Catalogue of deception
An editorial in The Lancet for 2 October pulls no punches in criticising those who promote the habit of tobacco smoking.
In September the US government initiated steps to combat what it has called a
50-year pattern of misrepresentation, lies and half-truths in which the tobacco
industry has promoted its product to gullible consumers. It is hoped that this
long overdue move will prevent the manufacturers of cigarettes persuading young
people to adopt the habit.
In a case expected to last six months, US government lawyers will attempt to
prove that defendant cigarette manufacturers have colluded during the past half
century to deceive the public about the health hazards of smoking, including
misrepresentation of the harm posed by so-called “light” cigarettes
and passive smoking. It is expected that the defendants will argue that dismissing
health concerns over smoking does not constitute fraud.
The challenge is huge and the chances of the government winning the case are
far from assured. In the event of success, no one is clear about what the effect
might be on the marketing of cigarettes, although the tobacco industry would
certainly be seriously injured.
Millions of taxpayers’ dollars are being spent in a battle that is rather
about money than about public health. If health were the main issue, the critics
argue, tobacco products could be regulated by the US Food and Drug Administration,
which at present is not allowed.
If global tobacco control is seriously contemplated, the US government could
ratify the Framework Convention on Tobacco Control already set out by the World
Health Organization, which it has failed to do. Of the global 168 signatories
of the convention, only 32 countries have so far ratified it. These exclude,
as well as the US, the UK, Germany, France, Spain and China. Indeed, China offers
the world’s biggest cigarette market, with some 350 million smokers.
For the convention to come into force, 40 countries need to ratify it. Ratification
carries the obligation to introduce comprehensive bans on tobacco advertising,
promotion and sponsorship, to print health warnings covering at least 30 per
cent of the display area on packages, to ban misleading terms such as “light” or “mild”,
to protect non-smokers from exposure to tobacco fumes in public places and workplaces,
to increase tobacco taxes and to combat smuggling.
It is discouraging that the UK government cannot face the complete banning of
smoking in workplaces and in bars and restaurants. As The Lancet comments, the
Government prefers to put the tobacco industry before the health interests of
its citizens. And it is alarming to note that in our own country one in every
three girls aged 16 and more is a smoker and thus susceptible to the arguments
of the tobacco barons.
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