Author: Marissa Dean

  • Innokin Launches ‘Trine’ Pod Vaping System

    Innokin Launches ‘Trine’ Pod Vaping System

    Image: Innokin

    Innokin launched Trine, a redefinition of the structure of pod systems, namely atomizer, control and battery (removable), according to a press release.

    Innokin claims the new 3-in-1 solution improves the reusability of the battery. 

    Trine features removable batteries for pod systems, extending the life cycle of devices far beyond that of an individual battery while enabling safe recycling, according to the release.

    Trine ensures safe battery disposal by integrating EcoDrain, a battery discharge technology setting a new industry standard as an eco-safe solution for battery disposal. It addresses the challenges associated with handling discarded batteries, ensuring safe battery discharge before recycling.

    The technology minimizes fire hazards and actively reduces the detrimental environmental impact caused by battery waste, according to the company.

  • Alpha Partners Bulgaria Can Acquire KT Intl.

    Alpha Partners Bulgaria Can Acquire KT Intl.

    Image: Wasan

    Alpha Partners Bulgaria has been cleared to acquire KT International, a Bulgarian tobacco grower and cigarette producer, reports SeeNews.

    The acquisition will not cause notable horizontal or vertical overlaps that could curb competition or lead to a dominant position in relevant markets, according to the Commission on Protection of Competition.

    The value of the acquisition was not disclosed. KT International’s registered capital amounts to $2.8 million.

    KT International is the only tobacco products manufacturer that sells on the Bulgarian market. Competitors export all of their products. Between May 2021 and May 2023, KT International held a 5 percent to 10 percent share in the Bulgarian cigarette distribution market.

  • Appeals Court Affirms Dismissal of PMI Suit

    Appeals Court Affirms Dismissal of PMI Suit

    Image: BillionPhotos.com

    The United States Court of Appeals for the 2nd Circuit on Dec. 26, 2023, affirmed a district court’s dismissal of a putative class action asserting claims against Philip Morris International that the company made false or misleading statements regarding both the scientific studies it conducted in support of an application to the Food and Drug Administration and the outlook for the company’s sales growth in Japanese markets, according to Lexology.

    The district court held that the plaintiffs failed to adequately prove falsity or scienter. The 2nd Circuit affirmed the dismissal, holding that the plaintiffs failed to adequately plead falsity.

    The court decided two questions of first impression in the 2nd Circuit, holding a securities fraud defendant’s statement that its scientific studies comply with a methodological standard that is published and internationally recognized, but stated in general and inherently subjective terms, is properly analyzed as a statement of opinion rather than a statement of fact, and holding that, whereas a securities fraud defendant’s statement expresses an interpretation of scientific data that is ultimately endorsed by the FDA, such a statement is per se “reasonable” (i.e., supported by “meaningful inquiry”) as a matter of law. 

    The plaintiffs alleged that PMI made misrepresentations in securities filings and public statements about clinical studies it conducted in support of an application to the FDA to sell IQOS in the U.S. and market IQOS as reduced risk. The plaintiffs also alleged that PMI made misleading statements about its growth projections in Japan regarding IQOS. The district court found that none of the challenged statements were false or misleading because all the challenged statements were true, inactionable puffery or inactionable statements of opinion. Furthermore, the district court found that the plaintiffs failed to establish the required strong inference of scienter, either by alleging facts showing motive and opportunity to commit fraud or strong circumstantial evidence of conscious misbehavior or recklessness. Accordingly, the district court granted the defendants’ motion to dismiss the plaintiffs’ first amended complaint and denied the plaintiffs’ motion for reconsideration. After the district court dismissed the plaintiffs’ second amended complaint, this time with prejudice, the plaintiffs appealed.

  • Teen Cigarette Use Declined Over 30 Years

    Teen Cigarette Use Declined Over 30 Years

    Image: pikselstock

    Cigarette smoking among U.S. adolescents (grades nine to 12) from 1991 to 2021 significantly decreased, according to a new study from Florida Atlantic University’s (FAU) Schmidt College of Medicine published in Ochsner Journal online ahead of print.

    Study findings include:

    • Ever use cigarettes significantly decreased from 70.1 percent in 1991 to 17.8 percent in 2021, an almost fourfold decline.
    • Occasional cigarette use significantly decreased from 27.5 percent in 1991 to 3.8 percent in 2021, a greater than sevenfold decline.
    • Frequent cigarette use significantly decreased from 12.7 percent to 0.7 percent, a greater than eighteenfold decline.
    • Daily cigarette use declined from 9.8 percent in 1991 to 0.6 percent in 2021, a greater than sixteenfold decline.

