estimated that among the 50
most important BAT markets, the number completely free of all bans and restrictions will
have diminished from 8 (in 1979) to 2, and that those with complete bans on all media will
have increased from 8 to 22. Among the remainder, there will be, over the period, an
increase in the number of media banned or restricted in various ways.
[citation at page 100427840]
But tobacco marketers seem to thrive on adversity. The more
obstacles on the course, the more they relish the chase.
What we must do, and over which we have obvious
control, is to develop plans and take appropriate action well ahead of the bans or
restrictions we anticipate. Alternative means of communication and related strategies must
be sought and established.
[citation at page 100427854]
it should be remembered that governments can
produce markets by endorsing a particular aspect of the cigarette, e.g., charcoal filters.
[citation at page 110069677]
The various constraints and opportunities were assessed by
Imperial Tobacco in 1974. They concluded that their marketing department had to be
reorganized to meet the challenges. Here is how Donald Brown, a senior ITL marketing
official (later to become ITLs CEO), described the changes.
Well, we were, up until that point in time, had a long
track record of losing market share and we reviewed our whole attitude toward the
marketplace and concluded that since cigarettes are all sold for the same price and
virtually have the same product structure sorry, profit structure, that it
didnt mean we really didnt care which brand people chose as long as
they chose our brand. So we viewed the brand management structure as creating internal
competition and therefore inefficiencies. So we went to what we referred to as a central
planning structure whereby we addressed the market as a whole and strategically placed
brands in various parts of the market to address market opportunities and avoid overlap or
internal competition. Essentially, thats the reason for the change.
[Brown RD, Testimony. Quebec Court of appeal, Montreal.
Case Numbers 500-09-001296-912 and 500-09-001297-910. 199. Joint record, volume 8, p.
1128]
Research and marketing were organized to meet the
challenges of making and selling cigarettes in the increasingly hostile environment of the
1960s to the 1990s. In the following sections we will examine how they did it and how well
they did.
Phase 1, the 1950s, 1960s and 1970s:
better living through chemistry
In the 1950s and early 1960s cigarettes were much simpler
than they are today. Here is how they were described by Taj Hirji, a UK-based BAT
researcher, in a 1982 presentation.
These real cigarettes, as they are
sometimes affectionately called, were plain cigarettes with the blend being all important.
These cigarettes had:
low permeability paper
high deliveries
good taste and flavour.
[citation at page 10293942]
But in the 1960s, things began to change. In the same
paper, Taj Hirji describes the first change.
The first major change in the design of the cigarette
was introduced for the convenience of the smoker and rightly so. This was the introduction
of the filter tips so that the tobacco bits would not get into the smokers mouth and
that his lips would not stick to the cigarette. That this innovation reduced the cost of
the cigarettes for the manufacturer (filters in general being cheaper than tobacco) only
speeded up the introduction. But filters, to start with, were not introduced for their
delivery reductions potential and were low pressure drop filters which did not complicate
the control procedures. By the mid 60s. 50% of the U.K. market was accounted for by
filter-tipped cigarettes.
[citation at page 10293942]
Filter cigarettes caught on equally quickly in Canada, and
for much the same reasons. With the publication of the major reports on smoking and health
in 1962 in the United Kingdom and 1964 in the United States, both governments and
manufacturers were under pressure to do something to respond to the health scare. The
tobacco industry had two major strategic responses in the 1960s and 1970s. One was make
cigarettes that were safer, and the other to make cigarettes that appeared
safer. Here is how it was expressed in the minutes of a BAT research conference held in
1968, as amended by Dr. R.A. Sandford, one of the participants.
It was also recognized that there are two types of
health products possible and that they should be distinguished.
Health image (health reassurance cigarette) such as low
tarlow nicotine cigarette which the public accepts as a healthier cigarette and
Health-oriented cigarette which has minimal biological
activity; for example, one which would yield a near zero reading in the mouse skin
painting test.
[citation at page 100427930]
A great deal of effort was expended from the 1960s to the
1980s to produce "health-oriented" cigarettes, but with little success. There
was even less success in selling them. Much more success was had with "health
image" cigarettes. The remainder of this section will examine some of the work around
"health-oriented" cigarettes while the following section will examine some of
the early successes with "health image" cigarettes.
The Canadian tobacco industry explained its commitment to
the health-oriented approach in a presentation to a Ministers conference in 1963.
The Royal College of Physicians report states that the
substances in tobacco smoke that may be injurious to health have not been identified. It
is, of course, in the best interest of the tobacco industry to continue to seek any such
substances and if any be found, to remove them. Vigorous research to this end has been
undertaken and will continue.
[citation at page 100427887]
Was the Canadian tobacco industry sincere in this assertion
that research was directed at finding ways to reduce harmful substances? Perhaps so. But
there were other views within Imperial Tobacco. At a BAT conference in England on smoking
and health the previous year, Dr. R.M. Gibb, Head of Research and Development for ITL at
the time had this to say (as paraphrased in the minutes of the meeting):
We really needed some means of knowing not what the
facts were but what people thought the facts were. On the question of how to sell a
gimmick, certainly on the Canadian market you stated what you thought people wanted to be
told and you made money by doing so.
Mr. R.M. Gibb pointed out that the industry had made
one very obvious reaction to the health question in that filters had been put on all over
the world at various levels of filtration, but nobody seemed to know whether this had the
desired effect and it was not a very easy thing to find out.
[citation at page
650344474 and 650344483]
A vast number of biological research projects were
undertaken by BAT from the 1960s to the 1980s. The results, however, did little to improve
public health. The situation was summed up in the minutes of a 1982 research meeting, held
in Montebello.
Despite intense research over the past 25 years, the
biological activity of smoke remains a major challenge.
[citation at page
512107227]
Major effort was expended in painting tobacco smoke
condensate on the backs of mice and other rodents. But the research results did not point
the way towards a safer cigarette. Quite the opposite.
An internal 1980 research paper concluded:
Cigarette smoke is believed to exhibit primarily
[cancer] promotor activity (mouse skin painting and long-term animal inhalation studies
would tend to support this view), however even if cigarette smoke contains only a low
level of [cancer] initiator potential there is a need to assess this factor.
[citation at page
650031878]
A short time later mouse-painting experiments were
discontinued. In 1981, a Canadian researcher reported:
Due to a policy decision to stop long-term mouse skin
painting tests, BAT, Southampton will not be doing the above long-term test on this
series, and a comparison with mutagenicity will not be possible.
[citation at page
682012188]
Mouse skin painting might have fallen out of favour, but
there was still promise that Ames tests for mutagenicity would yield results which were
meaningful indicators of cancer-causing properties. The ITL R&D division did much of
the work on the Ames tests. However, the results invariably showed that cigarette smoke
including second hand smoke - was mutagenic.
A clear dose-response relationship has been obtained
between the total nicotine alkaloid (TNA) content and mutagenicity of the smoke
condensates obtained by the Ames test.
all three calculation procedures enable the same
conclusion to be drawn, viz., that mainstream and sidestream smoke condensates from
flue-cured tobacco cigarettes are similar in terms of Ames mutagenicity.
[citation at page
682633403]
A biological conference in 1984 reviewed progress in using
the Ames test to assess the biological activity of tobacco smoke. The sensitivity of the
test was not questioned but the wisdom of using this information was.
