The taste of smoke: tobacco industry strategies to prevent the prohibition of additives in tobacco products in Brazil

Silva, André Luiz Oliveira da; Bialous, Stella Aguinaga; Albertassi, Patrícia Gonçalves Duarte; Arquete, Daniela Aparecida dos Reis; Fernandes, Ana Marcia Messeder Sebrao; Moreira, Josino Costa

doi:10.1136/tobaccocontrol-2018-054892

Cited by 24 publications

(23 citation statements)

References 48 publications

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“…Brazil's flavour policy is not in effect as it is being challenged by Sinditabaco and other industryrelated groups in Brazil. 29 The Turkish Tobacco and Alcohol Market Regulation Agency issued regulations in 2012 (amended in 2015 to include menthol) prohibiting 43 ingredients in cigarettes and roll-your-own (RYO) tobacco. Additional regulations by the Ministry of Agriculture and Forestry were passed in 2019, prohibiting all scents and flavours in these products; these provisions go into effect in May 2020.…”

Section: Results Overviewmentioning

confidence: 99%

Global review of tobacco product flavour policies

et al. 2020

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ObjectiveWe determined which countries prohibit flavoured tobacco products and the details of those restrictions in order to identify possible gaps and opportunities for these and other countries to address.MethodsWe reviewed the grey literature, scanned news articles and consulted with key informants and identified 11 countries and the European Union (EU) that ban or restrict tobacco product flavours. We reviewed policy documents for their stated policy rationale, terms and definitions of flavours, tobacco products covered and restrictions on the use of flavour imagery and terms on tobacco product packaging.ResultsCountries with a tobacco product flavour policy include the USA, Canada, Brazil, Ethiopia, Uganda, Senegal, Niger, Mauritania, EU (28 Member States), Moldova, Turkey and Singapore. Most of the countries’ policies provide a rationale of dissuading youth from taking up tobacco use. Ten of the 12 policies use the terms ‘flavours’ (n=6) or ‘characterising flavours’ (n=4). Six policies cover all products made entirely or partly of tobacco leaf. Countries consistently prohibit flavours associated with fruits, vanilla and spices. The USA and Niger make an exception for menthol, while Mauritania and Uganda do not specify the scope of flavours or ingredients covered by their policies. Eight policies make no specific reference to restricting flavour descriptors on tobacco product packaging.ConclusionCountries looking to implement policies restricting flavours in tobacco products can build on existing comprehensive policies. Future research could examine the implementation and impacts of these policies, to inform other countries interested in acting in this policy domain.

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Section: Results Overviewmentioning

confidence: 99%

Global review of tobacco product flavour policies

et al. 2020

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“…All the approaches used by the TI to undermine the new regulations proposed by ANVISA had been previously reported, and most of them were used to oppose a public consultation held by ANVISA during the discussion on banning additives to tobacco products 18 .…”

Section: Resultsmentioning

confidence: 99%

“…The TI strategies are presented following existing taxonomies on tobacco industry interference as described in Ulucanlar et al 17 . We chose this taxonomy, because it is internationally accepted and because it has already been used to present and describe IT strategies in Brazil 18 .…”

Section: Methodsmentioning

confidence: 99%

“…The proposal included new tobacco packaging requirements, such as increased HWLs and new warning messages, and a ban on the display of tobacco products at the POS. The consultation lasted from January to April 2011, being the second longest public consultation in ANVISA's history to date (behind only the public consultation regarding tobacco additives) 18,21 . The draft proposal, in short, 'These products cause mouth, tongue, and gum cancer and physical and chemical dependency.…”

Section: Ti Resistance To the Public Consultationmentioning

confidence: 99%

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Tobacco industry strategies to prevent a ban on the display of tobacco products and changes to health warning labels on the packaging in Brazil