    While all grades experienced a significant decline in cigarette use, 12th graders consistently reported the highest percentage of occasional smokers compared to the other school grades, even in 2021. This finding suggests that while smoking has decreased across all age groups, older adolescents might still be more prone to experimenting with cigarettes than their younger counterparts.

    “The substantial decrease in cigarette use among U.S. adolescents spanning three decades is an encouraging public health achievement,” said Panagiota “Yiota” Kitsantas, senior author, professor and chair for the Department of Population Health and Social Medicine at the FAU Schmidt College of Medicine. “This decrease underscores the importance of continued vigilance, research and intervention to further reduce tobacco use and its associated harms.”

    Overall, inequalities in cigarette use among adolescents by gender have been present for decades. However, by 2021, discrepancies in smoking cigarettes by gender were diminished.

    With respect to race/ethnicity, by 2021, the decreases in cigarette consumption were even more pronounced among Black and Asian adolescents while the rates among white and Hispanic/Latino youth remained higher but were still significantly lower than the 1997 rates.

    “These results show reassuring trends, but they also suggest residual clinical and public health challenges that will require targeted interventions,” said Charles H. Hennekens, co-author, First Sir Richard Doll Professor of Medicine and senior academic advisor at the FAU Schmidt College of Medicine.

    “Quitting smoking significantly reduces risks of cardiovascular disease beginning within a matter of months and reaching the nonsmoker status within a few years, even among older adults. However, for lung and other cancers, reductions do not even begin to emerge for years after quitting and even after 10 years remain midway between the continuing smoker and lifelong nonsmoker. Thus, for reducing cardiovascular disease risks, it’s never too late to quit, but to reduce risks of cancer, it’s never too early.”

    Study co-authors are Maria Mejia, first author and an associate professor at Baylor College of Medicine; Robert S. Levine, professor of family and community medicine at Baylor College of Medicine and an affiliate professor at the FAU Schmidt College of Medicine; and Adedamola Adele, a recent biomedical science graduate at the FAU Schmidt College of Medicine.

  • Zimbabwe Farmers Start Season on a High

    Zimbabwe Farmers Start Season on a High

    Image: Taco Tuinstra

    As of Jan. 5, 2024, tobacco farmers in Zimbabwe have narrowed the planting gap to within 5 percent of the 2023 hectarage, according to The Herald. The hectarage in 2023 was 27 percent shy of 2022 figures.

    The area planted in for the 2023/2024 season has been smaller than the area for the previous season since Nov. 24, according to Tobacco Industry and Marketing Board (TIMB) statistics.

    Farmers planted a total of 103,652 ha under both dryland and irrigated tobacco across the country.

    This season, 112,916 growers have registered compared to 147,748 in the same period last year. Of registered growers, 93 percent are contracted, according to the TIMB.

    Zimbabwe’s government has extended the date for destruction of tobacco seedbeds to Jan. 15. This season’s planted area could exceed last year’s, according to some farmers.

    “As farmers, we are happy with the current weather pattern and believe that we can slightly exceed last year’s hectarage,” said George Seremwe, chairman of the Zimbabwe Tobacco Growers Association, referring to the current wet weather pattern. “Tobacco requires water and a lot of heat units, which is good in terms of the quality of the crop.”

    “The combined influence of extended planting dates and wet weather conditions from around the Christmas period will likely result in this season’s planted area coming close to or surpassing last year’s,” said Victor Mariranyika, president of the Tobacco Farmers Union Trust. “We thank the government for moving planting dates in response to climate change with the crop generally looking good after the rains, which fell after Christmas.”

    In 2023, Zimbabwe saw record crop yield, and the sector expects another positive season this year. The country’s target for this year is 148,500 ha.

    “We are looking at two fundamentals: the hectarage and the potential yield, and with what is on the ground, we are likely to have a good season,” said Emmanuel Matsvaire, acting TIMB CEO. “Information that we have received so far shows that 136,000 ha have been planted, but we still have some districts that have not submitted the figures.”

  • World Bank Urges Laos to Increase Taxes

    World Bank Urges Laos to Increase Taxes

    Image: Skórzewiak

    The World Bank has urged Laos to raise its value-added tax rate and increase taxes on cigarettes and alcohol to help address high inflation and currency depreciation, according to Radio Free Asia.

    Alex Kremer, the World Bank’s representative in Laos, said in a report last month that the government should spend more money on healthcare and education to set a foundation for future development.

    Laos’ economy has struggled with rapidly rising prices, low foreign investment and public debt that could increase to 125 percent of GDP in 2024. The country’s debt reached $18.7 billion by the end of 2022. Over half the debt is owed to China.