Cigarette brands can be readily distinguished. This is
in contrast with the early mouse skin painting results. An unfortunate side-effect is that
sensitivity increases the probability of an Ames League Table appearing. A further
unfortunate examination is that, to date, it is not uncommon for BAT brands to have a
higher result than those from the opposition.
[citation at page 109869357]
The newer ventilated (light) cigarettes were
shown by the Ames tests to be more mutagenic, a finding that indicated possibly greater
cancer-causing potential.
Ventilation brings about an increase in mutagenicity
which with Canadian cigarettes was not significant. German cigarettes however showed a
significant increase.
[citation at page 109869357]
Despite the fact that internal research had indicated that
nicotine may be mutagenic and cocarcinogenic, nothing further was going to be done about
it.
Although the cocarcinogenic effect of nicotine is still
unresolved, no further action is proposed.
[citation at page 109869387]
Of course, in internal documents, the need to tread
carefully in reporting findings of internal studies on the health effects of cigarettes
was recognized. After talking to his North American colleagues in Montreal and Louisville
in 1979, Dr. L.C.F. Blackman, head of GRDC, noted a number of points that would help yield
positive support for GRDC from the North American affiliate companies. Among them was the
following:
We become more politically sensitive in the
areas of smoking and health, e.g. reporting of nasties and biological studies
generally. (Remember what pays all our salaries.)
[citation
at page 109841984]
Of course, the best way of avoiding having to report on
biological studies would be to stop doing them. And that is what happened. Studies
examining carcinogenesis and mutagenesis would fade away in the 1970s and 1980s, and
disappear almost completely by the 1990s. In the meantime, there were products to be
developed and markets to be conquered.
Phase 2, the 1970s and 1980s: the tar
derby
In Canada and the United Kingdom, the tobacco industry
convinced governments that publishing tar levels of cigarettes in "league
tables" or on cigarette packs should be by voluntary agreement. Limited
epidemiological evidence available at the time suggested that some reduction in hazard
could occur if tar levels were lower than the 25-35 mg per cigarette that prevailed at the
time. Public health authorities therefore looked favourably on the printing of tar levels
on packages as a way of achieving the public health objective of reducing hazard:
consumers could find and choose the lower yield products.
This worthy public health reasoning was laudable, but
naïve. The tobacco industry had, and still has, a diametrically opposed objective, to
sell as many cigarettes as possible. Moreover, they had, and still have, a near monopoly
on tobacco science. While public health authorities saw publication of tar figures as a
means to a public health end, tobacco scientists saw it differently. They saw a challenge.
How could they publish tar numbers, make lower tar products and still achieve the business
objective of selling lots of cigarettes? As we shall see, no effort was spared by the
tobacco industry in meeting this challenge, and meet it they did. More cigarettes were
sold. Along the way, however, public health objectives were subverted.
We have already seen that there was little meaningful
internal work undertaken on the health hazards of products beyond identifying that such
hazards existed. Failing to act on this knowledge (or even share it with governments and
the public) was not the only way in which public health was compromised.
Smokers may have chosen light cigarettes
because they thought they represented a health advance, but history (and industry
documents) show otherwise. The introduction of light cigarettes can be seen to have made
the cigarette market larger than it otherwise would have been in three ways by
inducing more people to smoke, fewer people to quit and more people to restart. From the
documents, it is clear that Imperial Tobacco paid attention to all three, and succeeded to
some extent in encouraging more people to start smoking and in reducing or delaying
quitting.
However, all of our data and especially starting rates
among people over the age of 15 suggest that starting is up since the 76 launch of
lights.
[citation at page 102686861]
We have evidence of virtually no quitting among smokers
of these brands, and there are indications that the advent of ultra low tar cigarettes has
actually retained some potential quitters in the cigarette market by offering them a
viable alternative.
[Response of the market and of Imperial Tobacco to the
smoking and health environment. Imperial Tobacco Ltd., p. 2 (15102). Montreal Court
of Appeal, Case Numbers 500-09-001296-912 and 500-090001297-910. 1991. Joint Record,
Exhibit Number AG-41. Volume 76, pp. 15101-15110]
We must better understand short-term quitters (taking
account of information available from B&W) and what brands they restart with and why.
[citation at page 109869362]
There clearly were markets for low-yield cigarettes and
their possible health hazards were not going to block their development. Only technical
challenges remained, and BAT R&D was equal to the challenge. The first technical
challenge on the road to lower yield products was to create them. Until the mid-1960s,
yields were typically in the 25-35 mg range. Publication of tar tables and/or tar yields
on packages created a powerful competitive incentive to lower tar levels. Researcher Taj
Hirji summarized the situation.
So then, we had to produce cigarettes to satisfy not
only the smoker but also the various national governments. This started the trend towards
lowering the deliveries. For example, between 1965 and 1970 when the first tar and
nicotine league table was published in the U.K., the sales weighted tar delivery dropped
from 31 mg to 24 mg (22% drop) and currently the sales weighted tar delivery is running
around 16 mg.
Filters were now being used for their delivery
reduction potential. Thus from being an inactive part of the cigarette, filters became an
active component of the cigarette. Higher pressure drop filters were now being employed
and the movement from using high denier filament to lower denier filament started. Papers
with higher permeability were being used and in order to get even lower deliveries, tip
ventilation was introduced.
Thus from manufacturing a cigarette in which the blend
was largely the only active part and its subjective attributes being the most important
aspect to be ensured, we moved to a product which had four active components.
[citation at page 10293942-943]
Research to modify blends, paper, filters and tipping paper
was vigorously pursued in BAT laboratories around the world, including in Montreal. Some
flavour for the research they conducted is provided in these excerpts from a 1971 annual
report of the Montreal research laboratories.
Object: To reduce the Canadian tar levels of du Maurier
K.S. to 20 mg whilst maintaining smoke nicotine yields and decreasing irritation.
Object: To examine the effects of Ecusta High Porosity
paper, at three different porosities, on the smoking characteristics of Matinée tobacco.
Object: To reduce Canadian Tar levels of Players
Filter cigarettes to 20 mg or lower and to maintain a nicotine level of 1.3 1.35 mg
without perceptibly altering the subjective smoking characteristics.
[citation at page
650364802-811]
Tip ventilation was an important means used to reduce tar
deliveries. Early ventilation techniques were unsophisticated, using pins to punch holes
in the filter during the manufacturing process. This technique was described by one
researcher as "
unprofessional and lacking in control but it has been used
extensively on successful brands." [citation at page 100575046]
Sophistication increased rapidly, however. Quickly, the whole industry moved to
invisible laser perforation. The same researcher described the more sophisticated process.
The filter tips on completed cigarettes are perforated
by a laser beam built into the tipping attachment. This method of ventilation can cover a
range of 10%-80% with reduced variability compared with cigarettes produced from
pre-ventilated materials.
The use of tip ventilation is increasing world-wide and
can now be regarded as a normal cigarette design feature. It is in use on commercial
cigarettes covering a range of 0.1-17.0 mg tar.
[citation at page 100575046]
The efforts to produce lower tar cigarettes produced
results. An Imperial Tobacco internal market trend report showed that the
average tar rating (known in the industry as sales weighted average tar
yields) declined from 17.0 mg per cigarette in 1973 to 13.5 mg per cigarette in
1981. [citation at page
102686861]
A BAT research employee, N. Davis, visited ITL in 1981 and
summarized Canadian product development.
They feel that their product range covers all consumer
needs (more completely than the competition).