Silva¹,

Grilo²,

Branco³

et al. 2020

Tob. Prev. Cessation

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INTRODUCTION Through packaging and marketing, the tobacco industry (TI) is able to increase the appeal of its products and reduce the effectiveness of health warning labels (HWLs). Based on scientific evidence and the principles of the WHO Framework Convention on Tobacco Control (FCTC), ANVISA, the Brazilian surveillance and regulatory agency, conducted a process to implement new regulations at the point-of-sale (POS), including a display ban, and new parameters to HWLs. In order to prevent the regulation from entering into force, the TI strategically used several approaches. The objective of this study was to analyze the approaches used by the TI to prevent the implementation of a tobacco display ban and new requirements to HWLs. METHODS In order to identify and describe TI's approaches, we reviewed several sources of documentation, including published articles, reports, legislation, TI documents, and media stories. RESULTS Well-known, reported approaches were used by the TI in order to prevent the implementation of new regulations. These approaches included political interference, litigation, and funding studies to question tobacco control measures as previously reported in Brazil and other countries. CONCLUSIONS Using established approaches, the TI successfully stopped the implementation of a tobacco display ban and new parameters to HWLs in Brazil.

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“…10 Indonesia recently implemented a ban on online tobacco advertising, after finding that at least 141 platforms-including Facebook, YouTube, and Google-were showing cigarette adverts. 16 Bans on tobacco flavors or on sales of products with flavors (including menthol) have been implemented in Canada and parts of the United States 41,42 and will be implemented in Turkey and the European Union in 2020. 43,44 Several countries, such as Brazil, Singapore, and Australia, 25 have banned the sale and marketing of all e-cigarettes and heated tobacco products.…”

Section: Moving Forwardmentioning

confidence: 99%

How Should Global Tobacco Control Efforts Be Prioritized to Protect Children in Resource-Poor Regions?

Bialous

Eijk

2020

AMA Journal of Ethics

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The tobacco industry's aggressive marketing of tobacco products and electronic (e-)cigarettes is well documented. Yet existing restrictions on tobacco and e-cigarette marketing are poorly implemented in most low-and middle-income countries. Ongoing challenges include weak implementation and enforcement of some aspects of the WHO Framework Convention on Tobacco Control and a lack of consensus among health professionals on how to address the tobacco industry's health claims related to e-cigarettes and other novel tobacco products. We argue that, despite these challenges, countries must prioritize the implementation and enforcement of restrictions on tobacco and e-cigarette marketing as these products represent not only a serious public health threat but also a violation of children's rights. Need for Tobacco Regulation The WHO (World Health Organization) Framework Convention on Tobacco Control (FCTC) entered into force in 2005 and, as of July 2019, it had 181 parties. 1 The FCTC lays out a number of demand-and supply-side measures to reduce tobacco use, including restrictions on direct and indirect tobacco marketing. Parties to the FCTC acknowledge that tobacco marketing, which comes in many forms (advertising, events sponsorships, promotions, point of sale displays, attractive packaging, innovative product designs, social media advertising) serves to encourage youth tobacco use. 2 Indeed, the greatest impediment to FCTC implementation has been the tobacco industry, 3 as its political influence and strategies have served to block, delay, or weaken tobacco marketing restrictions, particularly in low-and middle-income countries (LMICs). 4 www.amajournalofethics.org 136 The FCTC has had significant success in promoting tobacco control globally and in reducing the prevalence of tobacco use in several countries. 1,5,6,7 The 2019 WHO Report on the Global Tobacco Epidemic: Offer Help to Quit Tobacco Use estimates that the global prevalence of tobacco use declined from 22.5% in 2007 to 19.2% in 2017, with middle-income countries experiencing a lower rate of decline than high-and low-income countries. 1 Data from the 2019 report also indicate that tobacco use among youth remains high and that electronic (e-)cigarette use among youth has increased. The report estimates that 24 million 13-to 15-year-old children smoke and 13 million use smokeless tobacco products. 1

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The taste of smoke: tobacco industry strategies to prevent the prohibition of additives in tobacco products in Brazil

Cited by 24 publications

References 48 publications

Global review of tobacco product flavour policies

Global review of tobacco product flavour policies

Tobacco industry strategies to prevent a ban on the display of tobacco products and changes to health warning labels on the packaging in Brazil

How Should Global Tobacco Control Efforts Be Prioritized to Protect Children in Resource-Poor Regions?

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