    Kremer said the debt has destabilized the country’s macroeconomy and slowed economic growth.

  • 22nd Century to Host Fireside Chat Event

    22nd Century to Host Fireside Chat Event

    Image: connected2000

    22nd Century Group will host a fireside chat event on Wednesday, Jan. 17, 2024, beginning at 1:00 p.m. Eastern Time. The event will be hosted by a covering research analyst and feature interactive Q&A with Larry Firestone, who was appointed chairman and CEO in December 2023.

    Firestone will address the new corporate strategy to create a lean operating cost structure focused on the company’s tobacco manufacturing and tobacco harm reduction products, return the company to growth and strengthen the balance sheet to ultimately self-fund the company’s development plans.

    “We have made significant progress at 22nd Century in a very short time, demonstrating our shared commitment to streamline the business, reduce costs and position the company on sustainable growth strategies that can lead to positive cash flows,” said Firestone in a statement. “We are by no means finished with our efforts and expect to further reduce costs, pay off our debt and diversify our continuing operations as the year progresses. This will enable the company to fully focus on the best path to achieving commercial success, particularly with our FDA [U.S. Food and Drug Administration]-authorized VLN harm reduction products.”

    A webcast link to join the live webcast or a replay of the event will be available on the investor relations section of the 22nd Century Group website at https://ir.xxiicentury.com under “Events and Presentations.”

  • A Brighter Future

    A Brighter Future

    Image: chartphoto

    Examining the impact of flavored e-cigarettes on adult smokers: insights from a three-month experimental study

    By Jessica Zdinak

    Much ink has been devoted to the dichotomy presented by electronic nicotine-delivery systems (ENDS)—are they a friend or a foe?

    For several years now, we have seen a surge of a variety of different e-cigarette products, overrunning the U.S. commerce both legally and illegally. The question remains for some, including our regulator: Do they serve as an alternative to traditional combustible cigarettes, or do they serve as an initiator for youth and young adults? This dichotomy revolves heavily around the authorization of and use of flavored e-cigarette/e-liquid products.

    Continuously, and in my opinion, rightfully so, the U.S. Food and Drug Administration’s Center for Tobacco Products (CTP) presents manufacturers with marketing denial orders that state things like “… your PMTA lacks sufficient evidence demonstrating that your flavored ENDS will provide a benefit to adult users that would be adequate to outweigh the risks to youth.” To demonstrate this, a reliable and robust study must be conducted. “Reliable and robust” means different things with each of the different scientific areas contained within an application. For the behavioral sciences, it means using a design that inherently has a level of methodological and statistical control, such as a randomized control trial, known in our scientific area as a “between-subjects experimental design.”

    To address the CTP’s concerns and gain a better understanding of the effects of flavored e-cigarettes, the research team at Applied Research and Analysis Company (ARAC) conducted a three-month randomized experimental study. This study was sponsored by Accorto Regulatory Solutions, in conjunction with Freenoms, an e-liquid manufacturer and subsidiary of Lotus Vaping Technologies, creator of the Nomenons e-liquid. In this article, we will explore the key findings and insights from this study, shedding light on how flavored e-cigarettes may influence adult smokers’ habits and vapes’ potential as a smoking cessation tool.

    Study Context

    The study, conducted by a team of experts led by ARAC Chief Research Officer Jessica Zdinak, was designed to provide evidence related to the public health impact of flavored e-cigarette products on adult smokers. The study’s design played a crucial role in ensuring the validity and reliability of the results. Expertise in behavioral science and research methodologies were instrumental in crafting the study’s plan, design and analysis. After a recent meeting with the CTP, it is acknowledged that ARAC’s key behavioral science framework meets the mark from a scientifically rigorous perspective. Here are just a few key aspects of ARAC’s study designs that underscore the importance of such expertise:

    1. Statistical power: The study’s design took into account statistical power, ensuring that there were enough participants to detect significant effects should differences or effects exist and not to detect such differences or effects should they not exist. (Think, “Can you generalize your results?”)
    2. Effect size considerations: Researchers considered effect size, an important factor in determining the practical significance of findings. (Think, “How generalizable are your results?”)
    3. Hypothesis generation: The study involved the formulation of hypotheses that guided the research, enabling a systematic investigation of the impact of flavored e-cigarettes on smoking behaviors.
    4. Awareness of behavioral factors: Researchers were keenly aware of the behavioral factors at play behind nicotine consumption, adding depth to the study’s approach.