Their view is that the main change over the next few
years will be a steady increase in the proportion of ventilated cigarettes. At the end of
1980 12% of ITLs products were ventilated. All the major brands will be ventilated
by 1983, taking the total to 50%.
[citation at page 102686861]
Globally, BAT was engaged in a full-scale tar derby to beat
the competition to ensuring that every market nook and cranny was filled with a new
lower-delivery product from BAT. In 1979, instructions were issued from BAT headquarters
to offices around the world to embark on a crash programme of tar reduction. The following
reasons were given:
In view of mounting concern and action on health issues
by Governments and international organizations such as WHO, UNCTAD, etc. and, indeed,
likely competitive response, it is essential that our export and locally manufactured
products should yield acceptable deliveries both in the eyes of public organisations, and
in the interests of reassuring smokers themselves. These deliveries should be available at
levels which do not put our international brands at risk in the event of League Table
publications, or other forms of publicity which may be generated at national or
international levels. Furthermore, publicity which highlights differences between export
and local deliveries, to the detriment of the latter, is likely to increase, and could
well have an increasingly adverse effect on the total BAT business.
[citation at page 100428068]
There followed specific instructions to reduce tar yields
of various brands by amounts ranging from 2 mg to 10 mg.
Imperial Tobacco was particularly successful in selling
lower tar products with an eye to catching smokers who would rather switch
than fight their addiction. Dr. L.C.F. Blackman, head of GRDC, commented on this success
in his report of a 1979 visit to Canada.
General agreement that ITL success in new launches
(seven consecutive above 0.5% market share) is the result of intensive effort to identify
meaningful market segments, i.e., gaps or opportunities for switching.
[citation at page 109841979]
BAT and ITL could sell low-tar products that gave the
appearance of being healthier, or at least less hazardous. But were they really? The
question vexed at least a few industry scientists. Dr. F.J.C. Roe, a scientific consultant
to BAT UK offered some reflections on the subject in 1978.
Perhaps the most important determinant of the risk to
health or to a particular aspect of health is the extent to which smoke is inhaled by
smokers. If so, then deeply inhaled smoke from low-tar delivery cigarettes might be more
harmful than uninhaled smoke from high tar cigarettes.
[citation at page 110067719]
Dr. R.M. Gibb, head of the Research and Development
Division at Imperial Tobacco in Montreal was also concerned by this important question and
expressed a number of his concerns in a 1975 letter to his colleague at BAT, Dr. S.J.
Green.
To some modified cigarette means
safer cigarette. To others, modified cigarette means changed
in response to current governmental pressures. viz. Lower tar and nicotine, low
nicotine, low CO, etc.
I do not know what the Guideline Research into
and development of new products is the key strategy to solving the smoking
and health problem is supposed to mean. I do not think it will ever be
solved but R&D can do some of the things needed to help cope with it.
PRODUCT DEVELOPMENT PRODUCT DEVELOPMENT (to cope with current
governmental S&H pressures)
This is what our management really expects R&D to
do. Things like marketable low tar and nicotine cigarettes, marketable innovations like
programmed filter, heat shrink filter, etc. Essentially a numbers game with
innovation in the means to control tar and nicotine. In Canada we also will be expected to
achieve a gradual reduction in tar and nicotine across the board from the top down, at a
pace no faster than the government pressure requires.
The question as to whether such cigarettes are really
safer does not matter, although privately even our Health people wonder whether low tar
and nicotine cigarettes are a good idea.
DEVELOPMENT OF A SAFER CIGARETTE
Is this really a Group R&D objective? If so,
what is meant by "safer" and is the definition credible in the minds of
fair-minded informed critics of smoking?
Apart from some rankings of a few different kinds of
smoke by mouse skin painting, which have not given any useful clues about how to design a
safer cigarette (other than to use those formulations that rank better by this test) are
we not really at square one in this task?
[citation at page
500006650-655]
Tar values (as measured on machine tests) could be lowered.
Market segments could be filled. Cigarettes could be sold. But scientists worried that the
low-delivery cigarettes were not demonstrably less hazardous. As it turned out, the market
researchers spotted another worrisome trend. By the early 1980s, growth in the low-tar
segment had stalled. New strategies would be needed to keep selling cigarettes.
Phase 3, the 1980s and 1990s: light,
mild and other deceits
Canadian marketers faced some special constraints that
narrowed options compared to other markets.
There are no international brands.
The Canadian market is a uni-taste market. With the
exception of menthols, it is almost entirely flue cured Virginia.
All Canadian cigarettes cost the same
[citation at page 10050158]
The market for lights had reached a plateau and Imperial
had to find out why in order to protect its market. Although most Canadian smokers agreed
that smoking was dangerous for anyone, and smokers wished that they werent smoking,
Imperial had found lights a successful way of keeping them in the game.
Pre-lights, these concerned consumers had a limited
range of options open to them essentially quit or cut down.
Fortunately for the tobacco industry, neither of these
two approaches proved very successful for smokers. In 1976, although 41% had tried to quit
and 26% were ready to give it another go, the actual rate of quitting within
the past 6 months was fairly stable at a little less than 2%. Fewer than this made
it to a year. Despite the vast numbers of smokers trying and intending to cut down, the
claimed rate of daily usage rose from 20.5 to 21.1 cigarettes a day (1971-76). Our
calculated daily usage rose from 21.1 to 23.8 cigarettes per day (1971-76).
[citation at page 100501583-584]
Lights introduced in the 1970s did not lead to overwhelming
health advances, real or perceived.
A brand like Medallion (1 mg K.S.), positioned to be
synonymous with ultra mildness, condemned by 99.2% as smoking air
manages to achieve only 5.9 on health on a 9 point scale. Light brands have
not, apparently, been the smoking and health panacea that their success might lead us to
expect.
[citation at page 100501591-592]
Total Product Design
What was to be done? As early as 1976, reference had been
made to total product design as a research objective to square the circle of marketing
needs and product development. It was described this way:
Aim: Aim: The advancement of technical knowledge
necessary to combine the component of cigarettes to produce predictable effects.
To this end, it is necessary to understand the ways
which are available for controlling the production, composition and filtration of smoke in
any required direction.
It is necessary to find out what effects are important
in consumer terms.
There is also increasing pressure from many authorities
to measure and report the delivery of increasing numbers of smoke constituents, either on
the packet or in league tables.
The concept of total product design is now well known.
[citation at page 110067857]
Well known or not, the concept would not actually come into
widespread use for another ten years, by which time it would no longer be known by the
same name. But the simultaneous manipulation of all product and marketing variables to
sell more cigarettes would become the predominant form of doing business in BAT, including
ITL, during the 1980s and 1990s.
Dr. P.J. Dunn, Vice-President of Research and Development
at ITL, was quick to understand the concept. He hosted an initial conference bringing
together the marketing and research branches in 1984, reminding delegates why they must
work closely together:
He restated his opening comments that we sell brands
that are made up of image, advertising and product and that R&D/Marketing group must
focus on a balance of these areas, without taking one area out of context relative to the
total. It is in this way that we can better identify and successfully meet our
consumers needs.
[citation at page 109869369]
Dr. Dunn had previously formulated some ideas on all of the
product variables that could be examined. He summarized them in 1983 as 18 suggestions
under the title, "Making the smoke work harder". Some of the topics he listed
included:
- Sensory effect
- Impact and taste
- The pH in smoke
- Free and bound nicotine ratios
- What factors control human ability to change T/N ratios?
