Ahs Flavouradditives Nov 2012

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    November 15, 2012

    A Comprehensive Tobacco Flavour Additive Ban is Neededto Prevent and Reduce Youth Tobacco Use

    Background

    Addiction to tobacco products remains the

    leading cause of preventable illness, disability

    and death in Alberta and Canada.

    Flavour additives are commonly added to

    tobacco products to deliberately mask the

    harshness of tobacco and increase the

    appeal and palatability of tobacco products,

    facilitating experimentation and ultimately

    tobacco addiction.

    Numerous tobacco industry documents

    confirm the use of flavours as enticement for

    new smokers. One marketing plan includes

    the development of a fruit flavoured

    addition and a cool menthol for the

    industry described starter smokers.1

    Another document describes designing a

    youth oriented cigarette that is

    candy-like.2

    The linkage of fruit and candy flavours with

    tobacco products also contributes to

    misleadingly minimizing the harmfulness of

    flavoured products.

    The implied harm reduction from the use of

    flavours is confirmed by tobacco industry

    documents that describe adding flavour for a

    healthy image.3

    Flavours are also used to disguise the smell

    of second-hand smoke. Industry documents

    reveal a concept to develop a fruit-flavouredproduct with masked side stream smoke

    that can be smoked in front of children to

    prevent usual smells.

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    The Government of Canada has taken steps

    to reduce the use of flavour additives but

    significant gaps in legislation exist and young

    people continue to use flavoured tobacco

    products known as starter products.

    Bill C-32

    The federal government amended the

    Tobacco Actin 2009 in an effort to help

    protect youth from tobacco industry

    marketing. Bill C-32:An Act to Amend the

    Tobacco Act(also known as the Cracking

    Down on Tobacco Marketing Aimed at Youth

    Act) prohibits the use of most flavour

    additives in cigarettes, little cigars and blunt

    wraps. The act also prohibits the sale of small

    cigars (known as cigarillos) as singles or smallquantity kiddy packs and eliminated

    tobacco print advertising in publicly

    distributed magazines.

    The Act exempts cigars, spit tobacco and

    menthol.

    TOBACCO

    REDUCTION

    PROGRAM

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    The Bill C-32 Loopholes

    Little cigars are defined by Bill C-32 as

    tobacco products with cigarette-style filters

    that contain 1.4 grams of tobacco or less.

    Tobacco products that are greater than

    1.4 grams that do not incorporate a

    cigarette-style filter are categorized as cigars

    and are not covered by Bill C-32.

    As soon as the new regulations came into

    effect in July 2010 new flavoured tobacco

    products that are marginally bigger than 1.4

    grams appeared on the market. Well

    publicized in trade magazines as being Bill

    C-32 compliant the products are available in

    singles, in kid-friendly flavours like grape and

    cherry and in bright, innocuous containers

    without the health warnings required on

    cigarette packages.

    The tobacco industrys ability to exploit the

    loopholes in Bill C-32 and the significant

    exemptions in the legislation permit the

    industry to continue to use flavour additives

    to recruit new users.

    The Bill C-32 Exemptions

    Spit tobacco was exempted from the flavour

    additive ban and this segment of the tobacco

    industry continues to rise in popularity in

    Alberta. Shipments of spit tobacco to Alberta

    rose to a record high of 127,490 kilograms in

    2011 up from 112,425 kilograms in 2010, an

    alarming increase of 13 per cent. During the

    same period total spit tobacco shipments in

    Canada increased from 297,098 to 317,404

    kilograms, 74 per cent of the national

    increase in shipments were sent to Alberta.5

    Industry reports indicate that seven of the

    top 10 spit tobacco products are flavoured

    6

    and that spit tobacco is one of the most

    profitable products per square foot.7

    surprising that a teenage spit tobacco user

    explains that cherry is like kindergarten for

    Copenhagen.

    Given

    the role of flavour additives in making

    tobacco products more palatable it is not

    8

    Bill C-32 also exempted menthol from the

    flavour additive ban. Menthol is used as a

    flavour but also for reducing the irritation of

    tobacco smoke as it is inhaled, making it

    easier for new users to smoke. Research

    confirms that menthol cigarettes contributeto the appeal of youth smoking and to the

    addictive potential of smoking cigarettes

    among youth.9

    Among Canadian youth who

    are daily or occasional smokers, 40.9 per cent

    report using menthol cigarettes.10

    The U.S. Food and Drug Administration

    Tobacco Products Scientific Advisory

    Committee concludes that menthol leads to

    an increase in the number of tobacco users

    and that it makes it more difficult forsmokers to quit. The Committee

    recommends removal of menthol cigarettes

    from the marketplace to benefit public

    health in the United States.

    11A recent U.S.

    study found that nearly 40 per cent of

    menthol smokers say they would quit if

    menthol cigarettes were no longer

    available.12

    Menthol is added to spit tobacco to improve

    the taste for new users. U.S. Smokeless

    tobacco documents reveal thatresearch has

    proven that a mint-flavoured smokeless has

    great potential for success due to its appeal

    to the undoctrinated smokeless tobacco

    user.

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    Given the rising popularity of spit tobacco in

    Alberta a ban on menthol in tobacco

    products would be extremely beneficial for

    public health in our province.

    The use of tobacco known as shisha or

    hookah in waterpipes is an emerging public

    health issue. Recent Canadian data indicate

    that 24 per cent of young adults aged 2024

    have used a waterpipe.14

    This is another

    tobacco product that is available in many

    fruit, candy, bubblegum, dessert and cocktail

    flavours and should be included in a flavour

    additive ban.