    Study Design

    The study was conducted using a between-subjects randomized experimental design, which involved two conditions: one with flavored e-liquids and another with tobacco-tasting e-liquids. The primary dependent variables were cigarettes per day (CPD) and candidate product usage. The use of a randomized experimental design is a rigorous and reliable approach to investigate the effects of flavored e-cigarettes on smoking behaviors, as it minimizes bias and allows for causal inferences.

    Following Institutional Review Board approval, participants were recruited from several locations across the U.S. They were then randomly assigned to one of two conditions: flavored candidate e-liquids or tobacco-tasting candidate e-liquids. Over a three-month time period, participants returned to facilities each month to select additional products as needed and to complete follow-up surveys. The follow-up surveys asked participants to specify their CPD over the past 30 days and the past 24 hours as well as their use of the candidate e-liquids. These responses were used for the primary analyses in which reduction and cessation were defined and analyzed as:

    1. computed reduction of 50 percent or more of cigarette stick usage from baseline to follow-up
    2. complete elimination of cigarette sticks

    Results: Descriptive Insights

    At the end of the three-month study, a total of 382 participants completed the final follow-up survey (n=181 in flavor condition; n=157 in tobacco-tasting condition). Using this data, we conducted both descriptive and inferential statistics. Coupled together, but with a focus on the inferential statistics, this study’s results offer valuable insights into the impact of flavored e-cigarettes on smoking behaviors.

    1. Flavors over time: The study tracked how participants’ preferences for specific e-liquid flavors did (or did not) change over the three-month study period.

    2. CPD between conditions over time: The results show the descriptive differences in cigarettes smoked per day between the flavored and tobacco-tasting conditions over the course of the study.

    3. CPD between conditions over time: The results show the inferential statistics assessing the experimental effect of flavors on CPD compared to tobacco-tasting. Specifically, the study found that the portfolio of flavored e-liquids led to a significant reduction in CPD compared to tobacco-tasting products. This suggests that flavor plays a role in encouraging smokers to cut down on their cigarette consumption.

    4. Switching rates: The research examined the rates at which participants switched from smoking cigarettes to using e-cigarettes, with specific attention to the flavored e-liquids, which led to a higher quit/cessation rate than tobacco-tasting e-liquids.

    5. Individual flavor assessments: The study explored how individual flavors affected CPD reduction and cessation, providing insights into the specific flavors that had the most significant impact. Specifically, different flavors had varying effects on CPD reduction and cessation, with some flavors showing statistically significant differences. This highlights the complexity of the relationship between flavor and smoking behaviors, such as reduction in CPD and cessation of combustible cigarettes.

    Summary of Findings

    In summary, the study found that flavored e-liquids had a positive impact on smoking behaviors among adult smokers. Specific findings include:

    1. CPD reduction: The portfolio of flavored e-liquids were associated with a statistically significant reduction in cigarettes smoked per day compared to tobacco-tasting products, suggesting that flavors encourage smokers to cut down on their cigarette consumption.
    2. Variability among flavors: The impact of flavored e-liquids on CPD reduction and smoking cessation varied among different flavors. Certain flavors had a more pronounced effect, highlighting the need to consider the specific flavor profiles when evaluating their impact on smoking behavior.
    3. Preference changes over time: Some participants’ preferences for specific flavors changed throughout the study, indicating that flavor appeal may evolve and influence its effectiveness in encouraging smokers to switch to e-cigarettes.
    4. Qualitative insights: Open-ended questions provided valuable qualitative insights into how flavors influenced participants’ perceptions and decisions to quit or reduce cigarette consumption. These insights offer a more comprehensive understanding of the relationship between flavor and smoking behavior.

    Overall, the study’s findings underscore the complex interplay between flavored e-cigarettes and smoking behaviors among adult smokers. While some flavors show promise in reducing cigarette consumption and promoting switching, there is no one-size-fits-all approach, and individual preferences and perceptions play a significant role.

    One of the most powerful aspects of science is replicability. If industry is serious about getting new products, including flavors, authorized for market, replicability of studies such as this one is fundamental to success. Let’s hope this study is just the first of many at building that library of rigorous scientific evidence that the CTP has been looking for.

  • Tracing Their Tracks

    Tracing Their Tracks

    Photo: Taco Tuinstra

    Musings on the movements of tobacco products from the field to the store shelf

    By George Gay

    I suppose that when a person decides it is time to buy a tobacco product, let’s say a pack of cigarettes, she enters the world of tobacco logistics, one of the last links in the multi-branched logistical chain that might be thought of as stretching from the tobacco seed through the consumer-level purchase to what is to be hoped will be the proper disposal of the butt.