- Policy on elasticity and/or human perception of mouthful of
smoke relative to standard machine delivery.
[citation at page
512107064]
The Elastic Cigarette
Of the ways identified by Imperial Tobaccos chief
scientist, Pat Dunn, to make the smoke work harder, two merit special attention
elasticity and nicotine. Elasticity was the ability to give the smoker more than the
league table value promised. The technical definition of elasticity, given in a 1993 ITL
research report, follows:
If the tar delivery increases in direct proportion to
the increase in puff volume, the product is inelastic (i.e. elasticity = 1), while if the
tar delivery increases faster than puff volume, elasticity > 1.
[citation at page 402415194]
The effect of elasticity would be to make it even easier
for smokers to get higher yields of nicotine and other constituents than shown on the
packages. There was little doubt that this was cheating the league tables.
Consequently, making cigarettes elastic would require some elastic morality. In 1984,
ethical concerns were raised by a BAT researcher (David Creighton):
Is this an ethical thing to do? People who buy an 8 mg
product expect to get 8 mg.
If a declaration that this product is elastic is made
(which is the honest thing to do) then it could upset the apple cart.
[citation at page 100501670]
Another participant at the same meeting, Mr. G.O. Brooks,
less preoccupied with ethics, proposed that the best solution would be to cheat without
appearing to do so.
However, we should strive to achieve this effect
without appearing to have a cigarette that cheats the league table. Ideally it should
appear to be no different from a normal cigarette thus reducing the likelihood of a
competitive challenge. It should also capable of delivering up to 100% more than its
machine delivery. I have chosen this ratio because I believe that anything more than this
would lack credibility from a consumers point of view. Thus an 8 mg product capable of
delivering 15-16 mg would allow the current full flavour smoker to continue to smoke with
reassurance but no loss of pleasure.
[citation at page 100501729]
It did not take long to resolve the moral dilemma around
elastic cigarettes. Elastic cigarettes were thought to involve elastic morality in June
1984. Less than a month later we learn that elastic cigarettes and elastic morality
had been accepted by the company as good business practice.
From a research and product development viewpoint, the
proposition of designing a cigarette of high taste to tar ratio, which responds positively
to human smoking behaviour has been agreed to be acceptable. This is necessary if we are
to explore and understand what consumers are seeking from the cigarettes they buy.
The marketing policy concerning this type of product is
not clear but it is believed it will depend largely on the degree of elasticity in the
design and how overtly this elasiticity is achieved. The consensus is that small
improvements in elasticity which are less obvious, visually or otherwise is likely to be
an acceptable route.
[citation at page
650377654-55]
It was also recognized in 1984 that product solutions, like
more elastic cigarettes, would take on more importance as advertising restrictions
continued to grow. It would be necessary, however, to keep fooling the machines in order
to overcome current legal constraints.
Smokers have disappointed us in that they have not
chosen to smoke twice as many 10 mg cigarettes if they changed from 20 mg products. Thus
in order to reinforce the primary pleasures of smoking, I have proposed to make it easier
for smokers to take what they want from a cigarette which might well have a low delivery
when smoked by machine which overcomes current legal constraints and to enhance the
sensations from the first few puffs.
I expect more restrictions to be applied to the freedom
of tobacco companies to promote and advertise their products, so that the contribution of
image to the total offer will tend to fall. In this case the actual smoking qualities of
the product in the pack and the design and quality of the packing have to be even more
important than it is now.
[citation at page 100501710]
Research and development departments were then challenged
to see if elastic products could be produced. Their own experiments showed that machine
smoking parameters did not correctly estimate actual smoking behaviour. Studies in the
United Kingdom [see page
10293929] and Canada [see page 566628457] in
1984 and 1995, respectively, produced very similar results among people smoking their own
brands of cigarettes. Imperial Tobacco discovered that smokers inhaled more smoke more
frequently than the standard machine settings. The average smoker inhaled more smoke with
each puff than the machine setting (the machine was set at 35 ml, but British smokers
inhaled 40 ml and Canadians 47 ml). The average length between puffs was also shorter than
the machine setting of 58 seconds (42 seconds in the U.K. and 41 seconds in Canada).
Another happy observation made on the road to more elastic
cigarettes was that the lower-tar/lower-nicotine cigarettes made from money-saving
expanded tobacco were even more elastic:
It is noticeable that as the deliveries reduce, the
elasticity tends to increase. This is not an unexpected result since it is believed that
both ventilation and expanded tobacco contribute to elasticity and the levels of both
these factors increase as we go lower in deliveries.
[citation at page 10293930]
A graph shown at a 1984 nicotine conference showed that the
lower the league-table tar rating, the higher the relative kick delivered to the smoker.
The actual relative nicotine delivery to smokers increased exponentially as daily nicotine
availability (number of cigarettes smoked per day times machine deliveries of nicotine)
decreased. For the lowest availability (2 mg per day), smokers were actually getting 200%
of delivery predicted by standard nicotine deliveries. [see page 100535056]
There were two possible approaches to giving smokers more
sensation for less tar:
a) make a fixed weight of smoke work harder
b) to design more elastic cigarettes
[citation at page 100501670]
But smokers dont like having to puff too hard, so
designers were reminded that
the consumer must be able to achieve this 50 ml
puff with the same level of effort as he is used to on his conventional product.
[citation at page 10293931]
The not-so-secret ingredient: Nicotine
Nicotine manipulation was also recognized to be of critical
importance at the 1984 structured creativity meeting.
High on the list of consumer needs is nicotine, which I
believe to be the main motivator and sustainer of smoking behaviour. Without nicotine in
sufficient quantity to satisfy the needs of the smoker, the smoker can (a) give up
altogether, (b) cut back to a low purchase level, (c) keep switching brands.
[citation at page 100501700]
BAT discovered that increasing elasticity was one way that
they could increase the nicotine that reached the brain (i.e. "bioavailable"
nicotine). Because of the different ways in which the lower-delivery ventilated cigarettes
burned, when tar levels went down, nicotine would go down relatively less. When assessed
in terms of human smoking behaviour as opposed to machine smoking behaviour, the
tar/nicotine ratio would be even lower. Not only that, some types of nicotine were found
to have a higher impact. Free nicotine (also known as unbound or unprotonated nicotine)
was more easily absorbed.
Here are some salient observations that researcher B.
Hauser made about ways to deliver more and better nicotine at a 1984 nicotine conference
in Southampton.
Products with nominally equivalent nicotine deliveries
are assessed as having greater impact if the ratio of free to bound nicotine is increased
relative to each other.
In terms of product design parameters the use of
increasing filter ventilation tends to increase the ratio of free to bound levels of
nicotine; the associated filter pressure drop also contributes to this effect. Increasing
paper porosity however tends to have the opposite effect to filter ventilation, in
addition there are other design parameters that can effect the ratio of free to bound
nicotine. In addition, where the smoke velocity is increased by human smoking behaviour
this will have the effect of increasing the free : bound nicotine ratio.
These studies indicate how the level of free : bound
nicotine levels can be used to modify products through strength perception.
[citation at page 105351346]
Imperial Tobacco and other BAT companies discovered that
they could make cigarettes that were elastic and gave smokers satisfactorily high levels
of nicotine. The companies could deliver on their marketing promise of satisfaction in a
light cigarette.