    Alberta Health Services Recommendations

    A comprehensive tobacco flavour additive

    ban that includes menthol and all tobacco

    products, including cigars, spit tobacco and

    shisha is required to reduce the number of

    youth who experiment with and become

    addicted to tobacco products.

    The information in this document

    supplements other Alberta Health Services

    briefs on the use of flavour additives in

    tobacco products available at

    http://tobaccofreefutures.ca/current_issues.

    html:

    1. Flavour Additives in TobaccoProducts: A Gateway to Tobacco

    Addiction

    2. Marketing Flavoured Spit Tobacco toYouth: An Industry Success Story

    3. Cherry is like kindergarten forCopenhagen: Why Canada Needs to

    Ban the Use of Flavour Additives in

    Spit Tobacco

    For more information please contact Alberta

    Health Services Tobacco Reduction Program

    [email protected]

    phone 780-422-1350.

    _______________________________________________________________________________________

    Tobacco flavours available in Canada include chocolate, grape, watermelon, peach,

    strawberry, honey and bubblegum.

    http://tobaccofreefutures.ca/current_issues.htmlhttp://tobaccofreefutures.ca/current_issues.htmlhttp://tobaccofreefutures.ca/current_issues.htmlmailto:[email protected]:[email protected]:[email protected]:[email protected]://tobaccofreefutures.ca/current_issues.htmlhttp://tobaccofreefutures.ca/current_issues.html
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    1Sword Innovation Services Limited (1990). Letter from Brian McCarthy to RP Ferris enclosing report of the BAT Scimitar

    programme. Bates 400764282-400764378 Retrieved October 19, 2012, from http://legacy.library.ucsf.edu/tid/lcp42a99.2R.J. Reynolds Inter-office Memorandum, May 9, 1974, Bates No. 511244297-4298. Retrieved October 19, 2012, from

    http://legacy.library.ucsf.edu/documentStore/d/c/c/dcc71d00/Sdcc71d00.pdf.3Sword Innovation Services Limited (1990). Letter from Brain McCarthy to RP Ferris enclosing report of the BAT Scimitar

    programme. Bates 400764282-400764378 Retrieved October 19, 2012, from http://legacy.library.ucsf.edu/tid/lcp42a99.4Sword Innovation Services Limited (1990). Letter from Brain McCarthy to RP Ferris enclosing report of the BAT Scimitar

    programme. Bates 400764282-400764378 Retrieved October 19, 2012, from http://legacy.library.ucsf.edu/tid/lcp42a99.5Health Canada data provided to Alberta Health Services, July 11, 2012. Includes snuff, chew and pouches.

    6National Smokeless Tobacco Company (2007). Presentation made during Convenience U CarWacs, March 7 and 8, Toronto.

    Cited in Physicians for a Smoke-Free Canada. (2009, June) Smokeless tobacco: Candy coated carcinogens. Retrieved September

    24, 2012, fromhttp://www.smoke-free.ca/pdf_1/2009/smokeless.pdf.7Dickson, J. (2011,October). OTP Delivers ROI. Other tobacco products driving in-store traffic. Independent Convenience

    News.Retrieved September 26, 2012, fromhttp://magazine.independentconvenience.ca/i/41370.8Freedman, A. M. (1994, October 26).Juiced up: How a tobacco giant doctors its snuff brand to boost their kick. Wall Street

    Journal. Retrieved September 24, 2012, fromhttp://legacy.library.ucsf.edu/tid/voz11b00.9Hersey, J. C. Nonnemaker, J. M., & Homsi, G. (2010, December). Menthol cigarettes contribute to the appeal and addiction

    potential of smoking for youth. Nicotine and Tobacco Research, 12(Suppl 2):S136S146. Retrieved September 24, 2012, from

    http://www.ncbi.nlm.nih.gov/pubmed/21177370.10Statistics Canada (2012).Canadian Tobacco Use Monitoring Survey, Flavoured tobacco products use in the last 30 days, by

    smoking status and grouped grades, Canada, 2010-11(2012). Retrieved September 25, 2012, fromhttp://www.hc-sc.gc.ca/hc-

    ps/tobac-tabac/research-recherche/stat/_survey-sondage_2010-2011/table-eng.php#t11.11

    U.S. Food and Drug Administration. (2012). Menthol Report: Overview. Retrieved September 25, 2012, from

    http://www.fda.gov/AdvisoryCommittees/CommitteesMeetingMaterials/TobaccoProductsScientificAdvisoryCommittee/ucm247

    605.htm.12

    Pearson, J. L., Abrams, D. B., Niaura, R. S., Richardson, A., & Vallone, D. M. (2012, November). A ban on menthol cigarettes:

    Impact on public opinion and smokers' intention to quit.American Journal of Public Health. 102(11), e107e114 . Retrieved

    September 28, 2012, fromhttp://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2012.300804?journalCode=ajph.13

    Glasscox, R. M. for US Tobacco. (1984, November 15). Company 1st quarter 1985 : Issues and objectives. Retrieved September

    24, 2012, fromhttp://legacy.library.ucsf.edu/tid/mfc46b00.14

    Statistics Canada (2012). Canadian Tobacco Use Monitoring Survey 2012. Retrieved October 19, 2012, fromhttp://www.hc-

    sc.gc.ca/hc-ps/tobac-tabac/research-recherche/stat/ctums-esutc_2011-eng.php.

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