    In England, where I live, French was the official language for about 300 years from 1066, so it is not surprising that many of our English words have been borrowed from French, and “logistics” is one such word. It was originally applied, I believe, to the complexities of moving and accommodating armies, a task that has presumably become more complex, if easier on the feet, over time. The order to “walk to the next village and recharge yourselves on food plundered from the villagers” has become outdated, I guess, at least the bit about walking.

    The logistics of buying cigarettes in England has similarly become more complex, with more uncertainties having been introduced, though it must be granted that, in some instances, it, too, has become easier on the feet. I cannot think, for instance, of any other consumer product apart from tobacco that you cannot see, handle and compare, at least at a packaging level, before you buy it. Indeed, I would have thought that such sales should have been made illegal; they certainly seem to be unethical and, from the point of view of the smoker, unwise. It is not for no reason that for at least 500 years, people here have been advised not to buy a “pig in a poke”—not to buy something without first being able to appraise it properly. And I believe it is still the case in U.K. restaurants that a customer cannot be forced to pay for food before eating it, which is no doubt a rule imposed by the French in 1077 after sampling what was on offer.

    Hidden from View

    Why go to the effort of requiring graphic health warnings if you then prevent anybody but those committed to buying them from seeing them? (Photo: Taco Tuinstra)

    It is nevertheless the case that cigarettes are sold from behind the closed doors of aesthetically challenged cabinets and, even when those doors are opened to allow the retailer to take a pack out, it is just about impossible to see what other brands are available because those tobacco control people and politicians who are convinced that they should use their superior wisdom to save smokers from themselves have determined that all packs should look the same—grotesque. The hugely dominant feature of each pack is a so-called graphic health warning, which in fact is nothing of the sort but merely a bit of scaremongering showing some type of medical condition that smokers are supposed to assume is the outcome of indulging their habit but which they know could be related also to poverty, pollution, faulty genes and other lifestyle choices, including those involved in drinking alcohol.

    The logistics of buying alcoholic drinks in England is allowed to be a much simpler affair even though the consumption of alcohol is a greater scourge on society than the consumption of cigarettes. All you need do is go along to your local supermarket, and there the drinks are laid out, row after row of them. In fact, row after row, right down to floor level so, presumably, children can run their little fingers along the bottles and cans and innocently admire the pretty colors and designs, including the odd cartoon. And, of course, those children watch adults put the bottles and cans into their trolleys and no doubt figure that this stuff is food, just like the other products on display. Although they don’t realize it, at least at the time, this is one of the lessons in traditional hypocrisy that adults will unthinkingly or uncaringly pass on to them.

    I would have thought that from a logistics point of view, it would be logical to place alcoholic drinks inside cabinets where they cannot be seen, simply because these products, like cigarettes, are age restricted and raise health concerns but, unlike cigarettes, do not include graphic health warnings. But where is the logic in putting tobacco products inside cabinets where they cannot be seen? Why go to the effort of requiring the inclusion on cigarette packs of graphic health warnings, which, presumably, are meant to be visually off-putting, if you then prevent anybody but those committed to buying them from seeing them?

    Logical Logistics

    One trap that can spring when you start thinking about consumer logistics is that which I have moved close to above. Although the words logical and logistical are superficially similar in form, they have different roots, though you might expect that a good hand would be made of applying logical concepts to logistics. But, as can be seen, the logistics applied to the retail sales of cigarettes and alcohol are not logical, though they apparently appear to make sense to some people, perhaps because we live in an irrational world. 

    Logistics, I guess, is largely about choice. If you grow tobacco inland and want to export it, you and your customer must weigh up whether you should, in the name of efficiency, send your leaf by truck or train, to which port and company you should send it and to which carrier you should entrust it. But at the consumer end of the logistics chain, there is very little in the way of choice, at least in England. A combination of manufacturer efficiencies, and the imposition of unconscionable levels of taxes and pointless tar and nicotine delivery-level limits have meant that cigarettes are all largely the same.

    Successive governments, while superficially criticizing the major tobacco manufacturers, have contrived to squeeze the logistical channels and hand to those manufacturers an almost closed market that cannot in any way be justified on the grounds of reducing the risks to smokers. Limiting the range of cigarettes has had no benefit for smokers. But limiting the range of cigarettes has benefited tobacco manufacturers while de facto limiting the number of manufacturers on the market has made the government’s tax collection much more cost effective and provided bigger targets for tobacco control, which can rightly point out that there are almost no cigarette manufacturing jobs available in England and, setting aside taxes, only costs. Logistical logic apparently has it that it is better to transport cigarettes across Europe and what is known here as the English Channel while the world drives nonchalantly past 1.5 degrees Celsius of global warming and environmental catastrophe.