These cigarettes would be light in name only. Only the
smoking machine would get low tar and nicotine yields from such cigarettes. Most smokers
would get more tar and much more nicotine than listed on the package. The companies had
learned from earlier mistakes. This time smokers would not have to change the way they
smoked. Unlike their experiences with early low-tar cigarettes, smokers would not have to
perceptibly suck harder on their cigarettes or alter their behaviour in other ways to get
the satisfaction they wanted.
Changes in the product should be minimal as far as the
smoker is concerned. Thus any innovations should not be intrusive in either appearance,
feel or smoke performance. As a rule of thumb, changes of less than 20% are not noticeable
to the untrained consumer.
[citation at page 100501703]
By June 1984, it had been determined that
lighter-but-equally-satisfying cigarettes could be made. Still, there was a nagging
ethical question. Would it be the right thing to do? Would it be all right to sell
cigarettes that were deliberately designed to deliver higher yields than shown on the
package? Regardless of whether it was the right thing to do or not, it was done. Research
on such products was accepted as policy by July 1984. Making and selling such cigarettes
became explicitly part of BAT policy and Canadian tobacco markets by 1989.
Phase 4: Into the 1990s: in search of
the holy grail
Instrumental in the policy evolution and eventual policy
shift that would occur was a project proposed by Imperial Tobacco Project
Eliminate, Modify, Neutralize (EMN). It was developed in 1985 and presented to senior BAT
staff in 1986.
With EMN, ITL wanted to develop a comprehensive, long-term
approach that would expand the market. The minutes of this meeting merit extensive
citation.
1. BACKGROUND
Rationale
I.T.L., in presenting their concept, believe that many
of the constraints currently operating on the tobacco industry would be removed if it were
not for the Smoking and Health issue. For example, as a result of the anti-smoking lobby,
taxation is increasing and consumption is falling, and young smokers are declining in
number. Politicians are not unhappy with these trends. Issues related to Product liability
also constrained the industry and all such issue related to Smoking and Health.
Opportunities
I.T.L. stated that if we could remove Smoking and
Health pressures the industry would stabilize and then grow. Productivity and market share
were likely soon to plateau.
Objective
To work towards the discovery of a safe
cigarette, safe in the eyes of those who say that the current cigarette is
unsafe. Such an objective is, in I.T.L.s view, market oriented (in
that it would expand the market) but is not marketing-oriented, i.e. concerned with short
term targets.
Business Aspects
Any return on investment that led to an increase in
smoking should be high.
The potential complexity of the project made it
difficult for (non-tobacco) competitors to enter.
Strategy
Briefly the project is related to a programme of
research related to a three tier approach:
1. Eliminate (undesirable chemicals identified by
Regulatory bodies) and test for biological activity. A broader interpretation is that noxa
would be reduced to threshold levels deemed acceptable.
2. Modify (the cigarette).
3. Neutralize (by vitamins etc.).
which in turn relate to four research areas:
1. Smoke Chemistry reduction of toxic
components
2. Biological Tests (short and long term)
3. Epidemiology
4. Mechanisms of Disease Production
I.T.L. believe that this calls for a Fundamental
Research approach (attempting to acquire knowledge that others do not have), but at this
stage, have not developed the Research Programme (Phase 2).
[citation at page 109875260-261]
Prior to the meeting, two veteran tobacco scientists, Dr.
F.J.C. Roe and Dr. R.E. Thornton provided comments on Project EMN [see page 109875253-259] to
the new coordinator of GRDC, Mr. Alan Heard. [see page 502595185] Both
were negative in tone, questioning the feasibility of Project EMN. Dr. Thornton
participated in the review meeting. Given the negative reviews and Dr. Thorntons
participation in the meeting, it is perhaps not too surprising that Project EMN did not
receive ringing endorsement from headquarters.
CONCLUSIONS
It appeared that there was common ground between the
aims of EMN and the R&D strategy for the BATCO Group. However, differences
were apparent in:
The BATCO approach is to monitor the scientific
literature and statements of regulatory authorities, with a response in line with
managements perception of the situation. This contrasts with the all-encompassing
approach foreseen by ITL.
The goals for the BATCO programme were typically
defined on a five year rolling-over programme which is flexible and is always
addressing the latest developments. Longer term goals cannot be defined (those
selected today will inevitably change). This contrasts with the work foreseen
in Canada (possibly up to 15 years or an even longer time scale).
Further consideration should be given to these issues
in the 1986 Research Conference in Sydney (September).
[citatation at page 109875263]
The young Turks from the regions had been sent packing,
their project consigned by their bosses in headquarters to that bureaucratic purgatory
from which few projects ever return "further consideration".
Subsequently the British head office would pour even more
cold water on ITLs proposals to research safer cigarettes, and even the top brass
were involved. BATs chief executive officer (Patrick Sheehy) wrote to IMASCOs
CEO (Purdy Crawford) in December 1986 with a blunt statement of rejection:
We do not believe that there is a sufficiently high
chance of a successful outcome to justify committing the very large scale of resources
that would be necessary to pursue the direct but arguably over-simplistic approach which
your people are proposing. That is why I cannot support this line of research.
[Minnesota depository. BATO select documents. Box 14,
File Number J1755B, pp. 101432832-833]
Now it seemed like Project EMN was really dead. But
eventually, some aspects of ITLs research would survive "further
consideration" and even the "kill" letter from one CEO to another. One key
idea from Project EMN would return in another form a few years later.
Mr. Heard was favourably impressed with at least one key
idea in Project EMN, either at the 1986 review meeting or later. He favoured
"products that are perceived to be improved by those who criticize our current
products". However, even though he participated in the 1986 review meeting, his
favourable views were not reflected in the minutes of that meeting, but were expressed
clearly in a paper he wrote in 1989, for presentation to the Research Policy Group,
meeting in Vancouver in September. The paper is entitled "Strategies for Product
Innovation" and is cited here in extenso.
The cigarette business is clearly in need of
Product Innovation if its classical product life is to be extended. Whilst minor
innovations such as new brands (based on imagery rather than product or on minor product
changes (deliveries, flavours, physical dimensions) can influence market share, they do
not address the fundamental issues facing the smoker or those who influence the
smoker.
In 1985, I shared my simple view of the
marketing/technical challenge facing the industry. At that time, I identified Lost
Ground as the area that should be addressed by the R&D function of our Group. I
was referring to the ever-growing sector of quitters, or reducers. I
still believe that, to at least arrest the decline of use of our product, we must consider
major product innovations.
Whatever our personal beliefs about our product may be,
we must detach ourselves and see the product from the eyes of consumers and regulators. We
have to respond to their perceptions of cigarettes and smoking.
Echoing the objectives of ITLs project EMN of
1986, we need to create products that are perceived to be improved by those who criticise
our current products.
What are these perceptions? Based on the statements of
Regulatory bodies or on the growing mass of consumer data now being gathered on our
product, it is possible to summarise as follows.
Cigarettes are perceived as pleasurable and satisfying
but also as unhealthy, socially unacceptable, addictive and expensive. The negative
perceptions, once predominant in the developed world of North America and Europe, are now
more widely held, as anti-smoking factions gain ground. If we are to respond we need to
identify those characteristics of our product that are perceived by our
regulators/consumers as negative, and reposition them, where possible.
We need Product Innovations that address regulatory
concerns and which achieve worthwhile improvements in the view of key regulators.
