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Constituent & Emission Labelling
WHAT ARE CONSTITUENTS AND EMISSIONS? Constituents and emissions refer to the substances found in tobacco products and smoke. Cigarette smoke contains approximately 4,000 chemicals, including over 60 carcinogens and toxins, such as formaldehyde, benzene, and hydrogen cyanide.1 Although there is general agreement that cigarette packages should provide some information on these chemicals, regulators continue to struggle with how to best communicate this information in a feasible and meaningful way to consumers. Regulators have traditionally required manufactures to print the levels of three emissions (tar, nicotine, and carbon monoxide) on the side of packages. This remains the most common practice throughout the world. WHAT DO EMISSION NUMBERS MEAN? Tar, nicotine, and carbon monoxide emission numbers are misleading. They represent neither the amount of chemicals present in the cigarette, nor the amounts actually ingested by human smokers. This is because the emission numbers are determined by a machine that “smokes” cigarettes according to a fixed puffing regime. This machine method does not predict the amount of smoke inhaled by individual consumers or account for design elements such as “filter ventilation” – tiny holes poked in the filter that lead to low emission levels under machine smoking, but much higher levels under human smoking. As a result, there is no association between the machine-generated emission numbers printed on packages and the health risk of different brands.2,3 HOW DO SMOKERS INTERPRET EMISSION NUMBERS? The emission numbers printed on packages are the same numbers that tobacco companies have used in misleading advertising that markets “low tar” cigarettes as an alternative to quitting.2,4 Printing emission numbers on packages reinforces this deceptive marketing campaign and the false belief that low tar cigarettes are less hazardous. For example:
Therefore, regulations that require emission numbers to be printed on packages are not only ineffective, but harmful regulatory practices. Scientific bodies, including the World Health Organization’s scientific group on tobacco product regulation, have called for the removal of emission numbers from packages.7 There are other machine testing methods, some of which test cigarettes under more intensive conditions and generate higher emission numbers; however, the emissions from these other testing methods do not serve as reliable measures of risk or exposure among actual smokers, and should not be printed on packages due to their deceptive potential.8 IF EMISSION NUMBERS ARE REMOVED, WHAT SHOULD REPLACE THEM? Research demonstrates that descriptive emission and constituent information is easier to understand and less likely to create false impressions about the risks of different products than the use of numbers.6,9,10 Several countries, including Brazil, Venezuela, Australia, and Thailand, have already replaced emission numbers with descriptive information. Descriptive messages on the side of packages should be rotated and periodically refreshed. Focus group testing SUMMARY
REFERENCES 1 Hoffmann I, Hoffman D. The changing cigarette: chemical studies and bioassays (Boyle P, Gray N, Henningfield J, Sefrin J, Zatonski W. Eds). Oxford University Press. New York; 2004: p.53-92. 2 US Department of Health and Human Services. Risks associated with smoking cigarettes with low machine measured yields of tar and nicotine. Bethesda, MD, USA: US Department of Health and Human Services, Public Health Services, National Institutes of Health; National Cancer Institute, 2001. 3 Jarvis MJ, Boreham R, Primatesta P, Feyerabend C, Bryant A. Nicotine yield from machine-smoked cigarettes and nicotine intakes in smokers: evidence from a representative population survey. J Natl Cancer Inst 2001; 93(2):134-8. 4 Federal Trade Commission. Up in Smoke: The Truth About Tar and Nicotine Ratings. May 2000. www.ftc.gov/bcp/conline/pubs/alerts/smokealrt.shtm 5 Hammond et al. Tobacco Control (ITC) 4-Country Survey. Wave 5 Data; 2007. 6 Hammond D. The Case for Plain Packaging: Labelling practices for tobacco smoke emissions. National Conference on Tobacco or Health; 1 October 2007: Edmonton, AB. 7 Who Study Group on Tobacco Product Regulation. Guiding principles for the development of tobacco research and testing capacity and proposed protocols for the initiation of tobacco product testing, 2004. 8 Hammond D, Fong GT, Cummings KM, O’Connor RJ, Giovino GA, McNeil A. Cigarette yields and human exposure: a comparison of alternative smoking regimes. Cancer Epidemiology, Biomarkers, & Prevention 2006; 15(8):1495-501. 9 Health Canada. Summary Report of Four Focus Groups in Toronto & Montreal on Awareness and Understanding on Toxic Emissions Information on Tobacco Packaging. March, 2003. 10 Health Canada. Toxics information on cigarette packaging: Results of a survey of smokers. Prepared by Environics Research Group; May 2003. 11 Federal Trade Commission. Federal Trade Commission Cigarette Report for 2004 and 2005. 2007. http://www.ftc.gov/reports/tobacco/2007cigarette2004-2005.pdf Prepared by David Hammond, University of Waterloo (Canada) with support from IUATLD. To download a copy of the fact sheet, click here. | Also available in: |
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