    I don’t believe what we are expected to swallow about there being no safe level of tobacco consumption but a safe level of alcohol consumption, an idea that is used to support proposals to limit the sale of the tobacco but not of alcohol. The government in England, which says that people should limit alcohol consumption to 14 units a week, would have conniptions if anybody set a limit of 14 cigarettes a week. But in a country where more than 90 percent of people spend their lives in polluted air, 14 cigarettes a week is going to be neither here nor there. But again, the logistics do not reflect this. While alcohol is on open sale, cigarettes are not, and now, noises are being made about limiting the number of retail outlets allowed to sell the latter, something that the good and the great will no doubt latch onto in due course and something that will simply increase the inconvenience for smokers and the polluting, environment-wrecking distances they will drive to obtain their cigarettes. If there is one thing that should be left to the market, it is the number of retail outlets that sell a particular consumer product.

    Of course, you don’t have to visit a local retail store to obtain your cigarettes. You have other logistical options open to you, some of which will help preserve your footwear. You can buy them while you are on an overseas holiday or make a special trip across the Channel to buy them—by car if you are not concerned about the environment. And you can also buy them online if you are reasonably technically literate, and once bought, they can be delivered to your home or your workplace, even to the pub, though you will have to smoke them outside, possibly at a distance greater than that from which they were delivered.

    The Generational Ban

    One of the interesting aspects of cigarette-buying logistics arises if you start to wonder what will happen when and if the government brings in its generational smoking ban. So far, the U.K. government has issued a consultation document on smoking and vaping that includes a proposal to make it an offense to sell any product containing tobacco to those born on or after Jan.1, 2009, which would raise the legal “smoking age” by a year each year until it applies to the whole population.

    Currently, retailers are obliged to prevent sales of tobacco products to those under the age of 18, and, as reported in the December issue of Tobacco Reporter, age identification technology is available that is good at helping retailers signed up to the Challenge 25 scheme in carrying out this task. The technology works by examining faces, determining whether somebody is younger than or older than 25. If the prospective customer appears to be over 25, the sale of cigarettes can go ahead while if she appears to be under 25, the retailer is obliged to ask for identification.

    Although I have no real insights into this, I cannot help thinking it is going to be difficult updating the technology each year as the age limit is raised under the generational scheme. If, in the future, you want to separate the 49-year-old born in 2008 from the 48-year-old born in 2009, will the technology be adjustable to a Challenge 56 scheme, or will it have to be modified to examine people’s hands, which become a more accurate gauge of aging than faces as people get older? Perhaps other parts of the body are even more telling of age, but I simply refuse to let my imagination dwell on the scene in the retailers with a line of middle-aged and older smokers stripped to their underwear for examination.

    Perhaps under a generational scheme, smokers will have to be issued with annually updated, smoker-specific identity cards. Or perhaps they could circumvent the whole merry-go-round and grow their own tobacco. In fact, there might be an opening here for kits that could help people convert raw tobacco to smokeable cigarettes, something that I believe is not possible on a small scale as things stand. A move to artisanal cigarette making could significantly reduce the logistical chain of these products and their environmental impact.

  • Endgame Over

    Endgame Over

    Image: Gintare Stackunaite

    Policymakers are having second thoughts about generational tobacco bans.

    By Stefanie Rossel

    On Nov. 24, 2023, New Zealand’s new conservative government scrapped the Smoke-Free Aotearoa 2025 Action Plan that was passed under former Prime Minister Jacinda Ardern with the goal to reduce the share of smokers in the country to 5 percent or less by 2025.

    The law required a drastic reduction of legal retail outlets for tobacco products, from currently 8,000 to less than 600 starting in 2024, and the mandatory sale of very low-nicotine cigarettes from 2025. The most spectacular element of the legislation, however, was what would have become the world’s first generational smoking ban. Under this provision, those born after 2008 would never be able to legally buy cigarettes. The first part of the new law entered into force in January 2023, when gifting or selling combustible tobacco products intended for smoking to people born on or after Jan. 1, 2009, became illegal.

    At 6.8 percent in 2023, New Zealand already has a low adult smoking rate compared to other countries. Smoking prevalence, however, is considerably higher among the indigenous population and Pacific Islanders: According to the most recent Ministry of Health statistics, 17.1 percent of Maori adults smoked in 2022/2023. Smoking rates among Maori women and Maori men were 17.5 percent and 16.8 percent, respectively, during that period, with Maori women having one of the highest lung cancer rates in the world. Pacific peoples had a smoking rate of 6.4 percent.