Despite the fact that Regulators hold generally
negative views on cigarettes and some have implied the factors of cigarette design that
are at fault, there is a general tendency for Regulators to purely claim that
smoking is bad and not enter into positive discussions on how features of the
product might be improved in a product sense.
The challenge is as much in the direction of
encouraging regulators to enter a dialogue on Product modification as in actually
achieving modifications technically. We need to identify how this can be done
internationally.
Competitors Experience of Innovation
What lessons can we learn from previous attempts at
product modification/innovation in our industry? RJR philosophy with Premier was to go for
the wonder solution the product with no negative perceptions (although
they could only communicate the smoke-free characteristics). Favor, by Advanced Tobacco
Products, was even more extreme. It sought to deliver nicotine and flavours but no aerosol
whatsoever.
The failure of both of these radical product
innovations provides some important lessons for BAT. Firstly, the products failed to
deliver the pre-requisite of any innovatory cigarettes a satisfying smoke in terms
of taste, flavour and other organoleptics. Secondly, the products were seen as mechanical
devices embarrassing to use and difficult to dispose of. Thirdly, in trying to
reach too far these products came under regulatory challenge on the grounds that they are
not cigarettes, according to the accepted definition.
Despite the failure of Premier, the product development
and performance characteristics were shared with the scientific community and there is
little doubt that RJRs attempt to tackle the issues was very well performed in a
scientific sense. Unfortunately for the industry in general, the impressive data
particularly of a biological/toxicological nature, sets hitherto unthinkable standards.
Furthermore, without resort to such extreme designs as Premier or Favor, there is little
hope of cigarette technology achieving smokeable products with data close to those of
Premier.
The overall conclusion of the Premier (and Favor)
experience is that attempts to make major inroads into the negative perceptions:
1. necessitate completely new technology.
2. lead to radically different products which do
not meet consumer basic requirements for a cigarette.
3. lead to products that risk definition of not
being a cigarette.
4. draw too much media/regulatory reaction at an
early stage.
Premier and Favor are probably the most extreme of
cigarette innovations. Their common characteristic was that they sought to address all the
principal negatives, with the exception of addiction. By contrast, such products as
Vantage Excel and Chelsea have more modest targets, viz.,
sidestream reduction and aromatisation respectively. With Next PM may be
thought to be addressing simply the addiction issue. More generally, the gradual reduction
of tar and nicotine deliveries have also addressed one (very largely) negative perception,
personal ill-health. In each of these examples the innovators have not only limited the
number of issues addressed but have taken an incremental approach improving
key dimensions of the product. They have also retained the conventional form of a
cigarette in these innovations.
Despite the relatively limited horizons, the success of
most of these innovations has been modest. Low delivery products have had the greatest
success largely because they have had regulatory backing, but have made limited progress
due to lack of taste and satisfaction; they are not universally accepted as a valid means
of reducing the health associations of smoking. Sidestream-reducing products fail mainly
because of inferior performance (taste, ash) but perhaps because they offer insufficient
benefit. NSM and the other tobacco substitutes failed totally they addressed the
specific perceived negative of biological activity but failed to win both the regulatory
support (which was essential in view of their huge public profile) and consumer interest.
The consumer needed some reassurance to switch to a chemically-treated product.
Based on the total experience of innovative products to
date, the conclusions are:
1. Follow regulatory directions and seek
regulatory support.
2. Go for worthwhile but stepwise improvement.
3. Avoid overtly technological products.
4. Recognise that no compromise on current
standards of acceptability of smoke will be tolerated by consumers.
A Possible Strategy for
Alternative Products
Assume:
1. A product offering a response to the perceived
negative aspects of smoking (S&H, social, etc.) will significantly alter the decline
in cigarette consumption.
2. A product offering the characteristics of Premier
(no tar, no biological activity, no sidestream) is needed but the technological approaches
available are unacceptable.
3. A product offering a solution to the addiction issue
would also offer a potential market but no valid approach has been identified.
4. Over the next ten years it may be that new
technology emerges enabling traditional positive characteristics to be retained in a
Premier type product.
In the meantime our Strategy should be:
i. We should follow product modification
directions implied to date in the various regulatory publications and reflecting consumer
attitudes determined by research.
ii. We should involve selected regulatory bodies
in our ideas for product modification and in our progress towards targets.
iii. Establishment of a plan to promote the positive
aspects of nicotine and to challenge any negative perception (including addiction) should
be considered.
iv. Specifically, we can expect to achieve:
(a) tar reduction at normal nicotine.
(b) tar quality improvement (and reduction in
biological activity).
(c) reduction of other noxa.
(d) reduction of sidestream and yield and irritation.
(e) reduction of CO.
although working within traditional formats of
cigarette construction and smoking styles.
1. Target reductions for these parameters should
be agreed against set timescales.
2. Nicotine reduction per se (cf. Next) should be
discounted as a major route for development the addiction arguments are weak and to
respond through nicotine reduction would be to remove the pleasure and taste
characteristics of smoking. (If Next shows that a small segment of the market will settle
for such a product, we have a technological base to compete but the opportunity
will be small.)
3. We should aim to introduce modified products
in stages:
(a) to prevent unacceptably abrupt changes in taste,
etc., character.
(b) to prevent focussing media interest highly on such
modifications.
to allow market response to be clearly assessed
so often concept response is not matched by product response.
4. Since no compromise on taste, etc. will be made by
the consumer, any product modification should meet acceptable standards without any
disclosure of so called technical benefits!
In practice, we are tackling, through Project Greendot,
Day and Nova, practically all the product modification implied or recommended in past
reports of Regulatory Bodies. We are also assembling the technologies that underpin our
product response to consumer concerns.
We now need to ensure co-ordination of these projects
and to develop a dialogue with selected regulatory bodies.
[citation at page 401058418423]
Two other background papers presented at the same meeting
presented similar views to those of Mr. Heard on the inadvisability of developing products
based on nicotine alone. One paper pointed out that pharmaceutical companies were covering
this field.
Except for the problem of image of nicotine
(it is a drug; without it, it would be difficult to argue that smoking is
addictive) there is presently no justification for its removal. Nevertheless, we do not
want a product based on nicotine alone; the pharmaceutical companies are covering this
field quite adequately.
[citation at page 401058313]
The other background paper was a BAT policy statement
entitled "Company Guidelines on Novel Products Incorporating Nicotine," dated 19
July 1989.
It should be noted that less clearly defined concerns
militate against the likelihood of success of products delivering nicotine and little
else. These are:
a. Nicotine by itself would fail to be accepted
as a new active ingredient for a mass consumer product when examined against current
standards for defining dangerous or hazardous substances.
b. Products in which tobacco base is an
insubstantial part of the whole would fall outside the special criteria defining tobacco
goods in some parts of the world. Although such criteria are restrictive they are also to
a degree protective.
c. The delivery of nicotine, more or less by
itself, renders any such product susceptible to criticism or comparison with any future
findings of toxic concern attached to nicotine, allegations which might be more difficult
of proof of effect when nicotine is merely one, if substantial, component of a very
complex mixture.
[citation at page 401058316]
Mr. Heard, as Group Coordinator of Research and
Development, was the highest ranking BAT official with full-time responsibilities for
R&D. As would be expected, the 1989 Research Planning Group observed the first two
rules of bureaucracy when considering Mr. Heards proposal (Rule #1: The boss is
always right. Rule #2: see Rule #1.).