    The ban was expected to save 5,000 lives a year. According to recent modeling, it could have saved New Zealand’s healthcare system $1.3 billion over 20 years.

    The repeal of the plan is part of the new government’s three-party coalition agreement in which both minor partners demanded the retraction. Critics have accused the parties of ditching the measure to ensure sufficient cigarette tax revenues to fund their planned tax cuts. The new government, however, cited concerns about illicit trade among other reasons. A generational smoking ban as envisaged, incoming premier Christopher Luxon said, would have created a flourishing black market.

    Uncertain Outcome

    Marewa Glover

    Public health experts expressed shock at the retraction, calling it “public health vandalism,” a “disastrous, terrible move” and a “squandered opportunity.” Marewa Glover, director of the Centre of Research Excellence: Indigenous Sovereignty and Smoking, takes a different view. “There was no real-world evidence for any of these policies,” she says. “No one in the world knows what would have resulted or what positive or negative consequences would have occurred. We can surmise what modeling does. Data for 2022/2023 shows smoking prevalence is continuing its decline. The 40 percent of adults living in the least deprived neighborhoods are already below 5 percent. Even the 40 percent in the most deprived areas are around 10 percent. Smoking prevalence among under 18-year-olds was already very low.”

    The ban on sales of tobacco to adults aged 18-plus, she adds, was not going to take effect until 2027. “Some jurisdictions already have restricted tobacco sales to persons who have obtained the age of 21 years or over. So, there was plenty of time for future governments to repeal it before it ever impacted adults.”

    She says that the big economic and social impact of the Action Plan would come from the reduction of tobacco retailers to 600 in a nation nearly as big as Japan. “What’s more, the convenience store industry retailers of combustible tobacco products—and a majority now also sell a limited range of vaping products—are largely owned by small family-owned businesses popular with our New Zealand Indian/Asian population. Many would have reportedly suffered loss because of loss of impulse trade as buyers of cigarettes were lost. The reduction to only 599 stores was due to take effect on July 1, 2024.”

    The measure did not include a phase-in time, compensation or financial assistance to those affected, according to Glover. “My research on the robberies of stores for tobacco products highlighted the serious injuries and harm this sector was already experiencing due to the burgeoning black market demand for tobacco,” she says.

    The third radical change, according to Glover, was the ban on the sale of tobacco products containing more than 0.8 mg/g of nicotine from April 1, 2025. “This would have rendered tobacco cigarettes useless—well before the sinking lid on age of purchase began to take effect,” she says. “Insufficient real-world evidence exists to inform the public and policymakers of the implications of such a policy. Evidence would need to consider the social and cultural implications as well as the health benefits. Is it really necessary, especially given the costs and risks, when effective and attractive—to the consumer, at their cost—pathways to very low smoking prevalence exist, such [as] has been proven in Sweden, Norway and Iceland?”

    The new government has proposed to reform the regulation of vaping and smokeless tobacco products. Among other measures, it wants to reverse the previous government’s ban on oral nicotine pouches and snus and tax only smoked tobacco products. The restrictions on disposable vaping products are going ahead but with more serious penalties for anyone selling vaping products to under 18-year-olds, and consideration will be given to requiring vape vendors to obtain a liquor license.

    According to Glover, some subgroups are already at or below the smoke-free 2025 prevalence goal of 5 percent. “If tobacco harm reduction (THR) was fully adopted, then 5 percent is possible nationally,” she says. Allowing oral nicotine products and exempting noncombustible products from New Zealand’s high tobacco taxes, she believes, would allow manufacturers to reduce the prices for tobacco-heating products, making them more accessible to people who smoke. Oral nicotine pouches and snus would give people another smoking cessation option. “Based on the experience of Iceland and Sweden, we could expect New Zealand to experience ongoing rapid reductions in smoking prevalence,” says Glover.

    The war-on-drugs assumption that demand for the drug itself can be eliminated by measures on the supply side has not served society well more generally.”

    A Desperate Measure

    Tobacco control advocates appear to view the generational smoking ban, first proposed by Singaporean researchers 2010, as a tool to force down cigarette consumption figures that have decreased little in the 20 years since the creation of the World Health Organization’s Framework Convention on Tobacco Control (FCTC). Despite the many restrictions implemented globally, there are still about 1.3 billion smokers in the world.

    “The objectives of the FCTC are to ‘eliminate or reduce consumption of tobacco products—and reduce exposure to tobacco smoke,’” says Derek Yach, who as a cabinet director and executive WHO director was instrumental in creating the convention. “The FCTC does not set deadlines to achieve this, but subsequent sustainable development goals call for large declines in chronic disease deaths by 2030,” he says. “The WHO’s latest reports prepared for COP10 [the tenth meeting of the Conference of the Parties to the FCTC], which is now set for February 2024, indicate that most countries are off track to achieve these goals. Note that unless smoking rates decrease fast, death rates from many major chronic diseases will not change.”

    While the FCTC does not envisage a generational smoking ban, some tobacco control activists view it as a key component of their “tobacco endgame” strategy. Most smokers, the measure’s proponents argue, start smoking at a young age; stopping the start by consecutively raising the smoking age would break the cycle of nicotine addiction.

    Despite New Zealand’s U-turn and a similar decision by Malaysia, where lawmakers abandoned plans for a generational tobacco ban due to constitutional concerns, the idea still finds support internationally.

    Singapore has been reported to be “open” to such plans. In 2022, Denmark unveiled proposals to ban the sale of cigarettes and nicotine products to any citizens born after 2010. On Oct. 5, 2023, U.K. Prime Minster Rishi Sunak expressed his support for a generational tobacco ban, saying it was the right step to tackle the leading cause of preventable ill health. According to a spokesperson, he upheld his proposal even after New Zealand repealed its version of the plan.

    The consultation period for the proposed legislation closed on Dec. 6, 2023. It has received support from organizations such as the Society for Research on Nicotine and Tobacco (SRNT), which advised the U.K. government to extend the measure to all forms of recreational nicotine that are not approved as medical therapy for smoking cessation, including heated-tobacco products, e-cigarettes, smokeless tobacco, snus and oral nicotine pouches.

    Yach thinks this is a bad idea. “I don’t like the smoke-free generation measure, but it is sort of tolerable if confined to smoked products and if there are smoke-free options for nicotine use,” he says. “However, the war-on-drugs assumption that demand for the drug itself can be eliminated by measures on the supply side has not served society well more generally.”

    In a poll conducted on behalf of smokers’ lobby group Forest, nearly three-fifths of respondents agreed that when people are 18 years old—and thus legally adults—they should be allowed to purchase cigarettes and other tobacco products. The legislation may be published in Parliament in early 2024. However, at press time, reports suggested that the U.K. was backpedaling on the measure as well, saying the country might raise the legal smoking age to 21 instead.

    Untoward Effects

    Christopher Snowdon

    Due to the lag between smoking initiation and health outcomes, a generational tobacco ban would not affect tobacco-related deaths and disease for at least 40 years, according to Yach. “Given the reality that smoking rates among youth today in the U.K. and New Zealand are in low single digits, while rates are substantially higher among middle-aged adults, the policy would have negligible impacts on population measures of smoking,” he says. “The current youth trends simply need governments to stick with what is working already.”

    Any policy decision, Yach emphasizes, must be weighed against alternative ways to achieve the same objectives and against the probability of untoward effects. “The ‘generational ban’ has failed to consider both,” he says.

    Public health experts have warned that a generational ban would bring about many unintended consequences. In addition to restricting personal liberty, the arbitrary age restrictions would create absurd situations, such as a 28-year-old being deemed capable of purchasing tobacco, while a 27-year-old is not, according to Christopher Snowdon, head of Lifestyle Economics at the Institute of Economic Affairs, who also views prohibition as a driver of illicit trade.

    Yach fears a generational tobacco ban could set precedent that will make it easier to apply similar measures to other products such as alcohol and marijuana. And he warns against unintended consequences. “Will the experiences learn[ed] during the alcohol prohibition era apply?” he asks. “Will youth switch to more, other psychoactive substances, some having deadly consequences? Many will argue that, provided THR products are made substantially more available and attractive, young people may try and use a range of current and future psychoactive substances. Is this likely? We cannot know the answer to these questions until the policy starts rolling out. On balance, it seems prudent to not experiment with the lives of future generations.”

    Like Glover, he regards tobacco harm reduction, which is included in the definition of tobacco control of the FCTC text, scaled to reach adults who smoke and suffer the health effects, as having the greatest potential to save lives in the shortest possible time when compared to other measures, including the generational ban.

    “We know this to be the case based on empirical epidemiological and toxicological studies, foresight models by academics and industry, and the national experiences of Japan, Sweden and the U.K,” says Yach. “My own estimates suggest that if THR and more effective cessation products were fully scaled, we could expect 3 million fewer tobacco deaths annually from the early 2050s. All these deaths would be in adults who are smoking today—not among youth. There is no other intervention that comes close to doing this.”