The broad aims of the Product Innovation Strategy were
agreed and our current new product technology portfolio of (Greendot(I-III), Day, Coaxial
and Nova) was considered appropriate to realising the aims of this proposed strategy.
[citation at page 401096838]
Or is the boss always right? It turns out that in large
organizations, even the bosses have bosses. The citation above is taken from a 12-page
version of the minutes marked "draft". However, Brown and Williamson lawyers,
who were not at the meeting, were to later edit the minutes from 12 pages to 3. Readers
can examine both versions in the document referenced above.
Here is how Jeffrey Wigand, who was at the meeting and
subsequently fired from Brown and Williamson, described the excisions in a deposition
given in Mississippi as part of the Castano liability trial.
Q: And what did they eliminate, the stuff that said
cigarettes were harmful?
A: They eliminated all reference to anything that could
be discovered during any kind of liability action in reference to a safer cigarette.
Statements were made that anything that alludes to a safer cigarette clearly indicates
that other cigarettes are unsafe, and it, furthermore, would acknowledge that nicotine is
addictive.
[Hilts, P.J., Smokescreen: The truth behind the
tobacco industry cover-up. Addison-Wesley, New York. 1998. p. 158]
Here is how the expurgated version of the minutes described
the decision regarding Alan Heards presentation.
A presentation was made pertaining to objectives for
product innovation, but agreement was not reached.
[citation at page 401096830]
In the brave new world of Brown and Williamson management
and lawyers, "broad aims
were agreed" became "agreement was not
reached." By 1991 BAT management was to exert even more control over the company
research agenda. The scientists would be hard-pressed to find room in the program for
projects that they thought important.
The Centre takes over
Alan Heard was the man in the middle, caught between his
fellow scientists and his management colleagues. He had secured the agreement of his
scientist colleagues for a new product innovation strategy, only to have it scuttled when
history was rewritten by lawyers and managers. Ever the loyal soldier, he sought to fulfil
managements wishes, while still respecting the wishes of his scientist colleagues.
In 1989 and 1990 there was much to-ing and fro-ing between GRDC and the Tobacco Strategy
Review Team (TSRT), BATs central policy-making body. Mr Heard made several
presentations to TSRT in those two years. He had to satisfy managements desire for
more competitive products that would sell more, while doing his best to preserve as much
as he could of the research program favoured by the scientists. Management, however, held
more high cards. In fact, many of the ideas in Alan Heards Product Innovation
Strategy presented in Vancouver did conform to managements wishes. These ideas would
survive and be given high priority. Preserving normal to high levels of nicotine in
cigarettes would be a favoured idea. Catering to the interests of regulators was not
favoured by management and would be relegated to low priority status. The strategy,
revised until it conformed to the wishes of management, was finally accepted by the TSRT
in 1990.
As a result of the new strategy, scientists doing
fundamental research in the regional laboratories in Canada, the United States, Australia,
Germany and Brazil found themselves benched. The fundamental research activities
previously practised in all research centres were being centralized in Southampton, U.K.
The regional scientists were to focus on applied research. This restructuring that led to
Dr. Jeffrey Wigands famous disaffection with Brown and Williamson had no discernable
effect on Imperial Tobaccos Montreal lab.
Management also made sure that the main focus of
fundamental research was not on healthier cigarettes, but on more competitive
ones. Of particular concern to BAT was keeping its international brands (like Lucky Strike
and State Express 555) from being corralled by the Marlboro Mans ammoniated
technology. Managements decisions were set in an apparently bland statement in the
minutes of the November 1990 TSRT meeting.
Mr. Heard said that there had been a change of
emphasis with greater priority now being given to providing the scientific basis for
improved product design. As a result, less priority was being given to regulatory issues
and to speculative work on innovative products. The proposed allocation of effort was:-
(a) Smoke Quality Improvement 35%
(b) Innovative Products 20%
(c) Regulatory Issues 28%
(d) Environmental Issues 17%
After discussion, it was agreed that the proposed
allocation of effort and the total budget of £3.885 million plus £0.296 for the
Scientific Research Group projects were acceptable.
[citation at page 202205523]
All of the changes in the research programme were
summarized in a presentation given by Mr. Heard in March, 1991 in Rio de Janeiro.
1991 FRC PROGRAMME
Original programme considerable emphasis on:
- regulatory-driven projects (responding either to current
or anticipated pressures)
- innovative concepts.
Latest programme emphasis has significantly
changed.
- Products superior to competition (particularly PM) is
clear group priority now reflected in FRC [Fundamental Research Centre] programme.
Other major change product innovation.
- Priority on research for niche markets relegated in
importance. Projects aimed at radically different cigarettes (c.f. Premier) shelved.
Business objectives:
1. Increased competitivity through smoke quality
improvement.
2. Increased competitivity through innovative
products.
3. Enabling company to operate under increasingly
restrictive regulatory pressures.
4. Enabling company to operate under increasing
environmental concerns.
Tobacco Modification
Historically, Southampton R&D has sought tobacco
treatments that reduce the subsequent formation of minor compounds of interest to
regulators.
Now broadened opportunities sought, through similar
treatments, to maximize the formation of compounds which improve the subjective quality of
smoke."
[citation at page
526030008-16]
It would be fair to conclude from these remarks that
attempts to make products safer (as requested by regulatory authorities) were to be
de-emphasized in favour of making superior products that would sell more, with little or
no regard to the health hazards involved. BAT managed to produce products that were more
and more saleable in both the 1980s and 1990s. But the new policy made this objective
easier to achieve in the 1990s. Never did they make products for which safety could be
guaranteed. The key difference was that, before 1990, product safety was a worry and a
factor to be considered in much of the companys research. After that date, such
concerns almost entirely disappeared as researchers concentrated on carrying out
fundamental research aimed at developing more competitive products, products that would
outsell the competition.
In 1984, company researchers wrestled with the ethics of
covert changes to cigarette construction. By 1989, this strategy was proposed as official
company policy. ("Since no compromise on taste, etc. will be made by the consumer,
any product modification should meet acceptable standards without any disclosure of so
called technical benefits!" Mr. A.L. Heard, Vancouver, 1989). By 1991, it was
approved as company policy.
Into the 1990s, concerted efforts were made to produce
cigarettes that were significantly different, but whose differences could not be
discovered by the smoker One of the research projects under the new policy is Project
Greendot. Here is how Mr. Heard described an application of this research in 1991
GREENDOT PRODUCT APPLICATION
OBJECTIVE: To produce a low tar (4 mg) product which
has improved smoking performance over current commercial 4 mg products.
METHODOLOGY EMPLOYED:
- lower tar/nic ratio: 7 : 1 (or 5 : 1 excluding
humectant)
- low rod density: - approx. 200 mg/cc
- improved front end mechanics: - through
filter used
- lower biological activity: - humectant dilution of smoke
- greater perceived taste (at given delivery level)
[citation at page
526030019]
In 1993, the documents show that the Montreal laboratories
of ITL were seeking to further increase elasticity; using experimental with
tobacco rods made to du Maurier Ultra Light K.S. specifications at densities ranging from
20 cg-27 cg/cc.
It has been suggested that one way of increasing
product elasticity at a given pressure drop is to increase filter pressure drop and reduce
tobacco rod pressure drop.
A second potential approach to achieving elasticity is
to use the Gap filter.
The Gap cigarettes were more elastic than the controls
at 70 ml puff volume.
Further work will include the examination of on-line
laser perforated gap cigarettes and smoking behaviour study of these cigarettes.
[citation at page 4024151194-5]
In the light of the new policy direction for the 1990s, it
is reasonable to assume that research on elasticity would continue, leading eventually to
more elastic products being brought to market.
Were cigarettes now being made and marketed in Canada
developed as a result of the new R&D policy? The answer is very likely, but a
definitive answer cannot be discovered from the documents made available so far. Only a
few documents prepared after 1994 are available, because the Minnesota settlement
agreement only covered documents up until the time of discovery proceedings in the
Minnesota trial, 1994. A definitive answer will therefore have to wait until a time when
more recent BAT and ITL documents are made publicly available and subject to independent
review.
We have seen that product modifications carried out in BAT
over the last three decades have all had the effect of manipulating public health
objectives for low-yield cigarettes into something quite different than was originally
intended. They have become a way of keeping people smoking and fooling them into thinking
their light and mild cigarettes are less hazardous than they really are.
Because there is no control condition, a definitive
evaluation of the extent to which public health objectives have been achieved will never
be possible. Nevertheless, some trends in major indicators can be assessed.
There can be no doubt that public health progress has been
made over the last thirty years. Smoking prevalence declined from nearly half of adults in
the mid-1960s to under one-third, declining more rapidly among men than among women.
Cigarette consumption per adult nearly halved from the mid-1960s to the mid-1990s, falling
from over 4000 cigarettes per adult to just over 2000 per adult. While this progress has
ࠊ been encouraging, it is also true that tobacco companies have about as many customers and
sell about as many cigarettes as they did in the 1960s. Even though rates of smoking and
tobacco consumption have fallen, because of population increases, the absolute numbers of
smokers and cigarettes sold have changed little in three decades. There were 6.5 million
smokers in Canada in 1965 and 6.9 million on 1996. 53 billion cigarettes were consumed in
1965, and 52 billion in 1996.
One measure of public health success is the percentage of
people who have successfully quit smoking, known as the quit ratio, and defined as the
ratio of former smokers to ever smokers, expressed as a percentage. Encouragingly this
indicator increased from 36% in 1981 to 55% in 1990, but has since stabilized, falling
back to 50% in 1996. Of course, many hypotheses can be advanced for why the quit ratio is
no longer increasing. One that clearly merits further study is the extent to which
cigarettes perceived as light and mild have retained people as smokers who might have
otherwise quit.
Another phenomenon associated with the rise of highly
engineered cigarettes has been the rise of adenocarcinoma of the lung, one of four
different kinds of lung cancer. The others are small cell, large cell and squamous cell
cancers. Adenocarcinoma is the kind that attacks the deepest reaches of the lung. At the
time of the first U.S. Surgeon-Generals report in 1964, adenocarcinoma was
relatively rare among smokers and its relationship to smoking was uncertain. [Report of
the Advisory Committee to the Surgeon General fo the Public Health Service, 1964].
Eighteen years later, the 1982 Surgeon-Generals report on cancer and smoking noted a
rise in adenocarcinoma and concluded that all four types of lung cancer, including
adenocarcinoma, were caused by smoking. [The Health Consequences of Smokig: Cancer. A
report of the Surgeon General, 1982] None of the four forms of lung cancer offers
much hope of effective treatment or cure, with the squamous cell type offering only fair
prospects. The prospects for the others, including adenocarcinoma, are poor to nil.
[Beauchamp, G. Le cancer du poumon, la cigarette et le chirurgien. Quebec
Court of Appeal, Exhibit AG-157].
Recent trends in adenocarcinoma of the lung among men and
women have been assessed in a 1999 report prepared for Health Canada. [Birkett, N.
Temporal trends in adenocarcinoma at selected sites. prepared for LCDC, Health
Canada, February 1999]. Adenocarcinoma is the most common form of lung cancer
among Canadian women, and still increasing. Among Canadian men, it is now the second-most
common form and the only one of the four kinds for which incidence is increasing.
The author of the report carefully reviewed all the
scientific literature published to date on the subject and concluded:
In summary, adenocarcinoma is causally related to
smoking with a strong suggestion that the use of filter cigarettes and deep inhalation
increase the risk.
There is strong and consistent evidence that the
incidence of adenocarcinoma of the lung has been increasing steadily over the last thirty
years.
[Birkett, see above]
The widespread use of highly engineered cigarettes that
involve the deep inhalation of small particles has probably resulted in a previously
relatively rare and deadly form of lung cancer becoming more prevalent among men , and the
most prevalent among women.
Imperial Tobacco scientist, Dr R.M. Gibb expressed concern
about the potential dangers of filter cigarettes as early as 1962.
Mr R.M. Gibb pointed out that the industry had made one
very obvious reaction to the health question in that filters had been put on all over the
world at various levels of filtration, but nobody seemed to know whether this had the
desired effect and it was not a very easy thing to find out.
[citation at page
650344483]
BAT scientific consultant, Dr F.J.C. Roe foresaw the
dangers of deep inhalation in 1978.
Perhaps the most important determinant of the risk to
health or to a particular aspect of health is the extent to which smoke is inhaled by
smokers. If so, then deeply inhaled smoke from low-tar delivery cigarettes might be more
harmful than uninhaled smoked from high-tar cigarettes.
[citation at page 110067719]
In 1989, the Research Policy Group of company scientists
recorded the following proposal in the unexpurgated "draft" minutes of their
Vancouver meeting.
In addition, work in the following areas was considered
to merit consideration:
examination of trends in various sub-types of lung
cancer.
[citation at page 401096833]
But it was not to be. The possible examination of trends in
various sub-types of lung cancer fell victim to the exacto-knife of the Brown and
Williamson managers and lawyers, who were not at the meeting, but who edited the minutes
from 12 pages to 3. The expurgated version contains no specific mention of
"examination of trends in various sub-types of lung cancer."
ITL and its parent company BAT ignored the warnings of all
these company scientists. They proceeded full speed ahead to develop products that would
sell filter cigarettes and their successors, highly engineered cigarettes that
favoured deep inhalation. Never did they test to see if these might create new health
dangers to the companies customers, addicted smokers. And their customers reaped the
whirlwind adenocarcinoma an increasingly predominant, and deadly, way to get
lung cancer.
Public health progress might have been more rapid, had
product manipulation by the tobacco industry in order to sell more cigarettes not
occurred. Cigarette engineering, as practised over the last three decades in Canada has
probably been a significant brake on reducing the number of smokers. Even the hope that
lower yield cigarettes would be less hazardous remains largely unfulfilled. Smokers
compensate for lower yields, and tobacco companies oblige them by making it easier for
them to do so. A disturbing probable consequence of product manipulation has been to cause
a formerly rare but deadly form of lung cancer adenocarcinoma to grow from
relative rarity to the number two form of lung cancer among Canadian men and the number
one form among Canadian women.
Discovering the truth about tobacco products has enabled us
to see the extent to which tobacco products are being manipulated in Canada and elsewhere.
Achieving accelerated and effective public health improvement through changes to tobacco
products is possible, but it will not be easy. It will start by finding a way for public
light to shine - systematically and continuously - on tobacco industry practices. The road
to further public health improvement through product regulation will begin with
discovering more truth about tobacco products.
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